Healthcare systems around the world are increasingly looking for payment models that deliver value-based care and respond to rapidly changing patient expectations.
With strategic regulatory initiatives like the Patient Protection and Affordable Care Act (PPACA), the healthcare regulations and reforms in countries such as the US are getting complex. Owing to market pressure, the payer companies are under constant pressure to:
e-Zest provides solutions for public and private payers, and for healthcare insurers. Our team of technical experts have been meeting client-specific custom development needs with the power of BI, Cloud, Mobility and User Experience Solutions.
Our services for Payers include the following -
e-Zest helps healthcare organizations use technology at the forefront to engage, communicate and connect with their patients and referring organizations.
We have extensive experience in developing Customer Relationship Management systems (CRMs) that are customized to the needs of the organization, and 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.
The data generated through healthcare information systems is immense in both volume and value.
e-Zest helps healthcare organizations communicate with this data to deliver actionable insights. By using emerging technologies of Big Data, business intelligence and data visualisation tools, our team of experts helps provide a dashboard view to this data, enabling organizations to make more informed decisions based on the real-time analysis of information, and to thereby provide improved processes and services.
Complete patient care involves not only medical treatment, but also secure handling of the patient data. e-Zest has served as a managed services provider (MSP) for a number of the healthcare organizations,
supporting them across the entire value chain allowing for a faster and secure response time, 24*7 real-time assistance, server and application support, and disaster recovery thereby empowering healthcare organizations to focus on providing quality care to patients.
The verification of claims can be a very demanding and challenging process, requiring attention to detail as well as accuracy. We enable organizations to save on cost and time required to adjudicate claims, by automating all aspects of the claim verification process, including enrolment, eligibility, benefit administration, verification, reimbursement, reporting and more
We have helped healthcare providers effortlessly manage their billing processes, by developing complete revenue management solutions. These billing solutions efficiently handle all aspects of the billing process, including patient and third party billing and payment scheduling, reimbursement, analytics, and more. They also communicate with other information systems like EHR and accounting, reducing the time between offering services and receiving due payments.
Frauds in healthcare often result in higher costs for patients and reduced profit margins for payers. e-Zest helps healthcare providers detect, avoid and eliminate the risk of frauds by developing rule-based solutions using emerging technologies of predictive analytics, that identify fraudulent patterns and flag potential frauds before claims are even paid.
This preventive approach over a reactive one helps healthcare providers save on time and effort incurred in fraud detection, while driving the patient outcome.
A Health Insurance Exchange (HIX) is a comparison-shopping platform/marketplace wherein health insurance companies list their plans, which can then be compared with each other and bought by interested customers. e-Zest has helped healthcare organizations develop smart exchange portals that generate insurance options and coverage, real-time, serving both individuals and families. Our dedicated team of experts helps with every step of implementing and managing the platform, right from development, verification and through to validation, performance testing and customer support Health Insurance Exchange (HIX)
Formulary systems are used by healthcare organizations to effectively track, manage and administer medications to patients.
e-Zest helps healthcare providers offer secure, cost-effective and beneficial outcomes to patients, by developing simple and efficient formulary systems based on extensive research and evidence.
Our team of experts 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.
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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.