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ClarisHealth Unveils Pareo® Partner Exchange: Revolutionizing Payment Integrity for Payers

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Payment Integrity industry’s first integrated ecosystem set to accelerate value delivery and reduce administrative complexity in $9 billion market. Groundbreaking offering addresses the growing complexity in vendor management and empowers health plans to leverage innovative solutions within Pareo and manage their end-to-end payment integrity program.

BRENTWOOD, Tenn., Oct. 11, 2024 /PRNewswire-PRWeb/ — ClarisHealth, a leader in payment integrity technology solutions serving top health plans across the U.S., today announced the launch of Pareo® Partner Exchange, the healthcare industry’s most comprehensive network of pre-integrated payment integrity solutions. This groundbreaking offering addresses the growing complexity in vendor management and empowers health plans to leverage innovative solutions within Pareo and manage their end-to-end payment integrity program.

“By eliminating the need for health plans to manage multiple integrations and data feeds, we’ve significantly reduced their cost of doing business. This efficiency allows our vendor partners to accelerate value delivery to health plans by up to 30% year-over-year.”

The payment integrity vendor solutions market is currently valued at $9 billion with a CAGR of 7%, according to McKinsey. As many new vendors enter the market, health plans face increasing administrative challenges in integrating and managing these diverse solutions. The Pareo Partner Exchange tackles this issue head-on by providing a seamless, integrated ecosystem delivered directly through ClarisHealth’s flagship Pareo platform.

“With successful integrations across every major claims system and over 20 leading payment integrity vendors, ClarisHealth has positioned itself as a source of truth in the payment integrity space,” said Jim Weathersby, CTO at ClarisHealth.

Mike Kriz, CIO for ClarisHealth added, “By eliminating the need for health plans to manage multiple integrations and data feeds, we’ve significantly reduced their cost of doing business. This efficiency allows our vendor partners to accelerate value delivery to health plans by up to 30% year-over-year.”

Recent studies have quantified the impact of Pareo for health plan clients and their vendor partners. Hobson & Company, a third-party consultant, found that Pareo reduces payment integrity administrative spend and increases savings by 30%. The platform eliminates vendor IT costs, which typically range from $250,000 to $1 million in upfront fees and $40,000 per vendor annually. Additionally, write-offs were reduced by 15%, and internal auditor productivity increased by 30%.

“We’re not just offering a single A.I. vendor or clinical audit solution,” said Sara Thomas, VP of payer solutions at ClarisHealth. “We’re empowering our clients to choose the best partners for their needs while removing the traditional barriers to implementation. With Pareo Partner Exchange, health plans can configure vendor relationships, automate data management, create exclusions, adjust pass orders, reconcile invoices, and identify the root causes of claim payment errors – all within a single, unified platform.”

The Pareo Partner Exchange significantly reduces the time and cost associated with implementing new payment integrity solutions. What once took years and millions of dollars can now be accomplished in a matter of weeks, allowing health plans to see results faster.

“Payment integrity has long needed a single source of truth, and Pareo is delivering just that,” said ClarisHealth CEO Jeff McNeese. “As the only solution in the industry that integrates internal payment integrity audit teams and external vendors for health plans of all sizes and segments, we’re uniquely positioned to transform how health plans work with their partners. The Pareo Partner Exchange is set to accelerate this transformation dramatically.”

ClarisHealth recently announced its first formal Exchange partner, Expion Health, offering an innovative “outsource-to-insource” model for out-of-network claims management. Health plans utilizing Expion’s services have reported average savings of $62 to $130 per member per year on billed charges for out-of-network claims.

Karin Humphrey, CEO of Expion Health, when commenting on the partnership said, “Together, we are poised to enhance the financial health of plans and payers, ensuring they remain in control of their processes and savings. By aligning our innovative technologies and strategic insights, we’re not just preparing for the future, we’re defining it.”

In the coming months, ClarisHealth plans to announce partnerships with several more solution providers, including integrated clinical audit solutions, specialty audit services, AI-powered tools, and data connectivity partners. These upcoming collaborations will further expand the capabilities of the Pareo Partner Exchange, offering health plans an ever-growing suite of integrated solutions to address their evolving needs.

Health plan leaders looking for more information about the Pareo Partner Exchange are encouraged to contact Ryan Nowers, director of product operations for ClarisHealth, at rnowers@clarishealth.com.

About ClarisHealth

ClarisHealth, a five-time Inc. 5000 and two-time Deloitte Technology Fast 500 company and recognized in the Gartner Hype Cycle for U.S. Payers and Everest Group’s Payment Integrity Solutions PEAK Matrix® Assessment, provides health plans and payers with a better way to drive claims payment accuracy. Its proprietary, A.I.-powered enterprise technology platform Pareo® has been proven to help health plans streamline payment integrity operations, expand recoveries and reduce administrative costs for an industry-leading ROI. For more information please visit www.clarishealth.com.

