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MDdatacor to Support BCBS Nebraska’s Healthcare Program
September 26, 2008Atlanta – MDdatacor Inc., a provider of healthcare quality management solutions for health plans and providers, inked a new contract with Omaha-based Blue Cross and Blue Shield of Nebraska (BCBSNE) to support the health plan’s quality program, which initially focuses on members with diabetes and hypertension.
BCBSNE, which serves nearly 700,000 members throughout the state, will rely on MDdatacor’s CareInformatix technology to automate the collection of clinical data from primary care physician practices’ existing electronic medical record, practice management, lab and registry systems, as well as transcribed notes, which means that even physicians without electronic systems will be able to participate in the program.
Atlanta-based MDdatacor claims to be the only company currently able to aggregate clinical data directly from physicians’ own patient records, resulting in access to the most comprehensive patient data.
“MDdatacor provides doctors with actionable clinical information at the point-of-care, which leads to improvements in patients’ health,” says Tim Roche, co-founder, president and CEO of MDdatacor. “MDdatacor’s technology has resulted in demonstrated improvements in patient outcomes, and we will now bring that same value to BCBSNE. BCBSNE clearly understands the importance of putting disease management in the hands of physicians by providing the most accurate, timely and comprehensive patient information.”
MDdatacor will provide participating physicians with real-time, Web-based reports that identify patients whose current treatment does not meet nationally recognized clinical guidelines. As a result, patients receive the most appropriate, evidence-based medical care in a more cost-effective manner.
“Our focus is on delivering the health and wellness solutions people value most,” says Dr. Bill Minier, VP, medical policy and medical director, BCBSNE. “We see this as a significant step in supporting the delivery of quality care to our members. We also believe MDdatacor’s system will enable physicians to more efficiently deliver the care they want their patients to receive. ”
Source: MDdatacore Inc.
American Modern Extends Contract with Innovation Group
September 16, 2008Hartford, Conn. — Innovation Group, a Newton, Mass.-based global provider of enterprise software and BPO solutions to the property/casualty insurance industry, have finalized an application support and maintenance contract with American Modern Insurance Group (American Modern), Amelia, Ohio, a specialty insurance subsidiary of The Midland Co. The contract extends the Innovation Group/American Modern relationship to include customized support of Innovation Policy, the client-centric, end-to-end policy administration system for all lines of property/casualty insurance.
“Innovation Group is proud to put our global property and casualty expertise behind a company that is so widely regarded for their exemplary product line and unparalleled commitment to customers,” says Euan King, COO for Innovation Group Technology Solutions, North America.
The contract has been extended over the next 28 months, and continues the growth of a business partnership that began in 2003. Innovation Policy went live at American Modern in December 2007.
Source: Innovation Group
Tennessee Blues Automates New Business with Connecture
September 8, 2008Atlanta — BlueCross BlueShield of Tennessee, the state’s largest not-for-profit health plan, will work with Connecture Inc., an Atlanta provider of Web-based sales, service and process automation solutions to the health insurance industry, to automate new business processing in the individual market. The company will employ Connecture’s InsureConnect EZ software, which is a packaged version of InsureConnect, Connecture’s sales automation software for health plans.
BlueCross BlueShield of Tennessee was seeking a tool to help them enhance their existing sales process to improve efficiencies in both their broker-facing and direct-to-consumer channels. With more than 100,000 members in the state of Tennessee, BlueCross already had a strong market and online presence, but needed a solution to automate new business quoting, rating, underwriting and enrollment. BlueCross BlueShield of Tennessee selected Connecture for several reasons; including Connecture is the only national sales automation partner for the Blue Cross Blue Shield Association, and 35% of Blues plans have successfully implemented InsureConnect solutions.
The implementation of InsureConnect EZ will be in two phases, with phase one scheduled to go live this year. Phase one will include implementation of InsureConnect products: Quoting, Rating, Enrollment and Installation and Sales Automation. Phase two will encompass going into production with InsureConnect Underwriting. At the completion of phase two, all of BlueCross BlueShield of Tennessee’s commercial, medically underwritten individual products will be automated online.
Source: Connecture
Kaiser Permanente to Implement BPM for Call Centers
August 25, 2008Cambridge, Mass. — Pegasystems Inc., a business process management (BPM) technology provider, reports that Kaiser Permanente, Oakland, Calif., has selected Pegasystems’ Customer Process Manager for Healthcare (CPM-HC) as the new desktop solution for its national call centers. Pegasystems’ solution, which replaces Kaiser’s existing system, is used by health payers to optimize the customer experience, drive higher first call resolution rates and lower call handling times.
Built expressly for healthcare organizations, CPM-HC is a packaged BPM solution that delivers multi-channel, intent-driven customer service to increase productivity, loyalty and growth. CPM-HC provides intelligent inquiry case management, automated work handoffs, seamless data and knowledge integration and CTI functionality. Other features include automated case documentation, special handling alerts, work monitoring, automated escalations, as well as enhanced integration, reporting and analytics. Newer capabilities being used in this implementation include Pegasystems’ Application Profiler and Process Mapping that allow clients to directly capture their implementation objectives and speed deployment. CPM-HC is typically used to service member and provider inquiries for multiple business lines including commercial, Medicare, Medi-Cal, and direct pay.
“We are delighted that Kaiser Permanente has selected Pegasystems to support their contact centers,” says Alan Trefler, CEO, Pegasystems, Cambridge, Mass. “Kaiser Permanente is well respected for its high customer service rankings, and the deployment of BPM technology will allow them to reach even higher standards of excellence for customer care and quality of service.”
Pegasystems has a well-established suite of healthcare solutions aimed at helping organizations achieve significant results in gaining new business, improving customer service and driving operational effectiveness.
Source: Pegasystems Inc.
IHIAA Selects Norvax Sales Automation Tools
August 11, 2008Chicago — Norvax, a provider of health insurance technology and Internet tools for insurance sales, has been selected as the exclusive provider of sales automation tools for the Independent Health Insurance Agent Association (IHIAA), Odenton, Md.
“Everyone knows the importance of having the right tool for the job,” says John Petrowski, president of IHIAA. “That’s especially true for independent health insurance agents. Norvax has the sales automation tools to help individual agents generate more leads, submit more apps and boost their bottom lines. And they do it with an integrated suite of tools—not expensive piecemeal patches.”
Norvax currently works with thousands of agents and brokers, providing them with professional Web sites designed to help producers generate more health insurance leads. In addition, the Norvax suite provides up-to-date quotes from more than 70 of the nation’s top carriers in seconds.
It also includes the LeadMiner e-mail autoresponder, a drip marketing tool that effortlessly keeps agents in constant contact with thousands of prospects, and the BrokerOffice lead management system, a lead management tool designed specifically for health insurance agents.
As part of its alliance with IHIAA, Norvax is providing IHIAA members with preferred pricing on its technology bundle and access to its training resources. Norvax recently moderated a popular Webinar on the challenges and obstacles faced by new agents, featuring Petrowski. These agent challenges are what initially prompted Petrowski to create the IHIAA, and it’s what drew him to Norvax.
“We’re proud to partner with an organization like IHIAA,” says Jeremiah Desmarais, VP of marketing for Norvax. “Their focus on the development, training and proper equipping of independent agents is needed in our industry. Its officers and members are known within the health insurance community to provide unbiased, practical advice to agents at all levels in their business.”
Source: Norvax
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