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Enhanced comprehensive administration solutions for managed care operations
The independent physician association (IPA) model in value-based healthcare has been alive and well in the US since the late ‘70s. Over time, several of these organization types have experienced significant shifts in their operations, methodologies, as well as approach in health plan contracting and reimbursement strategies in segments across the US.
Having the right platform from the ground up helps to safeguard the success of an independent physician association or IPA in today’s healthcare business environment.
Eligibility and revenue reconciliation
Referral and authorization processes
Capitation and profitability
Claim adjudication workflow
Integrated evidence-based care guidelines
Health plan reporting and audit
Flexible dashboards for executive and departmental actionable oversight
Embedded EDI functionality to facilitate data movement and sharing
Advanced platform to manage any risk or delegated model environment across any line of business
For more than 20 years, QuickCap (QC7) has been a leading solution to independent physician association firms providing the flexibility, infrastructure, and workflow ability needed to succeed in managed care along the IPA’s continuum.
From basic fee-for-service payment methods through more complex value-based full risk capitation structures such as CMS' Direct Contracting Entity (DCE) models, QC7’s configurable design is staged to meet independent physician association or IPA requirements at any point in its life cycle. Aligning the IPA’s goals and departmental needs is what QC7 does best—managing all lines of business (LOBs) across a myriad of health plans and populations served.
QC7’s seamless managed care platform assures a more streamlined approach, leveraging workflow and processes related to care coordination, population health management, claims administration, reimbursement, and analytics across all stakeholders.
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SOC Certification Achievement
MedVision has successfully met the criteria outlined in the SOC (System and Organization Controls) audit for service organizations. This certification demonstrates MedVision’s adherence to rigorous standards for security, availability, processing integrity, confidentiality, and privacy.
As a service provider managing sensitive data and overseeing critical functions on behalf of clients, this certification underscores MedVision’s commitment to maintaining high standards of operational excellence and data security.
HITRUST Risk-Based 2-Year Certification Achiever
The Health Information Trust (HITRUST) is a standards organization dedicated to security, privacy, and risk management. They developed the HITRUST Common Security Framework (CSF), which assists organizations in maintaining a comprehensive and secure approach to HIPAA compliance and managing risks. HITRUST is widely recognized as the benchmark in data security and privacy.
Certified Member of HCAA
The Health Care Administrators Association is the nation's largest nonprofit trade association for third-party administrators, stop loss insurance carriers, managing general underwriters, audit firms, medical managers, technology organizations, pharmacy benefit managers, brokers/agents, human resource managers, and health care consultants. HCAA has spearheaded the change of self-funding for more than 35 years.
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MedVision was featured as one of the most promising healthcare solutions providers.
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