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Solutions for Insurers & Payers

The Health Sciences Universe™ product provides insurers with many information systems solutions to the requirements outlined by a 2010 employer needs study commissioned for a PricewaterhouseCoopers market research study.  

Moreover, new legislation to support the development of integrated care concepts such as Accountable Care Organizations (ACOs), provides financial incentives for provider groups and hospitals to coordinate care. Insurers can take advantage of the needs of employers and peoviders by implementing their own solutions to the needs of the market as outlined by PwC:

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  • Employers want better data from their health benefit programs, and see an increasing need to measure and manage the costs and value of those programs. Offering new opportunities to data warehouse managers that can effectively integrate data related to employee conditions, utilization, and outcomes.
  • Employers would forgo customized health benefits in exchange for significant, proven cost savings.
  • Employers would prefer to work with fewer vendors to manage their health-related benefits.
  • Nearly 80% of large employers rated wellness services nearly as high in importance as the basic functions of accurate claims processing and provider discounts, but only 50% of small employers agreed.
  • Employers are recognizing that wellness programs coupled with employee financial incentives are most effective. Workers were found to be two to four times more likely to enroll in wellness programs if they receive incentives (i.e. gift cards or premium reductions). Incentives matter, but more is not always better.

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The Health Sciences Universe enterprise software product helps you and your partners capture critical data from providers, payers, devices, patients and their families to measure the results of your success; contact us for a demonstration using the link above.

 

Payer Solutions

Perseid Software provides insurers with the integrated care technology required to implement total quality management programs for employers and to build and operate employer clinics.

The Health Sciences Universe™ product provides integration of the clinical and financial risks and has extensive tools for monitoring care to avoid hospitalizations and re-admissions.  

Hospital and Group Integration

Hospitals require new technology to create and manage wellness and disease management programs that extend the hospital's reach into the community: to employers and families where they live and work.

The Health Sciences Universe™ product provides integration of the clinical and financial information you need to reach out to the community of care managers and families by creating a single enterprise view of all relevant current information on a patient, their services and their clinical and financial programs.

 

Wellness & Disease Management

Perseid Software enables payers to manage the integration of clinical, financial and administrative information on employers and their employee's family to create an enterprise view of the state of a patient financially and in terms of future risk..

The Health Sciences Universe™ product provides integration of the clinical and financial information you need to create for client communities wellness and disease management programs that capture value, defer the onset of chronic illness and reduce hospitalizations.

 

New Revenue from New Programs

Payers can develop new programs for self-insured companies or large enterprises to take control of healthcare costs by manage the integration of clinical, financial and administrative information on employees and their families to implement innovative solutions for group health, disability, safety and occupational health.

The Health Sciences Universe™ product provides integration of the clinical and financial information you need to create safety, wellness and disease management programs create capture value, defer the onset of chronic illness and reduce hospitalizations by uniquely integrating group health, personal and family care, disability, worker's compensation and reinsurance solutions into a complete enterprise program for health and care management.

Administrative Services

Perseid Software enables payers to take control of healthcare information systems to improve the quality (and quantity) of care to create centers of excellence that clearly show employers the value being created from their ASO services.

The Health Sciences Universe™ product provides 10 applications, thousands of healthcare, clinical and insurance forms, reports and packages of code for the development of clinical and financial information systems. The product uniquely integrates CDR and PHR records, group health, personal and family care, disability, worker's compensation and reinsurance software solutions into a complete enterprise product for health and care management.

Government Solutions

Perseid Software enables payers to develop enterprise-scale applications for developing state and local government solutions that can manage large populations of patients.

The Health Sciences Universe™ product provides 10 applications, thousands of healthcare, clinical and insurance forms, reports and packages of code for the development of clinical and financial information systems, including those needed to reduce costs and enhance care in Medicaid, Medicare and Military health systems. The product uniquely integrates clinical medicine and trials, group health, personal and family care, disability, worker's compensation and reinsurance software solutions into a complete enterprise product for health and care management with enterprise scaleability and the required security, access and control systems for government use.

Architecture and Engineering

The technology for payers requires only a workstation for a care manager, employer representative or a mobile device for a patient and a server somewhere operating Oracle. Perseid's technology does not require constant downloads and updates. No programs are ever maintained in the payer's workstations so the complete solution is available anywhere in the world from a simple computer with a browser: patient's home, office, on the move, hospital, clinic.