 payer solutions. |
overview.
With dedicated resources in claims processing, pricing, benefits configuration, and more, we collaborate with your team, delivering measurable solutions for success.
navigating transformational change in healthcare payer environments.
Our consultants have extensive functional expertise in Information Technology, Clinical Systems, and Business Operations across critical areas such as:
- care management
- case management
- data analytics
- discharge planning and transitional care
- medical review
- utilization review
We provide proven professionals with deep payer-specific experience. Our consultants tailor custom solutions to your specific needs.
information technology.
As a healthcare payer, you understand the importance of health information technology, interoperability, and data integration for improving quality of care, lowering costs, and enhancing your member services.
clinical solutions.
Together with our clinical delivery organization, Walker Healthforce, offers expertise to healthcare payers, hospitals, and healthcare systems nationwide.
business operations.
Our consultants understand the importance of perseverance and optimizing revenue streams for healthcare payer organizations. We provide comprehensive guidance and support throughout the entire payer continuum.
analytics.
We believe in unleashing the power of data to improve patient outcomes, reduce costs, and drive growth. By leveraging data to improve performance, your organization can make informed business decisions based on the knowledge shared by our consultants.