Strategic regulatory initiatives of Patient Protection, Affordable Care Act (PPACA), and other healthcare regulations and reforms are becoming complex. The healthcare Payer segment is therefore now demanded to become aligned to these evolving circumstances that are continually shaping healthcare operational standards.
To conform to these standards and enhance healthcare delivery, payer companies are looking to:
e-Zest - An Accion Labs Company provides public and private payers and healthcare insurers solutions to achieve these goals. Our team of experts have a proven track record of meeting client-specific custom development needs with their expertise in power of BI, Cloud, Mobility and User Experience Solutions.
As a prominent player in healthcare IT, we leverage our deep understanding of clinical data and advanced technologies such as TriZetto FACETS, QNXT, HIS, EHR/EMR, and Ancillary Systems to deliver comprehensive services. Our capabilities in data integration, legacy modernization, upgrades, maintenance, testing, and support to facilitate mutually beneficial collaborations between payers and providers.
Given the dynamic landscape of the healthcare sector, healthcare payers are continually confronted with challenges like aligning internal processes, customer-centric strategies, cost-effectiveness, and regulatory adherence, with changing market needs. Drawing upon our extensive expertise within the healthcare industry, e-Zest- An Accion Labs Company supports payers in addressing the market's technology and application needs through the provision of agile, innovative, and intuitive IT solutions. Our seasoned Subject Matter Experts (SMEs) bring years of expertise in managing healthcare products, platforms, solutions, and services, ensuring that we leverage our deep domain knowledge to stay ahead of the curve.
Some of the key services that we offer include:
We help healthcare organizations leverage advanced technologies to engage, communicate and connect with their patients and referring organizations. We have experience in developing CRMs that are customized to the needs of each organization and can integrate data from various information systems to provide a comprehensive view of patient data, while ensuring HIPAA compliance and data security. These CRMs enable organizations to enhance the overall patient experience and improve the quality of care.
Frauds in healthcare often result in higher costs for patients and reduced profit margins for payers. We enable healthcare organizations detect, avoid, and eliminate the risk of frauds by developing rule-based solutions using emerging technologies of predictive analytics to identify fraudulent patterns and flag potential frauds before claims are even paid. This preventive approach over a reactive one helps healthcare organizations save the time and effort incurred in fraud detection while driving enhanced patient outcomes.
We offer a comprehensive range of services for core administration platforms, including software design, development, implementation, quality assurance, upgrades, testing, and support for the TriZetto FACETS & QNXT.
Trusted by more than 200 healthcare organizations, the TriZetto platform offers a complete suite of modules that empower payer organizations to meet their current business needs while preparing for future growth and adaptability. e-Zest – An Accion Labs Company is equipped with SMEs who specialize in FACETS & QNXT services, including Upgrades, Testing, Implementations, Migrations, Enrolment, System Analysis, and Batch Management, Maintenance, and Support. Our teams consist of senior members with backgrounds in TriZetto Facets and QNXT, enabling them to take full ownership of TriZetto platform customizations and implementations, claims analysis, batch monitoring, settlement, support, visualization, and more.
Focused on cost containment and efficient implementation, our integration services offer optimal solutions and best practices integrations, thereby enhancing operational efficiency and reducing timelines.
Formulary systems are used by healthcare organizations to effectively track, manage, and administer medications. Our team of experts helps healthcare organizations offer secure, cost-effective, and beneficial outcomes to patients by developing simple and efficient formulary systems based on extensive research and evidence. We cover all aspects of medication management, including lists of preferred drugs, policies for prescribing, administering, and utilizing medications, prescribing guidelines, information on the various uses of each medication, and guidelines on the usage of non-formulary medicine.
e-Zest – An Accion Labs Company provides effective ICD-10 services to facilitate a smooth transition, covering assessment, design, implementation, remediation, and testing phases. We offer ongoing support post-implementation, including assistance with any challenges encountered and continuous optimization to enhance operational efficiency in the long term.
Our team of healthcare domain & IT SMEs help healthcare organizations meet the changing needs of the healthcare industry by assuming full responsibility of their current project initiatives, working closely with their account management teams as an extended IT arm, while reducing operational costs. We have 24/7 on-demand experts and a dedicated recruitment support team.
Fill out the form and someone from e-Zest will get back to you.
e-Zest is a leading digital innovation partner for enterprises and technology companies that utilizes emerging technologies for creating engaging customers experiences. Being a customer-focused and technology-driven company, it always helps clients in crafting holistic business value for their software development efforts. It offers software development and consulting services for cloud computing, enterprise mobility, big data and analytics, user experience and digital commerce.
