New Gold Coast Health Plan Helps Ventura County Personalize Health Care
DALLAS--(BUSINESS WIRE)-- Ventura County, Calif. is making it easier for residents enrolled in California Medicaid (Medi-Cal) to get and stay connected with health care providers. Working with ACS, A Xerox Company (NYSE: XRX), the county created the Gold Coast Health Plan to help physicians better manage individual patient care and track progress across the local medical community.
The Gold Coast Health Plan is locally-operated so that Medi-Cal recipients can select a primary care physician familiar with Ventura County to coordinate care and services, instead of relying on the state Medi-Cal office to do so remotely. This allows patients to connect with a single provider and reduce unnecessary visits or services through preventative and continuous care.
As part of a five-year contract with the Ventura County Medi-Cal Managed Care Commission, ACS handles a range of administrative processes to improve medical access and outcomes for recipients enrolled in the plan. These services include provider contracting and credentialing, customer care, enrollment and fulfillment, mailroom and claims processing, data center systems and disaster recovery services.
“Approximately 100,000 Medi-Cal beneficiaries in Ventura County rely on Gold Coast Health Plan as their link to health care services,” said Earl Greenia, Ph.D., Chief Executive Officer, Gold Coast Health Plan. “ACS is a strategic partner whose expertise in the health care arena is unparalleled and will assist us in the delivery of the highest quality of care to our members.”
To ensure a smooth, timely rollout of the Gold Coast Health Plan to Ventura County recipients, ACS partnered with ikaSystems, using a cloud-based technology platform to integrate with the county’s existing technology and fully support the processes and regulatory needs in the Medicaid business cycle.
“Ventura County came to us to help re-think its business processes with Medi-Cal recipients in mind. The new plan design allows the county to focus on preventative care and better access to services, while ACS maintains an efficient, cost-effective framework that can adapt to changes in health care administration and different needs of the population,” said Connie Harvey, group president, Healthcare Payer and Insurance, ACS.
Xerox is a national leader in state health care program administration, supporting more than 35 million program recipients and processing more than 570 million Medicaid health care claims annually, representing close to $50 billion in provider payments. The company touches the lives of nearly two of every three insured individuals in the United States and performs transactions for 19 of the top 20 managed care health plans, reducing processing costs by up to 50 percent. Xerox also provides hospitals, clinics, and medical practitioners with information technology, clinical solutions and management services so providers can operate more efficiently and effectively, enabling clients to reduce costs, enhance revenue, increase productivity and improve patient care.
Xerox Corporation is a $22 billion leading global enterprise for business process and document management. Through its broad portfolio of technology and services, Xerox provides the essential back-office support that clears the way for clients to focus on what they do best: their real business. Headquartered in Norwalk, Conn., Xerox provides leading-edge document technology, services, software and genuine Xerox supplies for graphic communication and office printing environments of any size. Through ACS, A Xerox Company, which Xerox acquired in February 2010, Xerox also offers extensive business process outsourcing and IT outsourcing services, including data processing, HR benefits management, finance support, and customer relationship management services for commercial and government organizations worldwide. The 134,000 people of Xerox serve clients in more than 160 countries. For more information, visit http://www.xerox.com, http://news.xerox.com, http://www.realbusiness.com or http://www.acs-inc.com. For investor information, visit http://www.xerox.com/investor.
ikaSystems Corp. is the premier provider of enterprise-level cloud computing technologies to support health care payers’ commercial, Medicare and Medicaid lines of business. ikaEnterprise, the company’s product suite, automates all key processes in the payer business cycle — from marketing and sales through claims administration and customer service to care and quality management and business intelligence — all on a single integrated platform. Using our agile, modular technology, organizations can proactively move to lower administrative and medical care expenses and thrive in even the most challenging environments. It is a fully Web-deployed, end-to-end solution for health plan business process optimization and intelligence management that includes full sales-cycle automation, core claims adjudication, care management and proactive quality measurement and reporting with self-service portals for sales, administrative, employer, member and provider use. To learn more, please visit http://www.ikasystems.com.
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