News

Health Net Signs Multi-Year Agreement with MedeAnalytics

California
Jul 21, 2010

MedeAnalytics, a leading provider of healthcare performance management solutions, announced that it has entered into a multi-year agreement with Health Net, Inc. (NYSE:  HNT) to provide performance management solutions for Health Net's health plan operations and Medicare products. The solutions will enhance Health Net's current data analytics capabilities and include Medical Management Analytics, Provider Network Management Analytics and Operations Performance Management.

Medical Management Analytics helps manage medical costs through quality improvement and utilization management. Specific key performance measures include emergency room coding and utilization, readmissions, one-day stays, length-of-stay efficiency and asthma therapy.

Provider Network Management Analytics provides a deep understanding of the network providers and their performance. This includes outcomes, provider practice patterns and identification of outliers.

Operations Performance Management leverages insight into metrics that must be monitored by health plans, such as claims processing, denials and appeals. Examples include volumes of claims processed, how long it takes to process a claim, denial rates and overturned appeal rates.

"The current economic and regulatory environment is placing increased demands on payers," said Scott Paddock, senior vice president, Payer Solutions. "As a result, payers such as Health Net are moving to ensure that they have responsive, dynamic business intelligence capabilities that, when combined with workflow and document management, yield superior performance management. Our payer clients span the U.S., and we are pleased to help them control costs and navigate these challenging waters."

About Health Net

Health Net, Inc. is among the nation's largest publicly traded managed health care companies. Its mission is to help people be healthy, secure and comfortable. The company's health plans and government contracts subsidiaries provide health benefits to approximately 6.0 million individuals across the country through group, individual, Medicare, Medicaid and TRICARE and Veterans Affairs programs. Health Net's behavioral health subsidiary, MHN, provides mental health benefits to approximately 5.9 million individuals in all 50 states. The company's subsidiaries also offer managed health care products related to prescription drugs, and offer managed health care product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs.

About MedeAnalytics

Founded in 1994, MedeAnalytics enables healthcare organizations to improve clinical, financial and operational performance through on-demand analytics and client services. For hospitals and health systems, MedeAnalytics provides solutions to address revenue cycle, patient access, clinical operations, staff productivity, regulatory compliance, finance and accounting, and enterprise performance management. For healthcare payers, the company provides solutions for provider network management, medical management and operations. MedeAnalytics delivers business intelligence to over 800 healthcare organizations using a hosted, Software-as-a-Service (SaaS) model, which reduces up-front costs and enables rapid implementation and exceptional time-to-value.

For more information contact:
Bruce Lewis
Lewis & Summers Public Relations
(707) 964-3844
bruce@prwebsite.com

MedeAnalytics, Inc.
5858 Horton Street, Suite 475
Emeryville, CA  94608     




Source: MedeAnalytics