DST Health Solutions

Software

RCM Software targets government-sponsored insurance market.

With HCC Revenue Cycle Management Services, health plans and Accountable Care Organizations can manage reimbursement levels. Platform includes population health analytic system based upon client-controlled preferences to stratify target populations in order to identify care and HCC gaps, medication non-adherence, and other clinical indicators. 3i technology provides real-time project status and...

Read More »
Software

Enterprise Payer Software meets health plan industry needs.

Integrating with external applications via web services and portals, Exeter 1.0 supports data access via disparate external data systems and consumer-driven mobile applications.Â- Software offers solution for health plans as they address emerging industry trends, such as Health Insurance Marketplaces and expansion of Medicaid, Medicare Advantage, and Dual Enrollment. Deployed...

Read More »
Software

DST Health Solutions Supports Transition to New CMS Encounter Data Processing System (EDPS) for Mt. Carmel Health

Panel discussion at Medicare Risk Revenue Management summit, June 11, to address best practices and implications of EDPS vs. RAPS reconciliation, moderated by DST BIRMINGHAM, Ala.- DST Health Solutions, LLC, today announced that Columbus, OH-based Mount Carmel Health Plan (MediGold) has achieved its professional certification for the new CMS (Center for Medicare and Medicaid Service) EDPS...

Read More »
Software

Script QA Software facilitates migration testing.

Providing out-of-the-box QA structure for test automation scenarios, Test Automation Framework (TAF) tool helps enable health plans to achieve accelerated, more efficient release migrations. Scalable solution integrates with 3rd party testing tools and separates end-user from core testing platforms, enabling non-technical/business users to create and maintain test scripts. Other uses include...

Read More »
Software

DST Health Solutions Unveils New Strategy for Health Plan Administration at AHIP Institute, June 15 - 17

Health Plans Can Avoid Core Platform Replacement and Externalize Strategic Functions Including Product Design, Provider Management, Online Shopping, Membership and Billing BIRMINGHAM, Ala., -- DST Health Solutions, LLC, today announced its new suite of health plan administration solutions that enable payers to improve primary business functions without needing to replace their core claims...

Read More »
Software

HIPAA 5010 Ready: DST Health Solutions Launches Upgrades of Amisys Advance, PowerMHS, PowerMHC and PowerSTEPP

Claims Platforms Provide Full Support for Health Plans Undergoing the Significant Transition from HIPAA Version 4010 to New Version, 5010 BIRMINGHAM, Ala. - DST Health Solutions, LLC, today launched new versions of all four of its core claims administration platforms--Amisys Advance, PowerMHC, PowerMHS and PowerSTEPP. The platforms now support Version 5010, as mandated by the Centers for Medicare...

Read More »
Software

Healthcare Analytics Software improves care management.

CareAnalyzer® v4.1 lets health plans, health management programs, and healthcare providers identify members, employees, and patients who may benefit from targeted care management. Combining patient risk, care opportunities, and provider performance, analytics solution also helps organizations meet reporting requirements for HEDIS. Profiling capabilities help health plans identify less...

Read More »
Software

Health Care Software offers predictive modeling.

Johns Hopkins University's Adjusted Clinical Groups (ACG) System, ACG v9.0, utilizes predictive modeling and risk adjustment to analyze member health. Software classifies members with chronic conditions who are at risk for low adherence to prescription regimens, poor coordination of care among primary care providers/specialists, or acute hospitalization needs. System, which maximizes use of...

Read More »
Software

Software provides Medicare risk adjustment.

Incorporating Johns Hopkins ACG System for provider profiling, predictive modeling, resource management, and rate adjustment, DSTHS RiskAnalyzer(TM) determines where provider coding is not capturing disease conditions under CMS-HCC model. Program provides objective set of rules to prioritize provider and member records for chart audit through identification of potentially incomplete or inaccurate...

Read More »
Software

Medical Software increases care management effectiveness.

Based on retail pharmacy claims information, ACG Rx-PM predictive modeling software helps identify high-risk cases for care management and underwriting. It also affords users opportunity to integrate new data sources into predictive models for optimal statistical performance and clinical texture. Along with diagnosis-based predictive models, software provides accurate forecast support for...

Read More »
Software

RCM Software targets government-sponsored insurance market.

