Government Healthcare BPO Services
Executive Overview
- Lower program costs
- Realize gains in efficiency and performance
- Purchase only the components you need
- Respond quickly to legislative change and health crises
- Improve the quality of healthcare
EDS helps state government healthcare agencies drive down administrative costs while innovating customer service and improving the quality of healthcare.
Multi-payer processing and real-time claims adjudication are just two of the creative ways EDS helps agencies contain program costs and improve service. Everyone benefits from an integrated, streamlined system that funds payers more efficiently, reimburses providers more quickly, and adjudicates patient claims swiftly and fairly.
We offer state healthcare agencies creative purchasing options through our flexible EDS InterChange Government Health Portfolio, and a strong commitment to delivery excellence. In the Medicaid arena, our record for on-time and on-budget delivery of Medicaid Management Information System (MMIS) implementations has been unmatched for the past three years.
State government healthcare agencies recognize our commitment to cost savings, innovation, flexibility, and operational excellence, honoring us with their business. Today, EDS is the largest provider of Medicaid management services in the United States, administering $100 billion in Medicaid benefits for more than 19 million recipients annually.
EDS InterChange Government Health Portfolio
EDS Helps BreastCare Program Fight Cancer
EDS has helped the Arkansas Department of Health and Human Services, Division of Health, with pioneering their BreastCare program since 1999. Since that time, the program, which manages more than 128,000 calls per year, has provided services to more than 39,000 women.
The EDS InterChange Government Health Portfolio transforms the traditional industry procurement model to a flexible system that allows state government healthcare agencies to purchase components together or separately.
- Healthcare Administration/Fiscal Agent Services – Integrated services and delivery capabilities to help implement, manage, and administer government health programs more efficiently and cost-effectively
- Decision Support Services – Comprehensive capabilities to give state government health program administrators the ability to make better-informed decisions, with quick access to timely and accurate information
- Fraud and Abuse Detection System – Desktop access to information and sophisticated analysis tools that help governments detect, prevent, and recover monies lost to fraud, abuse, and waste
- HIPAA Compliance Services – A suite of services that prepares government health programs for Health Insurance Portability and Accountability Act (HIPAA) administrative simplification, assures compliance, and positions the programs for e-health opportunities
- Immunization Registry Customization and Support Services – Automated support for recording immunizations, tracking inventory, compiling records across all providers, performing duplicate checking, generating reports, and providing reliable data
- Vaccines for Children Program Services – A Web-based vaccine order entry and reporting system to meet state and Centers for Disease Control and Prevention (CDC) requirements