Healthcare

Healthcare officials like you face many pressures – from securing financing to balancing policy decisions. Plus, federal directives are pushing states toward more-automated and integrated systems.

Let us create a custom solution for you. We’re the only provider offering such a broad range of end-to-end healthcare administration solutions with deep subject matter expertise.

In our 37 years in this field, we’ve become a preferred MMIS (Medicaid Management Information Systems) provider. And we’ve successfully implemented and received CMS Certification in 31 state Medicaid programs. This number continues to rise…as does our experience in the healthcare sector.

Quick: What provides the greatest opportunity for addressing the significant cost burdens faced by government healthcare agencies? The answer: effectively managing recipients’ care. On average, more than 95 percent of any government agency’s program budget goes toward the cost of care.

Your partner is ACS. Our suite of modeling, profiling, benchmarking, reporting and health risk prediction tools is among the most innovative in the industry for monitoring and managing trend. And our HIT solutions use a comprehensive Health Information Exchange (HIE) to equip patients, providers and payers with the right information at the right time – improving patient care, saving time and reducing costs.

As healthcare evolves, it’s critical to identify and enroll eligible populations into appropriate programs. Healthcare reform is changing the government healthcare landscape, and rapid response is needed to address new program demands.

We offer you proven solutions to expand access to care, maximize voluntary enrollment, and help consumers navigate their choices. Since 1971, we’ve helped government agencies like yours implement and manage solutions that meet program needs – while providing a high level of service and cost efficiency. Our services include:

• Web-based eligibility determination
• Choice counseling
• Enrollments and transfers
• Customer service call center operations
• Outreach and education
• Quality assurance
• And more.

Pharmacy costs continue to spiral at double-digit annual growth rates. And pressure on you mounts to implement and manage a successful pharmacy assistance program. Plus, many state Medicaid programs are challenged with budgetary concerns, changing federal requirements and healthcare access issues.

We can provide a combination of customized solutions to meet your program goals. We’re recognized by public sector pharmacy benefit programs for developing, managing and administering superior technical and clinical solutions.

Count on us to partner with you to:

• Contain costs
• Improve drug therapy
• Advance your programs forward
• Deliver the highest value to your consumers.

Currently serving 32 programs in 28 states, we can deliver cost-efficient results. Our scalable solutions serve the needs of both state government and healthcare-dependent constituents.

In 2009, the nation’s Medicaid programs paid nearly $400 billion to physicians, hospitals, nursing facilities, health plans and other providers. Many states are looking for better cost-efficiency, access to services and quality of care.

We can help. As a fiscal agent or facilities manager, we can help your Medicaid program develop payment methods that operate within complex claims processing systems. Unlike many consultants, we already have in-depth knowledge of your MMIS, Medicaid program and providers.