Informatica solutions for healthcare payers leverage the Informatica Platform to meet the challenges facing their organizations. Among these are medical loss ratios that have forced all payers to streamline administrative processes through effective partner management and quality-ensured data exchange. The millions of uninsured individuals, along with health insurance exchanges, introduce new populations of people who are high risk and relatively unknown. Proactive sales and marketing efforts and the ability to react quickly and correctly to change all rely heavily on trusted information collected from a variety of internal and external data sources. Informatica solutions for healthcare payers empower these payers with the ability to trust that data.
Master Data Hub
The Informatica Master Data Hub allows you to adapt as fast as the health insurance business changes by generating and relating reliable views of members, contracts, providers, and products across the enterprise, enabling agile operations and complete analytics.
Benefits
- Support the information needs of emerging business models
- Increase provider outreach and network analytics
- Maximize the reliability of member outreach
Legacy Modernization Data Migration
The Informatica solution for legacy modernization data migration manages your transitions to new applications, while ensuring business continuity and innovation, by leveraging a complete data migration and retirement platform.
Benefits
- Reduce the risk of project overruns
- Increase the adoption of and trust in new systems
HIPAA Data Exchange Hub
The Informatica HIPAA Data Exchange Hub enables you to ease the transition to HIPAA 5010. The solution re-vamps your B2B gateway with optimized trading partner management and onboarding, reuse of data flow templates, in-line data quality assurance, event monitoring, and universal transformation for unstructured, HL7, or HIPAA 4010/5010 data formats.
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Benefits
- Streamline all B2B functions
- Strengthen compliance and reduce risk
- Improve relationships with partners and members
- Incorporate clinical data feeds
HIPAA 5010 Crosswalk
The Informatica HIPAA 5010 Crosswalk allows you to meet the HIPAA 5010 deadline confidently. This solution employs a prebuilt bidirectional crosswalk and a user-friendly Microsoft Excel Accelerator between the 4010 and 5010 transaction formats that can be packaged, customized, or deployed in production or used only for developing a complete testing strategy.
Benefits
- Minimize risk and increase crosswalk
- Maximize regulatory compliance
Care Management Data Foundation
The Informatica Care Management Data Foundation complements a care management platform with complete, trusted, and linked data. This allows you to identify care gaps by matching members across disparate batch and real-time information sources.
Benefits
- Quickly assimilate new external information
- Increase responsiveness and member outreach
- Improve Health Risk Assessments