With HCC Revenue Cycle Management Services, health plans and Accountable Care Organizations can manage reimbursement levels. Platform includes population health analytic system based upon client-controlled preferences to stratify target populations in order to identify care and HCC gaps, medication non-adherence, and other clinical indicators. 3i technology provides real-time project status and...

Read More »
Software

Enterprise Payer Software meets health plan industry needs.

Integrating with external applications via web services and portals, Exeter 1.0 supports data access via disparate external data systems and consumer-driven mobile applications.Â- Software offers solution for health plans as they address emerging industry trends, such as Health Insurance Marketplaces and expansion of Medicaid, Medicare Advantage, and Dual Enrollment. Deployed...

Read More »
Software

DST Health Solutions Supports Transition to New CMS Encounter Data Processing System (EDPS) for Mt. Carmel Health

Panel discussion at Medicare Risk Revenue Management summit, June 11, to address best practices and implications of EDPS vs. RAPS reconciliation, moderated by DST BIRMINGHAM, Ala.- DST Health Solutions, LLC, today announced that Columbus, OH-based Mount Carmel Health Plan (MediGold) has achieved its professional certification for the new CMS (Center for Medicare and Medicaid Service) EDPS...

Read More »
Software

Script QA Software facilitates migration testing.

Providing out-of-the-box QA structure for test automation scenarios, Test Automation Framework (TAF) tool helps enable health plans to achieve accelerated, more efficient release migrations. Scalable solution integrates with 3rd party testing tools and separates end-user from core testing platforms, enabling non-technical/business users to create and maintain test scripts. Other uses include...

Read More »
Software

DST Health Solutions Unveils New Strategy for Health Plan Administration at AHIP Institute, June 15 - 17

Health Plans Can Avoid Core Platform Replacement and Externalize Strategic Functions Including Product Design, Provider Management, Online Shopping, Membership and Billing BIRMINGHAM, Ala., -- DST Health Solutions, LLC, today announced its new suite of health plan administration solutions that enable payers to improve primary business functions without needing to replace their core claims...

Read More »
Software

HIPAA 5010 Ready: DST Health Solutions Launches Upgrades of Amisys Advance, PowerMHS, PowerMHC and PowerSTEPP

Claims Platforms Provide Full Support for Health Plans Undergoing the Significant Transition from HIPAA Version 4010 to New Version, 5010 BIRMINGHAM, Ala. - DST Health Solutions, LLC, today launched new versions of all four of its core claims administration platforms--Amisys Advance, PowerMHC, PowerMHS and PowerSTEPP. The platforms now support Version 5010, as mandated by the Centers for Medicare...

Read More »
Software

Healthcare Analytics Software improves care management.

CareAnalyzer® v4.1 lets health plans, health management programs, and healthcare providers identify members, employees, and patients who may benefit from targeted care management. Combining patient risk, care opportunities, and provider performance, analytics solution also helps organizations meet reporting requirements for HEDIS. Profiling capabilities help health plans identify less...

Read More »
Software

Health Care Software offers predictive modeling.

Johns Hopkins University's Adjusted Clinical Groups (ACG) System, ACG v9.0, utilizes predictive modeling and risk adjustment to analyze member health. Software classifies members with chronic conditions who are at risk for low adherence to prescription regimens, poor coordination of care among primary care providers/specialists, or acute hospitalization needs. System, which maximizes use of...

Read More »
Software

Software provides Medicare risk adjustment.

Incorporating Johns Hopkins ACG System for provider profiling, predictive modeling, resource management, and rate adjustment, DSTHS RiskAnalyzer(TM) determines where provider coding is not capturing disease conditions under CMS-HCC model. Program provides objective set of rules to prioritize provider and member records for chart audit through identification of potentially incomplete or inaccurate...

Read More »
Company News

DST Health Solutions Gets 'Strong Positive' MarketScope Rating

Company Receives Highest Rating Possible in Leading Analyst Firm's North American Healthcare Insurance Payers' Administrative Applications MarketScope Report BIRMINGHAM, Ala., April 30 / -- DST Health Solutions today announced that it received a strong positive" rating in Gartner's "MarketScope for North American Healthcare Insurance Payers' Administrative Applications, 2007"(1) report. DST...

Read More »

All Topics