Ingenix Clinical Assessment Solutions helps Medicare and Medicaid health plans enhance patient outcomes and ensure accurate payments
EDEN PRAIRIE, Minn. – September 22, 2008 – Ingenix, a leading health information, technology and consulting company, is helping health plans successfully navigate the challenging environment of Medicare and Medicaid risk adjustment with Ingenix Clinical Assessment Solutions. This new risk adjustment service enables health plans to receive accurate payments and improve patient outcomes by focusing on early detection, ongoing assessment and reporting of chronic conditions.
Ingenix Clinical Assessment Solutions delivers analyses, clinical programs and market consultations that engage members and physicians to conduct a comprehensive patient evaluation that detects chronic conditions that may otherwise be overlooked. The implementation of prospective clinical programs in a risk adjustment program is unique. Early detection and on-going assessment contribute to improved patient outcomes and ensure that federal payments accurately reflect the true financial risk taken on by the health plan. In addition, the health plan also benefits from the implementation of Ingenix documentation and coding controls that are critical in today’s environment of heightened regulatory oversight.
“We have hands-on experience implementing proactive clinical programs in a variety of markets including Medical Groups and IPAs, individual practices, open access networks and Special Needs Plans,” said Jeff Dumcum, senior vice president of Clinical Assessment Solutions at Ingenix. “These programs are proven to help Medicare Advantage plans ensure regulatory compliance and provide the highest quality care to members.”
The Ingenix Clinical Assessment Solutions risk adjustment service can be configured to help plans of all sizes to manage significant financial and regulatory exposure. Ingenix will work with the plan’s members and providers to improve the timeliness of patient health interventions, prescribing patterns, lifestyle behaviors, and longevity and quality of life for the membership, while improving the health plan’s top line revenues.
About Ingenix
Ingenix, a wholly-owned subsidiary of UnitedHealth Group (NYSE: UNH), transforms organizations and improves health care through information and technology. Organizations rely on its innovative products, services and consulting to improve the delivery and operations of their business. More information about Ingenix can be obtained at http://www.ingenix.com. | 
