|
HEALTH
CARE
The healthcare industry of today is embroiled in the complexities of trying to take advantage of the amazing advances in science and technology while trying to control the staggering costs of serving a larger, aging population. The very simple economic models prevalent 20 years ago have been replaced by very complicated economic models based upon volume discounts, strict utilization management, and sharing risk between providers and those who finance healthcare.
Furthermore, healthcare financing is one of the largest line item amounts in both the federal and state budgets. There is an ongoing pursuit by legislators to limit and otherwise control costs through regulating reimbursement. This puts increasing strain on providers who see growing numbers of patients covered under Medicaid and Medicare programs that are providing decreasing levels of reimbursement.
All the major healthcare constituencies have a huge interest in improving the system. Patients want to receive the best care possible at an out-of-pocket cost that is reasonable to them. Those who finance healthcare (individuals, employers, insurance carriers and benefits administrators) want to guarantee access to quality care, for a reasonable cost, with limited risk of catastrophic financial loss to the individual. Those who provide healthcare services wish to provide appropriate care of high quality for a reasonable rate of return on their substantial investments in education, equipment, facilities, and staff.
Information technology is a critical
business driver for reducing the costs of providing and financing healthcare.
Information is the key ingredient that drives the healthcare economic
models of today. Efficient, cost-effective information technology solutions
are key to keeping the costs of administering benefits down and to
understandinwg how the costs of delivery can be better managed and
controlled.
Trinity's team of professionals have wide-ranging experience delivering information technology solutions in the healthcare financing industry. We have years of private sector experience in member eligibility, claims processing, benefits administration, and provider data management and contracting. We also have significant public sector experience in the Medicaid arena, including utilization management; drug rebates, cancer treatment programs, and third party liability.
|
