This book includes a plain text version that is designed for high accessibility. To use this version please follow this link.
HEALTH PLANS - PROVIDER NETWORK MANAGEMENT


HEALTH PLANS - SALES, BROKER MANAGEMENT


Healthtrust Purchasing Group 155 Franklin Rd., Ste. 400 Brentwood, TN 37027


NaviNet


179 Lincoln St. Boston, MA 02111


PH: 617-715-6000 FX: 617-715-7800 www.NaviNet.net


NaviNet, America’s largest real-time healthcare communications network, securely links health plans and industry partners to hundreds of thousands of healthcare professionals. Over 70 percent of the nation’s physicians are enrolled in NaviNet’s Network, touching 121 million covered lives. Solutions include NaviNet Insurer Connect, NaviNet EMR, NaviNet PM and NaviNet Mobile Connect.


See our ad on page 25


Pegasystems 101 Main St.


Cambridge, MA 02142 PH: 617-866-6958 www.pega.com/solutions/by-industry/healthcare Pegasystems, a leader in business process management and a leading provider of CRM solutions, helps organizations enhance customer loyalty, generate new business and improve productivity.


Plexis Healthcare Systems 385 Williamson Way Ashland, OR 97520 PH: 541-494-2506 www.plexisweb.com


Plexis’ extremely scalable, rules-based claims adjudication, premium billing, capitation and eligibility management systems improve productivity and increase flexibility allowing payers/administrators to effectively compete in today’s challenging markets domestically and internationally. Plexis leverages fl exible Microsoft Windows-based service-oriented architecture (SOA) to take advantage of leading-edge processing technologies.


RAM Technologies Inc. 275 Commerce Dr., Ste. 100 Fort Washington, PA 19034 PH: 215-654-8810 FX: 215-654-8807 www.ramtechnologiesinc.com RAM Technologies simplifies healthcare administration for payers. HEALTHsuite is an enterprise-wide solution with fully integrated functionality to support all aspects of health plan management.


TriZetto Group Inc. 6061 South Willow Way Greenwood Village, CO 80111 PH: 303-495-7000 FX: 303-495-7001 www.trizetto.com TriZetto is a proven partner in providing healthcare payers with core administrative software, care management and constituent Web solutions, and application, BPO and consulting services.


PH: 615-344-3000 FX: 615-344-3285 www.healthtrustcorp.com


Plexis Healthcare Systems 385 Williamson Way Ashland, OR 97520 PH: 541-494-2506 www.plexisweb.com


Plexis’ extremely scalable, rules-based claims adjudication, premium billing, capitation and eligibility management systems improve productivity and increase flexibility allowing payers/administrators to effectively compete in today’s challenging markets domestically and internationally. Plexis leverages fl exible Microsoft Windows-based service-oriented architecture (SOA) to take advantage of leading-edge processing technologies.


HIE - HEALTH INFORMATION EXCHANGE


Accent on Integration 120 Love Bird Ln. Murphy, TX 75094 PH: 888-788-8264 www.AccentOnIntegration.com Accent on Integration provides integration software and medical device connectivity solutions that enable data sharing by interconnecting disparate technology systems, medical devices and clinical workfl ows.


Acuo Technologies 8009 34th Ave. South, Ste. 9000 Bloomington, MN 55425 PH: 952-905-3440 www.acuotech.com Acuo’s software, services and experience make Acuo a leader in the vendor neutral archive (VNA) market as well as data migration services.


APP Design Inc. 555 W. Pierce Rd., Ste. 195 Itasca, IL 60143 PH: 630-775-1144 www.appdesign.com


APP Design specializes in providing infrastructure/ services to empower HIEs to fund themselves without government grants and offers services in healthcare connectivity and electronic data interchange.


Authentidate 300 Connell Dr., Ste. 5100 Berkeley Heights, NJ 07922 PH: 908-787-1700 www.authentidate.com Web-based secure health information exchange, workfl ow management and telehealth solutions that enhance care coordination, increase revenues and productivity while reducing costs.


Axolotl Corp. 160 W. Santa Clara St., Ste. 1000 San Jose, CA 95113-1731 PH: 888-296-5685 www.axolotl.com


Centers for Medicare &


Medicaid Services (CMS) 7500 Security Blvd. Baltimore, MD 21244 www.cms.gov/EHRIncentivePrograms/ The CMS Medicare and Medicaid EHR Incentive Programs will provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.


See our ad on page 3


Dentrix Enterprise 727 East Utah Valley Dr. American Fork, UT 84003


PH: 801-847-4320 FX: 801-847-3677 www.dentrixenterprise.com


Dentrix Enterprise is a leading electronic dental record software installed in community health centers and provides seamless interoperability with any HL7-compliant medical electronic health record.


FJA


1040 Ave. of the Americas, 4th Floor New York, NY 10018 PH: 212-840-2618 www.fja.com FJA helps insurance companies achieve straight- through processing through streamlined product configuration and development, increased automation and system integration.


Halfpenny Technologies Inc. 725 Skippack Pike, Ste. 100 Blue Bell, PA 19422 PH: 610-277-9100 www.halfpenny.com


A leading provider of clinical integration solutions enabling hospitals/laboratories to integrate with EMR systems, deliver reports to mobile devices and communicate orders/results via a portal.


HIPAAT


568 9th St. South, Ste. 108 Naples, FL 34102 PH: 905-405-6299 www.hipaat.com We empower patients and enable providers with healthcare IT privacy and security solutions that enhance patient safety by providing consent management and security auditing solutions.


Holon Solutions 1580 Warsaw Rd. Roswell, GA 30076 PH: 678-324-2060 www.HolonSolutions.com Holon’s CollaborNet manages the assembly, packaging, routing and delivery of vital health information among and between care delivery team members, using the systems you currently have in place. CollaborNet builds value from the bottom up by delivering information WHEN, WHERE, and HOW you need it.


www.healthmgttech.com


HEALTH MANAGEMENT TECHNOLOGY


June 2011 43


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68