Media Contact

Sara Thomas, ClarisHealth, 1 8554252747, sthomas@clarishealth.com, https://www.clarishealth.com/ 

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View original content:https://www.prweb.com/releases/clarishealth-unveils-pareo-partner-exchange-revolutionizing-payment-integrity-for-payers-302272738.html

SOURCE ClarisHealth

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U.S. Department of Commerce Announces 2024 Malcolm Baldrige National Quality Award Winners!

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WASHINGTON, Oct. 11, 2024 /PRNewswire/ — United States Secretary of Commerce, the Honorable Gina Raimondo, today announced the 2024 winners of the Malcolm Baldrige National Quality Award, the highest award for performance excellence presented in the nation and the only award presented by the President of the United States.

The Baldrige Award has returned after a two-year re-design in which the award criteria were updated to focus on organizational resilience. “The 2024 Baldrige Award recipients are role-model organizations that are helping us address some of our nation’s most critical needs, and they demonstrate the resilient spirit of the American people,” said U.S. Secretary of Commerce Gina Raimondo. “These five awardees are bettering the lives of American workers, strengthening our infrastructure, and improving the quality of life in communities across the nation. Each awardee demonstrates how the Baldrige process makes it possible for any type of organization to achieve excellence on behalf of the people and communities they serve.”

“The next chapter of Baldrige has begun,” remarked Al Faber, President and CEO of the Baldrige Foundation. “For more than 30+ years the Baldrige Framework has helped organizations of every size, and from all sectors of the economy, improve their performance. Now, we look to the future with great confidence in the Baldrige Framework’s ability to continue driving performance excellence, and to help identify national role models for resiliency and long-term success.”

The 2024 Baldrige Award winners are:

Alamo Colleges District, (Texas)Chickasaw Nation Department of Health, (Oklahoma)The City of Henderson, (Nevada)Freese and Nichols Inc., (Texas)Northeast Delta Dental, (New Hampshire)

Baldrige Award recipients will be recognized during a formal ceremony in Baltimore, Maryland, in the spring of 2025. The ceremony will be followed by the Quest for Excellence Conference®, where Baldrige Award recipients and other leading organizations share best practices and innovations that can help any organization improve.

“The Baldrige Foundation is immensely proud to have been the private sector partner to the Baldrige Performance Excellence Program over the past 30 years,” concluded Faber, “and we look forward to our continued partnership over the next 30 years and beyond with great excitement and commitment.

Now more than ever, Baldrige remains America’s best investment!”

For more information, contact: Mark Wayda, 614-600-0432 or at mwayda@baldrigefoundation.org.

About The Foundation for the Malcolm Baldrige National Quality Award, Inc.
The Baldrige Foundation was created as the private partner to the Baldrige Performance Excellence Program in 1988. Its mission is to ensure the long-term financial viability of the Baldrige Performance Excellence Program and to support organizational performance excellence throughout the U.S. and the world. The Baldrige Program located at NIST within the U.S. Department of Commerce, is a separate entity and is solely responsible for managing and administering the Malcolm Baldrige National Quality Award. For more information on the Baldrige Award process please visit: https://www.nist.gov/baldrige/baldrige-award.

View original content:https://www.prnewswire.com/news-releases/us-department-of-commerce-announces-2024-malcolm-baldrige-national-quality-award-winners-302273544.html

SOURCE Malcolm Baldrige Foundation

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eHealth Is Ready to Help Medicare Beneficiaries Navigate a Challenging Annual Enrollment Period This Year

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eHealth offers Medicare beneficiaries comprehensive support, including its new “LiveAdvise” tool, to help them enroll in 2025 Medicare coverage

AUSTIN, Texas, Oct. 11, 2024 /PRNewswire/ — Starting on October 15, this year’s Medicare Annual Enrollment Period (AEP) is widely expected to be the most dynamic in recent memory, but after a year of disciplined preparation, eHealth, Inc. (Nasdaq: EHTH) (eHealth.com) is ready to help beneficiaries review their options and identify and enroll in the right Medicare plan for their personal needs and budget.

A Year of Innovation

For the third consecutive year, eHealth is leveraging new technology and internal processes to support Medicare beneficiaries this AEP. The company is officially launching its “LiveAdvise” experience (formerly known as “Advisor in the Room”), allowing beneficiaries to navigate the shopping and enrollment process with a live agent by video, building personal relationships and bridging the gap between the online and in-person shopping experience. Additional technology improvements this AEP include:

“MatchMonitor,” a tool to simplify AEP for existing eHealth customers whose plans may be changing”AppTracker,” to keep customers informed of the status of their application every step of the wayIntuitive improvements to the customer experience, including enhanced usability and personalization across the ecommerce siteUp-front needs analysis tools to help beneficiaries focus on the plans that are best suited to their prioritiesImproved live agent chat and co-browsing functions

Building on a foundation of success

Last year eHealth successfully launched a new brand identity based on rigorous consumer research and testing, and a new company spokesperson, Eve, who embodies the company’s brand and represents the compassion and expertise eHealth customers deserve. This year eHealth is building on that foundation with new direct-response television ads, online ads, and other marketing content featuring Eve and showcasing real-life Medicare beneficiaries using eHealth to review their coverage options and save money on premiums and out-of-pocket costs. eHealth will also deploy an integrated marketing strategy across paid search, direct mail, email, search engine optimization, affiliate, and strategic partner channels. See Eve’s newest ad here.

