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EmblemHealth Activates Landacorp's maxMC Medical Management Solution

Thursday 5th of November 2009 10:35

CHICO, Calif., Nov. 5 /PRNewswire/ -- Landacorp, a SHPS company, today announced the successful implementation of Landacorp's maxMC medical management software solution at EmblemHealth. Initial implementation includes the modules for case management, utilization management, and a powerful rules-based processing tool kit.

EmblemHealth will increase operational efficiencies in managing member care through maxMC. Specifically, maxMC's automated workflows and real-time, clinical data interfaces, will support EmblemHealth's case management nurses to more efficiently engage with both their members and providers while reducing administrative costs.

Group Health Incorporated (GHI) has been a Landacorp client since 1997. In 2006, GHI and HIP Health Plan of New York affiliated and are now EmblemHealth companies serving approximately 3.4 million members. As part of an operational efficiency project, EmblemHealth expanded the use of Landacorp's care management solution thereby replacing other vendor applications.

"Landacorp's maxMC product effectively bridges the gap between our affiliated entities HIP and GHI," noted William A. Gillespie, MD, senior vice president and chief medical officer of EmblemHealth. "We expect greater communications and efficiencies not only internally, but with our physician and other provider community and vendors alike. Through more accurate and timely information, our service to members will be improved," added Dennis B. Liotta, MD, MBA, senior medical director of EmblemHealth.

This most recent success is a continuation of the on-going partnership between Landacorp and EmblemHealth. "The EmblemHealth and Landacorp teams joined forces to execute a complex implementation," said Jay Dunlap, general manager of Landacorp. "The consistencies and efficiencies that can be realized by EmblemHealth in its care management operations are a testament to the flexibility and extensibility of maxMC."

About EmblemHealth

EmblemHealth, Inc., through its companies Group Health Incorporated (GHI) and HIP Health Plan of New York (HIP) provides affordable, quality health care coverage and administrative services to approximately 3.4 million people. Groups and individuals can choose from a variety of PPO, EPO and HMO programs as well as prescription drug, dental and vision plans. Plans offer a choice of networks, including access to over 106,000 quality doctors and other health care professionals and most of the leading hospitals across the tristate region. For more information, visit www.emblemhealth.com.

About Landacorp

For more than 25 years, Landacorp has provided managed care organizations and hospitals medical management software solutions, including maxMC, CareRadius, CareAffiliate, and CareFind. These tools automate medical management delivery, streamline communications, and transform data into knowledge. Landacorp products support clients across the healthcare continuum with solutions that enhance the quality of member care, manage and prevent cost, and help avoid risk. Visit www.landacorp.com for more information.

About SHPS

SHPS is a leading, independent provider of health solutions that improve personal health and reduce spending. By offering health management and benefits administration services, SHPS delivers people-centric solutions that empower individuals to make wise healthcare choices. It serves large and mid-sized employers, government agencies, and third-party administrators through the company's Carewise® Health, Landacorp, and SHPS brands.

SOURCE SHPS


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