Inland Empire Health Plan (IEHP) Selects Dell to Boost Claims Processing Capacity
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- California-based Medicaid health plan expects membership to grow by half in next few years as a result of healthcare reform initiatives
- Dell’s expertise in claims processing and business process outsourcing will enhance productivity and help improve customer service
Inland Empire Health Plan (IEHP), a not-for-profit public health plan based in Southern California, has selected Dell to help expand its claims processing capacity as it prepares for unprecedented membership growth
IEHP serves more than 620,000 residents of San Bernardino and Riverside counties who are enrolled in Medi-Cal, Healthy Kids and a Medicare Special Needs Plan. As a result of federal healthcare reform and potential participation in the California Coordinated Care Initiative, IEHP is projected to grow to 900,000 members by 2016.
Under a managed-services agreement, Dell will help IEHP build additional claims processing capacity to offset increasing claims inventory levels and establish processing resources and expertise for future growth. To improve the quality and accuracy of claims processing, Dell will implement a comprehensive quality assurance and audit program, as well as establish continuous performance improvement targets using Six Sigma strategies and operational metrics.
Dell is the leading provider of healthcare information technology services globally, based on a recent Gartner report. The ranking, which is based on 2012 revenue, marks the third consecutive year Dell has achieved the No. 1 ranking for healthcare services.
Dell works with health plans representing approximately 100 health insurance organizations. On an annual basis, the company processes more than 96 million claims, handles more than 1.3 million enrollment transactions and manages call centers that receive more than 11 million calls per year for these customers.
“Dell’s deep familiarity with our claims processing platform and the ability to ramp up quickly to meet projected growth needs was a key factor in the selection process,” said Rohan Reid, chief operations officer for Inland Empire Health Plan. “Partnering with Dell will reduce costs and allow us to provide more efficient service for our members.”
“Medicaid health plans must focus on providing the right balance of care, quality and cost efficiency in order to be successful, and the right business and technology infrastructure is critical,” said Sid Nair, vice president and global general manager, Dell Healthcare and Life Sciences Services. “We look forward to supporting IEHP in its mission to provide wellness-based care to the community it serves.”
Learn more: Visit www.dell.com/healthcare
About Inland Empire Health Plan (IEHP)
IEHP, Inland Empire Health Plan, a Knox-Keene licensed health plan located in San Bernardino, California, is a not-for-profit public agency. IEHP services San Bernardino and Riverside counties and has over 620,000 members in the following programs: Medi-Cal (including seniors and people with disabilities), Healthy Kids, and a Medicare Special Needs Plan. Through a dynamic partnership with providers, award-winning service and innovative products, IEHP is fully committed to providing members with quality, accessible and wellness based healthcare services.
Dell Inc. (NASDAQ: DELL) listens to customers and delivers innovative technology and services that give them the power to do more. As the leading provider of healthcare IT services in the world, Dell helps healthcare organizations harness the power of information to simplify administration; coordinate and manage patient care; transition from episodic care to prevention and wellness management; and ultimately to deliver personalized medicine. For more information, visit www.dell.com/healthcare.
Dell is a trademark of Dell Inc. Dell disclaims any proprietary interest in the marks and names of others.
 Gartner, Inc., Market Share: IT Services, 2012, Kathryn Hale et al, March 29, 2013