Increase revenue

To thrive in the long term, health plans must find new and innovative ways to manage and grow their businesses when times are tough.

Issues and challenges

Risk and uncertainty

Everything is a moving target for health plans: Escalating medical and operational costs. Rapidly changing treatments, technologies, policies, and legislation. Ingenix gives you the advanced analytics you need to make accurate predictions and identify opportunities.

Health reform

It’s a new world. With it come enormous implications and opportunities for health plans. In many cases, reform requires significant translation and complete reassessment of business strategies. Ingenix is perfectly positioned to help.

Membership growth and retention

Setting accurate prices. Designing better benefit packages. Maintaining adequate reserves. Improving the member experience. Ingenix has the support and experience to help do what’s necessary to gain and keep members.


Opportunities

Coding, Billing and Reimbursement

Increase cash flow with accurate and efficient coding and billing. Consolidate coding processes with all-inclusive resources developed specifically for HCPCS, CCI, and Medicare.

Consumer Engagement

Utilize up-to-date print-ready provider directories that can be delivered to members via e-mail or USPS. Enable your members to research providers anytime, anywhere with mobile lookup tools compatible with virtually all web-enabled PDAs.

Strategic Planning and Financial Management

Drive profitable growth with underwriting and actuarial solutions combining actionable data, analytics, and cutting-edge technology to improve risk assessment, increase accuracy and speed, and manage forecasting and analyze trend. Profile populations in minutes to accelerate underwriting in the interest of increasing revenue.