Purpose designed and built, Acrometis’ Managed Care Gateway is delivered as a core component of all of claim processing solutions, enabling payers to easily manage, evaluate and optimize their managed care vendors without lengthy, costly, difficult implementations or discontinuation. The capabilities of our Managed Care Gateway include measurement, analysis, key metric performance and the ability to determine the effectiveness of any managed care vendor within your claim operations, connecting providers and specialty managed care partners to maximize negotiated relationships and minimize costly managed care leakage.
Stop Managed Care Leakage
Prior to Acrometis’ Managed Care Gateway, despite all the investments in claims administration systems, claim handler training and managed care partner negotiations, bills and referrals are still not following the optimal path, resulting in costly ‘leakage.’
Causes of Managed Care Leakage include:
- Special jurisdictional exceptions to network coverage
- Inconsistent claim handler experience
- Complicated partner systems
Acrometis’ Managed Care Gateway provides the connector between your systems and your managed care partners, removing the guesswork over routing and maximizing the value of your negotiated partnerships. Once you establish the scope and jurisdictions for your partners, the Managed Care Gateway electronically routes requests and bills to your desired partner.
New partners can easily be added without lengthy retraining of claims handlers or implementation delays due to availability of IT resources. Once the change is made, the Gateway handles the rest.
Part of every Acrometis claims processing platform, the Managed Care Gateway gives you detailed, record level analytics into your claim process. Use the data to compare partners, inform future negotiations and maintain an auditable record. Stop your managed care claim leakage today – Click here now to find out more information on how Acrometis and its Managed Care Gateway can help.
Industry Best Partners and Enabling Technology
Acrometis’ Managed Care Gateway connects your workers’ comp operations with best-in-class providers, providing the connector between your systems and your managed care partners, removing the guesswork over routing and maximizing the value of your negotiated partnerships.
Easily manage, evaluate and optimize your managed care vendors without lengthy, costly, difficult implementations or discontinuation. Simply make a change, and the next request follows that path. No lost savings or mis-directed care while waiting for training to take hold. All easily accessible from the claim handler’s desktop and integrated in all of our claim processing platforms.
Our Partners Include:
Are you a managed care provider interested in being added to our Managed Care Gateway? It’s easy, and without onerous access fees. Our goal is to connect the best providers to our Gateway for our clients. Click here to connect with us and find out how to get started.
Gain unprecedented insights into the performance of your networks
The Managed Care Gateway can also offer detailed measurement, analysis, key metric performance and the ability to determine the effectiveness of any managed care vendor within your claim operations.
The Managed Care Gateway is included in all of our workers’ comp claim processing solutions, offering you unprecedented control, insight and flexibility.
Interested in learning more about Acrometis’ Managed Care Gateway?Connect with Acrometis Today.