Whitepaper Exposes Healthcare Administrative Waste

Practical Steps for Cutting Healthcare Costs through Existing Infrastructure & Collaboration



The U.S. economy transmits over 18 billion electronic payments each year, yet approximately half of all healthcare financial transactions are still paper-based. Costs of paper, printing, postage and labor for manual processes in healthcare are estimated to add up to nearly $30 billion a year in waste. As healthcare reforms are considered in Washington and in all 50 states, administrative savings represent a bright spot—low-hanging fruit—that could help pay for longer-term reforms. To help inform this dialogue, Emdeon, in cooperation with the Center for Health Transformation, unveiled an important whitepaper at the HIMSS 2009 Annual Conference in April. The whitepaper, "Taking the Paper Out of Paperwork: How Electronic Administration Can Save The U.S. Health System Billions", looks at the gaps in the industry that keep it dependent on manual processing—and offers practical steps for breaking this costly and inefficient cycle. "In these trying economic times, combined with the specter of unsustainable spending, Medicare insolvency and runaway growth in Medicaid, we must find those IT solutions that can not only save lives but can also lower costs," said Former House Speaker Newt Gingrich, founder of the Center for Health Transformation. For more of the Speaker's message, view the video foreword to the whitepaper. The whitepaper provides a step-by-step roadmap for both payers and providers and highlights best practices that are delivering tangible results today. This pragmatic approach leverages technology and infrastructure that already exist—and provides a vision for a new kind of industry collaboration. Recommendations outlined in the whitepaper include:

For Payers
* Develop and pilot reimbursement programs that reward quality healthcare practice and results, including electronic information exchange.
* Ensure all future information technology development is done according to industry standards.
* Collaborate around multi-payer functionality, understanding that providers want a single resource for interacting with health plans.

For Providers
* Keep abreast of federal funding opportunities for health information technology.
* Include process re-engineering for an electronic end-to-end eligibility, claims and payment process in electronic medical record (EMR) implementation strategies.
* Work with medical societies and specialty groups to advance national standardization goals.

Download the whitepaper.

New Payers On-Board



Emdeon is pleased to announce the following payers as part of our constantly expanding network:


• American Behavioral
• AmeriChoice of New Jersey, Inc. (Medicaid NJ)-Claims
• Automated Group Administration, Inc.-Claims
• Benefit Management, Inc. of KS-Claims
• Blue Cross of Oregon-ERA
• Blue Shield of Idaho-ERA
• CAHABA HomeHealth-ERA
• Cenpatico-FL-Claims
• Children First Medical Group-Claims
• DeltaCare USA Claims-Claims
• DeltaCare USA Encounters-Claims
• Employers Health Network, LLC-Claims
• Entrust-Claims
• Freedom Blue Medicare Advantage Claims-ERA
• Hawaii Medical Service Association (HMSA)-ERA
• Health Choice Generations-Claims
• Health Net of California and Oregon-Claims-Rosters
• Health Network One-Claims
• InterCare Health Plans Inc.-Claims
• Kaiser Individual and Families-KPIC-Claims
• Metro Plus Health Plan-Claims
• Midwest Security of WI-ERA
• Multiplan-Savility-Claims & ERA
• Municipal Health Benefit Fund-Claims
• North American Benefits Network (Cleveland, OH)-Claims
• Northstar Advantage-Claims
• Regence Blue Shield-ERA
• Reserve National Insurance-Claims
• Select Health-Claims
• Sunshine State Health Plan-Claims
• Tall Tree Administrators-Claims
• Tennessee Medicaid-ERA
• United Security Life & Health Ins Co-Claims

For a complete list of the payers in our network, visit our website.



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