Inland Empire Health Plan (IEHP), a public health plan based in Southern California, has selected Dell to help expand its claims processing capacity as it prepares for unprecedented membership growth.
IEHP is projected to grow to 900,000 members by 2016 as a result of the federal healthcare reform and participation in California Coordinated Care Initiative.
Dell, as part of managed IT services deal, will help IEHP build additional claims processing capacity to offset increasing claims inventory levels and establish processing resources and expertise for future growth.
“Dell’s deep familiarity with our claims processing platform and the ability to ramp up quickly to meet projected growth needs was a key factor in the selection process,” said Rohan Reid, chief operations officer for Inland Empire Health Plan.
In addition, to improve the quality and accuracy of claims processing, Dell will implement a comprehensive quality assurance and audit program, as well as establish continuous performance improvement targets using Six Sigma strategies and operational metrics.
“Medicaid health plans must focus on providing the right balance of care, quality and cost efficiency in order to be successful, and the right business and technology infrastructure is critical,” said Sid Nair, vice president and global general manager, Dell Healthcare and Life Sciences Services.
Dell is the leading provider of healthcare information technology services globally, based on a recent Gartner report.
On an annual basis, Dell processes more than 96 million claims, handles more than 1.3 million enrollment transactions and manages call centers that receive more than 11 million calls per year for these customers.
picture source: iehp.org