Health Care Payor & Provider

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An unprecedented regulatory environment is driving change in the health care delivery model. Attadale helps our clients ensure compliance and gain a competitive advantage in the marketplace.

Payors are increasingly focused on administrative services and Per Member Per Month costs, while Providers address the Recovery Act provisions for “Meaningful Use” to participate in bonus payments and avoid penalties.

American Recovery and Reinvest Act

Our staff have designed and implemented electronic records management on a global scale, crossing international regulators, managers and users. Our pragmatic approach means our clients will experience quicker adoption and increased compliance, in addition to a world-class electronic health record system.

Increased public data on hospital and physician ranking and performance supports an early mover advantage. Attadale’s “Pathway to Implementation Success” will help our clients:

  • Realize “Meaningful Use” requirements under the Recovery Act to secure authorized bonus payments
  • Target progression across the HIMMS EMR adoption model
  • Gain a leadership position for early adoption in a competitive landscape

Health Care Legislation

Attadale works with health insurers to streamline back office functions and align operations with the new market dynamics. An increased regulatory focus on cost management and mandates for expanded coverage will challenge even the most nimble health care payor model. The most successful companies will be the ones most able to adapt.

We are experts on consumer markets (individual policies) and bring industry examples across the full business model. Some example engagements include:

  • Increase competitiveness by targeting “straight-through” processing of applications
  • Integration of rules-based underwriting engines and underwriting process reengineering
  • Management Reporting Infrastructure
  • Reduce costs, increased quality and improved service through online sales and interactive administrative tools
  • Reduce Per Member Per Month through enhanced document management, regulatory compliance and other administrative functions

To retain our services or to learn more about our capabilities and experience, contact us at info@attadalepartners.com or our North American headquarters at 847.330.6310