healthcare technology company Xeris introduced in-network pricing/contract modeling services for health plans.
“The addition of this solution further strengthens the company's position in understanding and proactively assisting health plans. Navigate insurance claim pricingthe processing and financial implications of the contract changes,” Zellis said in a news release on Tuesday (March 26).
“By completing the company's full-service claims pricing suite, health plans can now benefit from a comprehensive set of solutions that increase the accuracy and transparency of claims pricing and comparative modeling. ,” the release added.
According to the release, the solution provides “clear predictions of costs,” allowing health insurers to more accurately price their policy claims. It also provides access to Zelis' library of pricing methodologies, allowing you to almost instantly price your health insurance plan based on any contract rate, including commercial, Medicaid, Medicare, Tricare, and other programs.
“We understand that navigating complex stakeholder relationships and evolving healthcare regulations requires more than just strict cost controls, it requires collaboration from cost management partners,” he said. Jay DeadyPresident of Price Optimization at Zelis.
“Such platform solutions drive efficiency, improve the member experience, minimize burden on payers and providers, and reduce the overall cost of care for all involved,” he added. Ta.
It's been a busy month for Xeris, which last week announced a partnership with Real-Time Medical Network availability. As reported here, this partnership covers everything from administrative workflows to payments.
Yusuf QasimZelis' President of Payments Optimization said in a news release that the partnership “marks a new step forward.” Making the medical flow more seamless In this country, we believe Availity is the perfect partner to make that happen, with its unique track record and strong customer relationships. ”
In this month, Smart Shopper PropelZelis' new member engagement tools are designed to improve the healthcare experience for members across a variety of health plans.
SmartShopper Propel is designed to help individuals, including those covered by commercially insured, Medicare and Medicaid plans, more effectively navigate the healthcare environment while improving satisfaction with their health plans.
“With SmartShopper Propel, we do more than just present any option to our members.” heather coxXeris President of Insights and Empowerment said in a statement. “We partner with health plans to help them achieve their member activation goals by creating personalized engagement and incentives tailored to each member's unique needs.”
