What exactly does all that mean? It means our team is capable in implementing, transitioning, enhancing, or upgrading Healthcare Information Systems! We understand the complexities of healthcare system integration and the importance of compliance. We are experienced in translating requirements and facilitating solution delivery and are expert in managing the development of business requirements documents (BRDs) and managing the software development lifecycle (SDLC).
The ATIBA team can ensure the implementation of policies and procedures that effectively support systems and operations, and they can ensure delivery of cohesive end-to-end processes that include provider networks, PCPs and data interfaces to 3rd party vendors such as Prime Pharmacy Benefit Managers.
We are capable in helping States implement Medicaid systems and operational processes that are designed to control administrative costs, service members and providers and satisfy federal requirements enabling them to receive 90% federal financial participation (FFP) for design, development or installation and 75% FFP for operation of state mechanized claims processing and information retrieval systems approved by CMS.
ATIBAs healthcare specialists can lead Medicare project initiatives for insurers, health plans, ACOs, or managed care organizations whose goal is to implement web-enabled information management systems that serve a critical role in the ongoing operations of Medicare Advantage (MA) and Part D programs. Allow us to assist you in delivering healthcare information management solutions that will support your operations and enhance the quality of care provided to your members!
Or, the managed care organization may choose to promote new service area expansions for Medicare Advantage Prescription Drug (MA-PD) plans that combine health insurance benefits and prescription drug coverage in one comprehensive plan.
Regardless of the plan focus, ATIBA can provide direction, leadership and management to organizations that wish to create a new plan. Our leaders can drive new plan development and are able to seamlessly transition between strategic and operational initiatives to achieve business objectives that help you increase your revenue stream. Reach out to let us know you are interested in a free consultation on how we assist you with the development of Health Risk Assessments, Plans of Care and other tools needed to manage this high-risk population.