Enclarity to exhibit at conference in booth #109, executives available for meetings
Aliso Viejo, Calif. and Las Vegas, Nev., June 2, 2010 - Enclarity Inc., a leading healthcare information solutions company, and WellPoint, Inc. (NYSE: WLP) the nation's largest health insurer by medical membership, will reveal the success, results and benefits of obtaining clean provider data during a case study presentation at AHIP Institute 2010. The details of the case study will be presented by Sean Downs, chief executive officer, Enclarity and Tonya Maxey-Fuller, staff vice president, enterprise provider data management, WellPoint.
Who: Enclarity Inc. (booth #109) and WellPoint, Inc.
What: Presentation at AHIP Institute 2010 titled, "The Power of Better Provider Data: A WellPoint Case Study"
When: June 10, 2010 at 11 a.m. PDT
Where: Trevi Ballroom, Caesars Palace, Las Vegas, Nev.
Abstract: Provider data is critical to many operational areas within a health plan including claims operations and provider directories. This presentation will explore how one major insurer, WellPoint, has harnessed new technology to significantly improve the accuracy of their provider data and transform their operations. Specifically, the session will explore the challenges faced by WellPoint related to provider data management, describe the solution to the problem and reveal the results and improvements to WellPoint's Provider Data Quality Index (PDQI).
About the Speakers
Downs co-founded Enclarity in 2005 after serving as the vice president and market unit leader for healthcare and insurance solutions at FICO, where he oversaw the company's medical bill review and insurance analytics operations, including software development, sales and marketing. In 2008, Downs was recognized as a winner of the Excellence in Entrepreneurship Award presented by the Orange County Business Journal and Ernst & Young. He was recognized for innovative healthcare industry solutions and his charitable efforts with the Sumba Foundation. The awards recognize the achievements of outstanding Orange County, California business leaders and entrepreneurs. Downs is president, co-founder and director of the Sumba Foundation, a non-profit charity dedicated to providing health services and aid to the indigenous people of Sumba, Indonesia.
Maxey-Fuller leads the EPDM team at WellPoint. She has accountability for integrating local and regional provider database operations, migrating database operations to a new and single end-state platform over the next 18 months and ensuring that EPDM is positioned as the source of truth for all provider demographic and network data for all of WellPoint's commercial Blue products. She has worked in WellPoint's operations on numerous enterprise initiatives such as the FACETS migration, Verint implementation (quality management tool), and several recent large-scale capability sourcing endeavors.
Enclarity® solves healthcare's provider information problem. The company delivers correct, current and comprehensive provider information solutions by blending thousands of data sources, advanced analytics and healthcare expertise. As a result, its clients improve results in many areas, including claims processing, provider directories, regulatory compliance and market analysis. Named one of the Top 100 private technology companies in North America by Red Herring magazine and awarded the Global Healthcare Information Technology Excellence Award by Frost & Sullivan, Enclarity is headquartered in Aliso Viejo, Calif. For more information, visit www.enclarity.com.
About WellPoint, Inc.
WellPoint works to simplify the connection between Health, Care and Value. We help to improve the health of our communities, deliver better care to members, and provide greater value to our customers and shareholders. WellPoint is the nation's largest health benefits company, with more than 33 million members in its affiliated health plans. As an independent licensee of the Blue Cross and Blue Shield Association, WellPoint serves members as the Blue Cross licensee for California; the Blue Cross and Blue Shield licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York (as the Blue Cross Blue Shield licensee in 10 New York City metropolitan and surrounding counties and as the Blue Cross or Blue Cross Blue Shield licensee in selected upstate counties only), Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. In a majority of these service areas, WellPoint does business as Anthem Blue Cross, Anthem Blue Cross and Blue Shield or Empire Blue Cross Blue Shield (in the New York service areas). WellPoint also serves customers throughout the country as UniCare. Additional information about WellPoint is available at http://www.wellpoint.com.