eMids Technologies Blog

2010-04-27T02:09:00.000-07:00

GreenClaim

With a view to enhancing our solution offering, eMids is proud to offer product based solutions through its GreenClaim suite. eMids continues to seek value for its clients and in the near future would have more additions to its solution sets. The following are the products under the GreenClaim suite:

GreenClaim – health mason
GreenClaim – TheSys

GreenClaim – health mason
GreenClaim – health mason is a multi utility scripting tool modeled on the usage of artificial intelligence.

Claim backlogs cost health plans millions of dollars a year in staffing, settlements, penalties, overpayments, and legal fees. For those organizations that can afford it, the only recourse is to add temporary staff or to contract with outsourcing vendors. Beyond cost, these solutions introduce human input errors and increase interpretation variance from one claim adjuster to the next. Moreover, neither solution is capable of clearing a large claim backlog in a very short amount of time.

GreenClaim – health mason is a product that connects to any claim system over a secure connection – in exactly the same manner as existing outsourcing solutions. GreenClaim – health mason can process tens of thousands of claims in a matter of days and do so with unparalleled quality and accuracy. Once a backlog is cleared, GreenClaim – health mason can be used on an ongoing basis to handle spikes in volume or simply to augment capacity.

GreenClaim – TheSys
GreenClaim – TheSys maximizes ROI through automation; this includes real-time adjudication, point of service adjudication, EDI, security, high configurability, and reliability.

GreenClaim – TheSys has transformed from a simple health plan system to one of the most flexible rules based adjudication systems on the market. GreenClaim – TheSys was originally designed to serve the complex payment structures of PPO systems; GreenClaim – TheSys is one of the most configurable systems on the market that can handle myriad benefit plans, fee schedules and lines of business. Any changes to adjudication are handled by configuration settings that are client controlled, resulting in an adjudication that requires little to no custom development.

GreenClaim – TheSys also provides Point Of Service Claims Adjudication, real-time referral, real-time authorization, and eligibility checks for providers. These automated features have reduced excesses in staffing by providing direct contact to providers.

2010-04-20T04:13:00.000-07:00

eMids: Fun at eMids

Working at eMids is about having fun while you work. The friendly work environment here creates an atmosphere where you can get along with everyone and you can work together enabling positive discussions, meet new challenges and grow with more experience and knowledge.

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2010-04-13T23:48:00.000-07:00

Health 2.0 Conference Recap

eMids' CEO Saurabh Sinha takes a first look at Health 2.0

Last week, I attended the Health 2.0 conference in San Francisco. Its audience, comprised of leaders in both technology and the provider community gave me the perception that is Health 2.0...next-generation concepts of healthcare. The program discussed emerging models of online care (American Well, Myca etc.) i.e. clinical groupware, Adoption of Health 2.0 platforms by physicians, Payers Health 2.0 strategy, PHR platforms (HealthVault, Google Health & WebMD) i.e. Consumer Aggregators and Value of data from user generated healthcare content. Several products exhibited at the conference and a few did deep dives and new launches.

The maturity curve of healthcare or "Health 2.0" is seen to go from:

Users generating healthcare content to...
Users connecting to providers to...
Partnerships that reform care delivery to finally...
Data driving decisions and discovery...

The Health 2.0 conference had products that spanned across this spectrum. Most products were either B2C or B2B2C business models. Conference programs recap were the following:

