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Healthcare claims processing
Deal Radar 2009: HealthEdge
As the call for radical changes to the US healthcare system grows louder, tech companies continue to offer new solutions, such as value-based plans, and software that improves basic administrative tasks such as claims processing. Our latest company in the category, HealthEdge, provides an enterprise-class software suite that allows healthcare payors to take on new
Deal Radar 2009: Triveris
From nurses’ shift planning to physician billing to electronic records, old and often expensive ways of healthcare administration are being challenged by entrepreneurs with new digital solutions. Deal Radar continues to navigate the maze of the American healthcare system, presenting companies working to cut its high costs so that more patients can be accommodated within it. Today
Promising athenahealth
In a season in which so many companies are producing disappointing results, gems like athenahealth still exist. athenahealth (NASDAQ:ATHN) is a leading provider for the healthcare industry’s billing and practice management solutions. athenahealth just completed its first year as a public company. I recently spoke with Jonathan Bush, athenahealth’s CEO. You can read the interview here.
Critical Innovation In Healthcare Claims Processing: athenahealth CEO Jonathan Bush (Part 7)
SM: How will all of the political drama affect visibility of healthcare IT? Will it just result in the government’s funneling money into things that do not have an impact? JB: We have been hard at work bringing about the death of the old-fashioned software companies that dominate healthcare IT. Their business models and companies
Critical Innovation In Healthcare Claims Processing: athenahealth CEO Jonathan Bush (Part 6)
SM: Do you plan to implement technologies like knowledge bases, automated web self services, and other similar systems? JB: Bingo. The first thing you do in healthcare is solve existing problems. Once you have the solution implemented, then you can start asking how to improve the solution, and you do that on your own time.
Critical Innovation In Healthcare Claims Processing: athenahealth CEO Jonathan Bush (Part 5)
SM: Last year you were a $140 million company, correct? JB: Correct. The fourth quarter’s revenue rate was 47% higher than the fourth quarter of the year prior. You can imagine things are continuing to grow.
Critical Innovation In Healthcare Claims Processing: athenahealth CEO Jonathan Bush (Part 4)
SM: You have innovated a rules engine that drives claims filing, which I am assuming has a bunch of codes and other data you have to file against for the claims to be processed. Would you classify what you have done as an expert system? JB: An expert system intends to imply artificial intelligence whereas
Critical Innovation In Healthcare Claims Processing: athenahealth CEO Jonathan Bush (Part 3)
SM: You essentially built a patient information system. JB: Exactly. We had plans to eventually start billing, and by 1999 we were well on our way down that route.
