Healthcare - We understand healthcare firms' challenges, competitive landscapes, industry jargon, and how technology can help achieve their goals.
Significant changes are underway within this portion of the US economy, driven by the Affordable Care Act, which is reshaping the landscape with winners and losers emerging. Those on the winning side are leveraging technology innovatively to enhance service delivery and reduce costs.
The adoption of electronic medical records (EMR/EHR) systems has seen a significant surge. With the market transitioning towards Accountable Care Organizations (ACOs) and a focus on capitation-based payments, monitoring actual costs becomes increasingly crucial, with technology poised to play a pivotal role in this regard. Advancements in communication and mobility are fueling the rise of telemedicine and home healthcare services.
Innovative companies are taking cues from retail enterprises, forging enduring connections with patients, offering guidance on lifestyle choices, scheduling appointments, and more. Leveraging our extensive expertise, we possess a deep understanding of the challenges facing healthcare firms, the competitive landscapes they navigate, their specialized terminology, and how technology can aid in achieving their objectives.
Our teams at PRAGMAA boast vast experience working with both payors and providers, encompassing the development of comprehensive payor systems, including claims processing for a $400 million payor, provider management, and payment systems utilizing various models like capitation and fee-for-service. On the provider side, we excel in clinical systems integration with laboratories and backend administrative tasks such as billing and collections.
Additionally, we’ve implemented video content delivery systems for leading K-12 education providers, enabling remote class attendance through web streaming across over 150 school districts nationwide. We’ve also spearheaded large-scale HIPAA compliance initiatives, including a significant project for a major Illinois state agency, and conducted EMR/EHR assessments and package evaluations for healthcare startups.