MedeAnalytics, a leading provider of healthcare performance management
solutions, announced that Blue Shield of California (BSC) has extended
its agreement for MedeAnalytics’ Claims Transparency solution, which
powers BSC’s successful Partnership in Operational Excellence and
Transparency (POET) program. BSC has partnered with nearly 100
California hospitals to improve claims performance metrics, streamline
business processes and accelerate revenue cycles. The POET program has
resulted in a significant decrease in the number of claims denials and
appeals.
“Blue Shield of California’s initiative is a shining example of win-win
collaboration between an innovative payer and hospitals. We are pleased
that our solution has helped enable the POET program’s impressive
administrative cost reductions and efficiency gains.”
According to Juan Davila, BSC’s senior vice president of network
management, “The claims process is notoriously plagued by inefficient
and often manual systems to process claims data, much of which resides
in different silos. MedeAnalytics’ Claims Transparency solution provides
a web-based analytic portal to consolidate and view claims performance
data, providing unprecedented visibility for both BSC and participating
hospitals. This sharing of data has built trust, improving our
relationships with providers.”
Mike Gallagher, chief executive officer of MedeAnalytics, commented,
“Blue Shield of California’s initiative is a shining example of win-win
collaboration between an innovative payer and hospitals. We are pleased
that our solution has helped enable the POET program’s impressive
administrative cost reductions and efficiency gains.”
Psilocybin and mindfulness offer new hope for depressive healthcare workers