The Healthcare Markets are facing a perfect storm. An aging citizenry needs repeated high quality care driving up healthcare costs. Payers are renegotiating contracts, lowering reimbursement. Poverty is increasing leading to spiraling uncompensated charity care. Unemployment is driving increased self pay receivables leading to increased days AR and increasing write offs. Regulatory compliance is becoming crucial for sustaining reputations. Unfunded mandates such as HIPAA 5010 and ICD 10 are looming large on the horizon. The PPACA act is squeezing administrative margins while limiting cherry picking of risk.

Healthcare Payers are looking for solutions that improve their administrative margins while fixing broken processes such as prior authorizations and claim adjudication. They are seeking service providers that help them transition through the upcoming challenges such as the the increased PPACA driven enrollment and lowered productivity/lower STP on account of ICD 10.

Healthcare Provider Organizations are seeking solutions that improve revenues, reimbursement, process compliance and stakeholder satisfaction while lowering operational costs and minimizing capital expenses. The Provider C suite is looking for credible, sustainable solutions to challenges they face which improve their financial and operational control while improving management visibility..