MINNEAPOLIS, April 29 /PRNewswire/ -- ACM, a leading healthcare benefits management company, today announced a new alliance that will bring processing technology enhancements to the claims management solutions that Emdeon Business Services, the largest electronic claims network in the healthcare industry, delivers to health plans and payers across the country. ACM's MedRxPrecision(SM) technology solution will add a claims management tool for drug claims processed under the medical benefit that features automated re-pricing and editing using NDC-level data.
"By ACM's estimate, U.S. managed care health plans cover nearly 206 million lives and spend over $20 billion annually on medical pharmacy claims -- a category of spend expected to double over the next five years," said Gary A. Loeber, R.Ph., ACM's executive vice president of business development. "ACM believes that there is as much as $1.2 billion in excess payments in this area which is why we are especially pleased to announce this new collaboration with Emdeon. Through the state-of-the-art capabilities of MedRxPrecision(SM), ACM will be able to add value immediately to the services that Emdeon provides. And together, we will be able to play a significant role in delivering the efficiencies and pricing sophistication that this segment of the healthcare spend so desperately needs."
"ACM has been at the forefront for years with leading-edge software and services that streamline the management of drug claims paid under the medical benefit," added Gary Stuart, executive vice president at Emdeon. "Through this technology partnership, Emdeon is able to expand the essential services we provide to our clients and offer them the opportunity to exploit the power of ACM's technology, seamlessly integrated and delivered through our network. together we now can provide clients with enhanced capabilities to re-price drug claims, add advanced claim edits, reduce error rates for these pharmacy claims, and bring even more cost savings to their bottom line."
This ACM and Emdeon partnership illustrates a commitment to collaborate in delivering innovative solutions that go beyond administrative savings to address the true cost of care, while leveraging Emdeon's extensive provider/payer network.
ACM is a healthcare benefits management company that delivers next generation decision support tools to manage authorizations, claims processing technology for pricing precision, nationally-recognized patient care programs, and first-class provider network services. Covering over 40 million lives for the nation's largest health plans and payers, Minneapolis-based ACM is URAC-accredited for health utilization management and also holds full accreditation by EHNAC. http://www.acmcentral.com.
About Emdeon Business Services
Emdeon Business Services is a leading provider of revenue cycle management and clinical communications solutions that enables payers, providers and patients to improve healthcare business processes. Our solutions are designed to simplify the business and improve the delivery of healthcare for providers, payers and patients. Emdeon Business Services is owned by General Atlantic LLC and Hellman & Friedman LLC. for more information, visit http://www.emdeon.com.