Health First Health Plans Applies AMISYS Advance Claims Administration and Care Management Solutions to Enhance Member Services, Improve Care
BIRMINGHAM, Ala., May 10 /PRNewswire/ -- DST Health Solutions, LLC today announced the successful implementation of its industry-leading AMISYS Advance™ claims administration platform, outsourcing services and other software applications at Health First Health Plans, of Rockledge, Fla. Terms of the deal were not disclosed.
Health First Health Plans provides health insurance to residents of central Florida, and has attained "excellent" accreditation status from the National Committee for Quality Assurance (NCQA) for its commercial and Medicare plans. DST Health Solutions is providing core claims administration processing services on its premier platform, AMISYS Advance, which is designed to help health plans decrease claims turnaround time and improve claims accuracy. AMISYS Advance helps health plans such as Health First Health Plans achieve higher auto-adjudication rates by simplifying administrative processes. Additionally, Health First Health Plans is utilizing DST Health Solutions to manage and support the integration of medical care management, Medicare Advantage and Web portal applications and business processes.
"With the onset of healthcare reform and the increasing cost of maintaining complex, modern technology, we made a strategic business decision to outsource core claims administration processing to DST Health Solutions," said Jim Gillespie, vice president of information systems for Health First Health Plans. "DST's end-to-end business process solutions for claims administration, customer retention management and multi-channel communication are helping us improve quality of care, decision making and overall operational efficiency."
DST Health Solutions' full solutions suite will help Health First Health Plans enhance member services and improve care quality. AMISYS Advance enables Health First Health Plans to integrate claims administration with innovative solutions for Medicare Advantage, medical care management and member communications. For example, the new Web portal provides members and healthcare providers access to claims, eligibility, medical authorization and other benefit information.
"We are very pleased to provide Health First Health Plans with our industry-leading claims administration platform and outsourcing services," said Steve Sabino, president, DST Health Solutions. "This comprehensive approach to health plan administration will help Health First Health Plans remain competitive, improve efficiency and increase member satisfaction."
About DST Health Solutions
DST Health Solutions, LLC delivers systems and services that help improve efficiency, reduce operational costs, increase speed to market, and facilitate medical cost management and price containment. Our clients include commercial health plans, consumer-directed plans, government plans (Medicare Advantage, Medicare Part D and Medicaid) and physician practices. DST Health Solutions' enterprise applications and outsourcing services include claims processing, member and provider management, benefit plan management, new product development, care management and medical management, and decision support/analytics. DST Health Solutions is a wholly-owned subsidiary of DST Systems, Inc. For more information about DST Health Solutions, contact 800.272.4799, email [email protected] or visit www.dsthealthsolutions.com.
About Health First Health Plans
Health First was established in 1995, when three not-for-profit hospitals—Cape Canaveral Hospital in Cocoa Beach, Holmes Regional Medical Center in Melbourne, and Palm Bay Hospital in Palm Bay—united to form a seamless system devoted to integrating quality healthcare services with state-of-the-art technology for the betterment of our community. Health First Health Plans and Health First Physicians were created as divisions of the Health First family in 1996 to complete the spectrum of healthcare services for Florida's Space Coast. Since then, Health First Health Plans has grown to be Brevard's largest commercial health insurer. For more information about Health First Health Plans, call 800.716.7737 or visit www.HealthFirstHealthPlans.org.
The information and comments above may include forward-looking statements respecting DST and its businesses. Such information and comments are based on DST's views as of today, and actual actions or results could differ. There could be a number of factors affecting future actions or results, including those set forth in DST's latest periodic financial report (Form 10-K or 10-Q) filed with the Securities and Exchange Commission. All such factors should be considered in evaluating any forward-looking comment. The Company will not update any forward-looking statements in this press release to reflect future events.
SOURCE DST Health Solutions, LLC