Top Medicaid Managed Care Plan Looks to Reduce Administrative Costs While Optimizing Provider Enrollment, Contracting and Credentialing Processes
NEWTON, Mass.--(BUSINESS WIRE)-- Passport Health Plan, a provider-sponsored Medicaid managed care plan serving approximately 170,000 members in the Commonwealth of Kentucky, has selected McKesson’s Integrated Provider Management (IPM) platform (formerly from Portico Systems) to create a single integrated solution for managing its provider enrollment, contracting and credentialing processes. The plan currently uses Provider Contracting from McKesson/Portico; this agreement adds the Provider Information Management and Credentialing components of the IPM platform, which simplifies the design, maintenance, reimbursement and performance management of provider networks to reduce medical, administrative and IT costs.
“McKesson’s contracting solution has helped us achieve administrative cost savings, more easily adhere to contract standards, and reduce claims leakage and inappropriate payments,” explained Tim Doss, vice president of Operations at Passport. “Provider Information Management will enable Passport to establish an enterprise-level provider ‘source of truth’ with a 360-degree view of our provider networks, eliminating duplicate manual updates to multiple systems and automating the ongoing maintenance of provider information. The Credentialing solution, in turn, will help us reduce credentialing and re-credentialing costs and network liability through greater automation. Ultimately, we’ll achieve greater visibility into network operations and accommodate faster network growth through heightened process efficiency.”
“Passport is well known for the excellence and commitment of its provider network in servicing the Medicaid community. The plan clearly understands the power of accurate information and the importance of efficiency in obtaining it,” said Ned Moore, vice president, Network Performance Management, McKesson Health Solutions. “Our solutions continue to play a key role in helping Passport reduce the administrative burden on providers while simultaneously achieving significant administrative cost savings through streamlined processes.”
About Passport Health Plan
Passport Health Plan is a unique public-private partnership with the Commonwealth of Kentucky and a provider-sponsored, Medicaid health plan serving more than 170,000 members in 16 Kentucky counties. The Plan has operated successfully over the past 14 years. The counties of service include Breckinridge, Bullitt, Carroll, Grayson, Hardin, Henry, Jefferson, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble and Washington. Passport Health Plan is sponsored by the University of Louisville Medical School Practice Association, University of Louisville Hospital, Jewish and St. Mary’s Healthcare, Norton Healthcare, and the Louisville/Jefferson County Primary Care Association, which includes the Metro Louisville Department for Health and Wellness and Louisville's two federally qualified health centers, Family Health Centers and Park DuValle. For additional information, please visit www.passporthealthplan.com.
About McKesson
McKesson Corporation, currently ranked 15th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. McKesson helps its customers improve their financial, operational and clinical performance with solutions that include pharmaceutical and medical-surgical supply management, healthcare information technology, and business and clinical services. For more information, visit http://www.mckesson.com.
Tags: McKesson, McKesson Health Solutions, Passport Health, integrated provider management, IPM, healthcare, healthcare IT, healthIT, Medicaid, provider contracting, credentialing, provider reimbursement, payers, providers, provider, Ned Moore
CONTACT:
McKesson Health Solutions
Marian Mostovy, 617-273-2859
[email protected]
KEYWORDS: United States North America Kentucky Massachusetts
INDUSTRY KEYWORDS: Technology Data Management Software Health Other Health Professional Services Insurance Managed Care
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