Payers
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Payers increasingly turn to retail clinics for cost savings, quality care

Health plans focusing more on healthy lifestyles for members

Electronic health information exchange helps cut medical care costs, survey shows

Tufts Health Plan will return to Rhode Island after nine-year absence

Health plans to electronically send administrative data to care providers

Underwriting & Actuarial Solutions

Ingenix Underwriting & Actuarial Solutions combine data, analytics, and cutting-edge technology to automate standard processes that reduce costs while driving profitable growth.

Support key initiatives including:

  • Improve risk assessment
  • Help control and reduce costs
  • Improve accuracy and accelerate speed
  • Manage forecasting and analyze trend

Products:


Impact Pro™
A multi-dimensional, episode-based predictive modeling and care management analytics solution designed to allow health plans to utilize clinical, risk, and administrative profile information to provide more targeted health care services to their members.
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Ingenix Health Technology Pipeline™
Ingenix Health Technology Pipeline identifies emerging technologies, summarizes important clinical research, and forecasts the actuarial impact on health care costs—so you can better anticipate future medical expenses and plan accordingly.
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Ingenix MedPoint™ Prescription Profiling
Ingenix MedPoint is a powerful online tool that can provide you with an individual or group’s medical profile within minutes—so you can underwrite more effectively to reduce costs, lower loss ratios, and increase revenue.
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Ingenix StepWise™ Automated Rating
The Ingenix StepWise Automated Rating system is a sophisticated suite of applications that can automate large group, small group, and individual underwriting and manage blocks of business for health plans of all sizes.
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Symmetry Pharmacy Risk Groups™
Pharmacy Risk Groups™ (PRG™) provide a powerful risk assessment solution to organizations that do not have access to complete medical claims or want to perform a more timely assessment of a member's health risk.
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