Healthcare cost containment

AIG Logo

American International Group, Inc. (AIG), world leaders in insurance and financial services, is the leading international insurance organization with operations in more than 130 countries and jurisdictions.  AIG companies serve commercial, institutional and individual customers through the most extensive worldwide property-casualty and life insurance networks of any insurer.  In addition, AIG companies are leading providers of retirement services, financial services and asset management around the world.  AIG's common stock is listed in the U.S. on the New York Stock Exchange and ArcaEx, as well as the stock exchanges in London, Paris, Switzerland and Tokyo.


AllMed Logo

AllMed Healthcare Management, AllMed Healthcare Management is an independent review organization (IRO) providing independent medical review and hospital peer review services that improve quality and patient safety.


HDM Logo

HDM Corp. founded in 1996, is a woman-owned Omaha-based company dedicated to helping its nationwide clients find a better way to administer health care transactions. HDM Corp. processes over 30 million health care transactions annually and seeks customized solutions for its clients, whether they are payers (insurance companies, TPAs, Taft-Hartley administrators, self-insured employers and health plans) or providers.


HMS Logo

HMS is the nation’s leader in cost management, coordination of benefits, and program integrity services for government healthcare programs. The company serves the Medicaid programs of 40 states, 72 Medicaid managed care plans, the Centers for Medicare and Medicaid Services (CMS), child support agencies, SCHIP, and Veterans Administration facilities. HMS helps ensure that healthcare claims are paid correctly and by the responsible party. As a result of the company’s services, government healthcare programs recover over $1.0 billion annually, and obtain access to data that helps them save billions more. HMS has offices nationwide.


ISSI Logo Innovative Software Solutions, Inc. – ISSI is the leading provider of Benefit Administration computer systems in the Taft-Hartley Multi-employer industry.  Headquartered in Cherry Hill, NJ, ISSI uses cutting edge technology and over 25 years of industry experience to service and support every facet of Benefit Fund Administration. ISSI systems are used by more than 250 Benefit Fund Offices and Third Party Administrators (TPA's) in the U.S. and Canada.

Medical Excess Logo Medical Excess, LLC is a leading provider of stop loss products, organ transplant coverages and catastrophic medical products. As a member company of AIG, Medical Excess can underwrite business in all 50 states and place it with financially strong insurers. 

MEDInnovation Logo MEDInnovation® – A comprehensive suite of capabilities providing real solutions and much needed risk management tools to the employer community through select Claims Payers, and their broker/consultant relationships.  Medical Excess, with their partner TC³ Health and MedStat, deliver these capabilities through MEDInnovation®.  These services are leveraged by a high integrity data platform that is the foundation for MEDInnovation®.  This allows Self Funded Employers to apply true Risk Management strategies to their program.  This platform allows MEDInnovation® to deliver continuous development of best in class capabilities.

Thomson Reuters Logo Thomson Reuters - Thomson Reuters provides market intelligence and benchmark databases, decision support solutions, and research services for managing healthcare costs and quality.

NationsRx Logo NationsRx - NationsRx, LLC is a pharmaceutical services organization designed to meet the complex supply chain demands of today's healthcare payor and provider entities.  The NationsRx client base includes both payors (self insured employers & government sponsored programs) and providers of care including hospitals, health systems, home health providers (ambulatory infusion services), ambulatory surgery centers, long-term care pharmacy providers, PBM mail order pharmacies and government sponsored healthcare delivery channels (VA, DoD, State Facilities, PHS).

NHCAA Logo NHCAA - The National Health Care Anti-Fraud Association was founded in 1985 by several private health insurers together with Federal and state law enforcement officials. Headquartered in Washington, D.C., NHCAA is a unique, issue-based non-profit organization built upon the private-public partnership of organizations and individuals responsible for the detection, investigation, prosecution, and prevention of fraud against private and public health insurance plans. NHCAA serves its members and the anti-fraud community at-large by offering unmatched education and training opportunities to private- and public-sector health care anti-fraud personnel through the NHCAA Institute for Health Care Fraud Prevention, a separately incorporated, tax-exempt educational foundation. Each year, NHCAA's education and training opportunities are hosted throughout the country, culminating at the Annual Training Conference in November. This is the association's largest event of the year, regularly attended by more than 1,000 industry professionals. In addition, NHCAA provides a unique venue for information-sharing and collaboration among its more than 125 Member Organizations and Law Enforcement Liaisons to assist in the fight against health care fraud. Serving consumers is also central to the NHCAA Mission: To protect and serve the public interest by increasing awareness and improving the detection, investigation, civil and criminal prosecution and prevention of health care fraud.

SunGard Relius Logo SunGard Relius - iWORKS GBAS provides group health claims and benefit administration solutions for insurance companies, third party administrators, and self-administered employers. Eligibility functionality includes the ability to maintain enrollment information, process COBRA, bill and collect premiums, and calculate and distribute payments to insurance carriers and agents. Claims functionality includes the ability to set policy and provider parameters, automatically adjudicate claims, and produce EOBs and claim payments. Compliance with HIPAA, including transaction sets, is integrated into the system. Web-based functionality includes the ability for employers, employees and their dependents, and providers to view and interact securely with relevant information maintained in the system.

TriZetto Logo

The TriZetto Group, Inc. focuses on the business of healthcare and offers a broad portfolio of technology products and services. TriZetto's customers serve more than 100 million health plan members, or approximately 40 percent of the insured population of the United States.

TriZetto also offers a portfolio of specialized software components that provide expanded functionality for specific business cycles and can be used as key components for supporting payers' consumer-focused strategies.

 
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