ManagingManagedCare.com
Learn and discuss how to improve Manged Care

Maintained by Dr. Jeffery G. Kaplan, MD,
this site is dedicated to making Managed Care evidence based care.

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Current Information Technology (I.T.)

Information Technology Delivers

MSO, HMO, Self-Insured, TPA, IPA

Providers, Physician Groups, Health Systems, IPAs

The right care at the right time and place Fair payment for services rendered; work recognition
The ability to review care over time Comprehensive care managment
Information for actuarial analysis and strategic planning Case and Disease Management; Drug Use evaluations; Outcomes

 

Technological Solutions

Advanced Information Technology: SmartCare
To learn more about Vantage Point, Inc.'s featured Executive Information System--SmartCare and why it is called that, please click on the bullet list, Overview or the full description.

  3M HIS's CRGs
The birth of Clinical Risk Groups (Move your cursor to the pregnant lady. Gently Click on the babe . . . . Be patient; it's loading a 31 slide PowerPoint show

To see best of breed reporting (MS Word Version).
Visualize how they fit, e.g., with Asthma and Diabetes
To get the free Adobe Acrobat 5.0 Reader, click here)

An open letter describing my experience with CRGs. You may qualify for a free install and 6-month trial.


eAppealSolutions
A way to get rid of the headache of Appeals (PDF file, see page 2):
The Foundation for Accountability, a not-for-profit organization dedicated to helping Americans make better health care decisions. FACCT believes that America's ability to create a more responsive health care system depends on informed, empowered consumers who help shape the system, hold it accountable for quality and act as partners in improving health. To achieve this goal, FACCT creates tools that help people understand and use quality information, develops consumer-focused measures, supports public education, especially efforts to gather and provide quality information, and encourages health policy to empower and inform consumers.

enterprise-wide solution Healthwave was formed on May 2, 2000 and is transforming healthcare administration. We make transactions seamless, continuously available (real-time), and online.

Benefits:
Engineered workflows and customized processes that
(a) Produce highly effective systems. See our partners
(b) Reduce many labor-intensive routines and use outsourcing services, efficiently
(c) Automate the paper chase
(d) Connectivity with organization's constituents in real-time
(e) Tasks that are non-value added are vrtually eliminated
(f)  Interactive Office Dashboard™ - the practice management tool that handles all your daily routines with the click of a mouse
(g) Comprehensive workflow accelerator--Ovation2K™
(h) Advanced end-to-end application
(i)  Look at our PowerPoint (preferred) or (HTML) slideshow / Contact me


Per-Se Technologies, Inc. [Nasdaq: PSTI] is is one of the largest HIT and services companies worldwide.

They have become a leader in the healthcare information technology and services marketplace for physicians, healthcare organizations and payers. Annual revenue of approximately $329 million; 5,000 employees; a client base of nearly 2,000 healthcare organizations and 47,000 physicians; processes more than 240 million healthcare transactions annually and provides solutions that manage 26 million patient lives online.


Privacy and HIPAA compliance; thier objective is "to establish a standard of medical care for fully informing patients and obtaining their permission to proceed--with treatments, research, uses of personal information, and anything else that bears risk."

 

I.T. Innovation

Click Above - 3M's pregnant with innovation.
31 PowerPoint slides; takes < 3 min. to load on a 50Kbps modem.

(It's worth it)


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