The conference began with an interesting key note by Aneesh Chopra (CTO, US Government) emphasizing the need to decouple and ‘liberate’ data for it to be useful while protecting privacy of patients. His office’s main objective is to drive innovation to solve legacy problems.
The use of online care is evolving, so is its business. Both American Well and Myca did deep dives and approach online care from different perspectives. The concept of using online tools to schedule and conduct follow up appointments has value. Not only do patients feel the convenience, such platforms enable physician-to-specialist interaction online as well which facilitates better primary care. Unlike patient-doctor relationship that is dictated by state boundaries, doctor-to-doctor consultation has no such boundaries and therefore online collaboration tools unlock the tremendous potential of nearly a million doctor network within U.S.A.
There were several physicians in attendance and some took stage to show how Health 2.0 tools were changing their approach to practicing. Usage varied from some using online communication tools like Skype to some blogging for patients etc.
Cigna, Regence BCBS, State of Minn. and Kaiser Permanente participated in discussing Payers role in Health 2.0. Their involvement varies e.g. Cigna has partnered Quicken Health Group to offer consumers an easy way to manage healthcare finances.
The discussion on PHR/Consumer Aggregators was very interesting. WebMD clearly has a strong brand to back its PHR efforts whereas HealthVault and Google Health are attempting to serve as backbones to all healthcare information flow. There was an emphasis to guide the user along the online "value chain" (i.e. start with smaller and value tasks such as scheduling and then gradually as consumer habit forms, move to more intensive operations like maintaining health records online). Analogies mirrored what happened with the e-commerce and banking world, we began by simply viewing statements online to entering basic data to today doing billions of transactions online. Consumers need to be nudged along through a similar journey in healthcare. The opinion was that a rapid change in behavior is being expected from the consumers today which is not feasible.
Some "very" Health 2.0 websites shown – www.lifemojo.com, www.livestrong.com, www.thecarrot.com , www.happy-neuron.com

A snapshot of the lessons learned:

How do we make the healthcare industry make 'more' affordable 'for less'? Clearly, the following needs to occur:

Reduce cost of care
Reduce cost of insurance

How to do the above mentioned?

Reduce cost of care:

1. Move towards outcome driven care models adopting best practices across all care providers

2. Reduce negligence and administrative costs – adoption of IT and demonstration 'meaningful use'. Increased use of IT prevents errors and reduce admin cost

3. Tort reform- behavior of care providers have become, following 'care instinct' to following 'legally right instinct'

Reduce cost of insurance:

1. Allow for more competition

Via government-sponsored payer
Via dissolving state boundaries
Via setting up healthcare cooperatives

2. Increase volumes – making health insurance mandatory for all citizens is an option

The second section to this message is the technological implications which can drive the above mentioned information. Interoperability – the ability to integrate applications from disparate sources will be key to the success of the next generation of health care applications. Imagine the outcome of the applications that provide high quality services and can integrate well are poised to take collaborate with others that can drive significant changes in behavior.

Evolution of patient /doctor behavior, not revolution – healthcare industry has so much to adopt from other industries like ecommerce and banking which has transformed the way of living.

Last but not least – Innovation. There is an extraordinary amount of innovation happening in the healthcare industry, where people have started developing applications of their own, research and development towards medicine and mush more.

In conclusion, an underlying principle across all Health 2.0 applications needs to be openness and interoperability. Business models are evolving and user behavior can only be predicted and so applications that are intuitive and easy to integrate with will succeed in the long-term as some business models succeed more than others.

For additional information on how eMids can help you, please email us at sales@emids.com, or visit: www.emids.com.

2010-04-02T04:17:00.000-07:00

FlatWorld Café

The world is getting flattened by forces of globalization, advances in technology and growing business needs. The Pulitzer Prize-winning author and columnist Thomas Friedman, had his revelation of this changing planet in his book “The World is Flat.”

At eMids, we have had the opportunity to live this reality and succeed on all sides of the “Flat World”. That is why we created FlatWorld Café (FWC). FWC is not just a website or the educational in-person series we provide…it’s a constant conversation of how to make individuals and businesses better. We have long had that “café” conversations internally about how to better our clients’ businesses through the “Flat World” approach and decided to open up the “café” discussion to everyone!

We believe the FlatWorld empowers all individuals, businesses and communities to do more. We will use FlatWorldCafé.com to help you grasp the impact of the evolving business environment, have a resource for global resourcing research, respond to technology and operational challenges, and harness opportunities to succeed.

To be successful as organizations and individuals, we can all leverage a “Flat World” and learn from each other…we at eMids are excited to provide you the forum for conversation. The Café is open!