A nimble, empowered organization

After last year’s Medicare AEP, eHealth made strategic adjustments in its business organization to empower leadership to more effectively pursue and achieve business goals while encouraging innovation and cooperation across teams. Throughout the spring and summer months the company also hired and trained new licensed in-house insurance agents and representatives to support AEP goals for 2024. To help ensure beneficiary satisfaction, eHealth’s phone agents will be supported by refined and expanded back-office support tools and a “100% Verification” standard for telephonic enrollments to ensure clarity for beneficiaries and higher-quality enrollments for carriers.

A team dedicated to customer care

Across the organization, eHealth employees are doing their part to make this AEP a success. Through company social channels, eHealth is highlighting the personal stories of licensed insurance agents and other employees with its “We are eHealth” campaign. Additionally, for the second year in a row the company’s “AEP Aces” initiative is encouraging employees who do not typically work directly with beneficiaries to undergo special training and volunteer as phone screeners during the busiest weeks of AEP.  eHealth employees are motivated to volunteer to help reduce hold times and assist with providing beneficiaries a great experience.

“Medicare beneficiaries could face a challenging AEP this year because of significant changes to their current plans, including out-of-pocket costs and core and supplemental benefits,” said eHealth CEO Fran Soistman. “We’ve focused all our efforts over the past several months to serve beneficiaries better and more effectively in finding the right Medicare coverage for their personal needs and budget. I am particularly proud of the united determination among our employees to make this a successful AEP, both for our customers and the company.”

About eHealth (NASDAQ: EHTH) 
We’re Matchmakers. For over 25 years, eHealth has helped millions of Americans find the healthcare coverage that fits their needs at a price they can afford. As a leading independent licensed insurance agency and advisor, eHealth offers access to over 180 health insurers, including national and regional companies. 

For more information about eHealth, visit ehealth.com or follow us on LinkedIn, Facebook, Instagram, and X. Open positions can be found on our career page.  

Media inquiries: pr@ehealth.com 

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SOURCE eHealth, Inc.

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DataTracks Achieves Unmatched Turnaround Time with New Tailored Shareholder Reporting (TSR) Automation Capabilities

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NEW YORK, Oct. 11, 2024 /PRNewswire/ — DataTracks, a global leader in cloud-based compliance reporting, is thrilled to announce the successful completion of the first wave of Tailored Shareholder Reports (TSR) iXBRL filings with the SEC, using the new TSR automation feature of its DataTracks RainbowTM software. This milestone demonstrates DataTracks’ ability to handle high-volume, complex filings with remarkable efficiency, speed, and accuracy.

 

With this new automation, DataTracks has achieved the fastest turnaround time (TAT) in the industry, helping clients stay ahead in a constantly changing regulatory environment. The enhanced TSR automation feature efficiently streamlines every stage of the filing process—from the initial tagging of report sections to accommodating last-minute revisions—within the shortest time frame. Additionally, the solution manages rich design inputs without requiring rework, highlighting its robust ability to adapt to diverse formats and regulatory requirements.

The TSR automation update is especially effective for handling large-scale filings involving hundreds of fund classes in a single report. The technology can automatically detect these classes using custom HTML markers and create precise extension taxonomy for the data to be tagged, ensuring every report is both accurate and complete. It also features an innovative templating method that accelerates the tagging of similar text blocks across different classes.

Traditionally time-consuming, tables and charts are now easier to manage with the new feature. It accurately identifies and tags data, whether it is on the face of the document or hidden within the HTML. The application also facilitates multiple team members to work on different sections of a report simultaneously, making the whole process more efficient and collaborative.

Sriram Srinivasan, Senior Vice President of US Business at DataTracks, said, “Completing the first wave of TSR filings with such efficiency is a testament to the capabilities of the new TSR Automation update within our cloud-based DataTracks RainbowTM software. Our focus on minimizing manual intervention and maximizing automation has enabled us to achieve unprecedented speed and accuracy, allowing our clients to meet their regulatory filing deadlines with confidence. We remain committed to driving continuous innovation in compliance reporting.”

DataTracks assists Mutual Funds and Exchange-Traded Funds directly and indirectly—through various financial printers and attorneys—in preparing TSR iXBRL reports for filing with the SEC.

About DataTracks

DataTracks has been successfully providing compliance reporting services for the last 20 years. Their full-stack solutions, tailored to help both enterprises and their partners, have helped close to 30,000 clients in 30+ countries seamlessly navigate diverse regulatory regimes worldwide. For more information, visit https://www.datatracks.com/us/.

For Business Enquiries:

Email: enquiry@datatracks.com
Phone: +1 (646) 904-8324

Media Contact: mediarelations@datatracks.com

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View original content:https://www.prnewswire.com/news-releases/datatracks-achieves-unmatched-turnaround-time-with-new-tailored-shareholder-reporting-tsr-automation-capabilities-302273158.html

SOURCE DataTracks

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