To visit Flat world Café Click here

2010-03-24T01:20:00.000-07:00

eMids: Training at eMids

We have a passion for healthcare and to provide our clients the best services. The best services are provided when there is high knowledge, skill and competency. Here at eMids we continuously train our employees to improve themselves and give them learning. We train employees with interactive sessions to give them precise knowledge about their projects and technologies they work with and awareness about the new technologies or other developments to keep their knowledge updated.

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2010-02-11T15:15:00.000-08:00

eMids: People at eMids

High on Life - pretty much sums up our lifestyle at eMids! Our belief - Life must be lived to the full, and every moment is to be cherished. Project deadlines may be demanding! The work may be daunting! But we do not let that deter us. We set our sights on the impossible and achieve it. An eMidsian is a young mind, inquisitive and wiling to learn, unafraid to experiment with new tasks and methods, welcomes challenges, moves steadily up the learning curve, and as a result, charts a career path for himself or herself. An eMidsian puts his/her values into action and is a responsible citizen.

Watch more videos on our YouTube Channel, click here

2010-01-06T14:08:00.000-08:00

Enterprise IT Services: Application Development

Application Development

Companies that utilize eMids for application development can choose to co-source development or depend on eMids for full outsourcing efforts. Our staff works tirelessly to make sure our clients applications improve and help administer business processes for business success. eMids can help companies to manage the full range of their information technology needs by developing and deploying custom and packaged application software that streamlines and integrates business processes and systems to achieve a competitive advantage.

Application Development Services include:

- Product and Software development

- Large-scale enhancements

- ERP/Package Release and/or Upgrades

- Consulting services for compliance and certification

How we assist our clients through our Application Development Services:

- Advise technology selection and roadmap strategies

- Align service levels with business priorities

- Reduce build, support cost by 30 to 40 percent

- Post client relationship maturity, additional reduction in total cost of ownership can be made

2010-01-06T14:02:00.000-08:00

eMids Technologies: Offerings - PeopleSoft

PeopleSoft

eMids offers various services to support ERP systems within our client's environments. Our focus has been around the PeopleSoft ERP. Peoplesoft is one of the leading ERP softwares in the world. eMids offers several services on Peoplesoft software platform. eMids has expertise with the Financial, HCM and CRM modules. eMids employs several ex-Peoplesoft employees and highly qualified Peoplesoft professionals that will offer insight uncommonly found amongst most consulting vendors.

Implementation Services:

eMids can be a lead implementation vendor or be a part of a consortium implementing Peoplesoft. eMids can assist with installation, implementation, customization, integration and upgradation. Our implementation offering consists of baselining the existing process, defining the “to-be” processes, building out the system and customizing the application as needed and suited to the customer’s needs. Deployment may be done at the customer’s premises or at a third-party hosting vendor.

Upgrade Services:

eMids can be your complete upgrade partner helping you to move to Peoplesoft 8.9 and 9.0. We start out by planning your upgrade, detailing the various steps and ensuring that all users will be trained. The Upgrade process is split into three main parts – Tools upgrade, Applications upgrade and Support. We have developed several Upgrade Accelerators to help rapidly and accurately upgrade Peoplesoft. We have specific upgrade test routines to ensure that Peoplesoft upgrades are free of any glitches.

Post-implementation Services:

eMids is the "partner-of-choice" for post-implementation support and services related to Peoplesoft. Production support includes technical support activities to manage the Applications, Databases and Operating systems. This is done through managing operations, troubleshooting, problem management and user support aiming at preventive maintenance and constantly adding value through proactive analysis and performance management. Programming support is to provide enhancements to existing features, design and develop customizations, fix bugs, develop additional reports and upgrade the application with new releases.

The onsite-offshore model offered by eMids enables our customer to significantly reduce their cost of post-implementation support. Our model allows for 24/7 support at high quality levels.

We establish a permanent link between our support center and Peoplesoft installation via a secure VPN. Our collaboration solution on VPN is very effective and gives our customers total transparency into our support operations for them.

We use our CMMI qualified standards to ensure best practices in Project Management, Change Management, Verification & Validation and Risk Management.

Technical Services:

These include spot services needs that our customers may have from time to time:

Independent Testing

Report and cube development

System Administration

Database Administration

Performance improvement