“By ACM’s estimate, U.S. managed care health plans cover nearly
206 million lives and spend over $20 billion annually on medical pharmacy claims—a
category of spend expected to double over the next five years,” said
Gary A. Loeber, R.Ph., ACM’s executive vice president of business development. “ACM
believes that there is as much as $1.2 billion in excess payments in this
area which is why we are especially pleased to announce this new collaboration
with
Emdeon. Through the state-of-the-art capabilities of MedRxPrecisionsm, ACM
will be able to add value immediately to the services that Emdeon provides.
And together, we will be able to play a significant role in delivering the
efficiencies and pricing sophistication that this segment of the healthcare
spend so desperately needs.”
“ACM has been at the forefront for years with leading-edge software
and services that streamline the management of drug claims paid under the medical
benefit,” added Gary Stuart, executive vice president at Emdeon. “Through
this technology partnership, Emdeon is able to expand the essential services
we provide to our clients and offer them the opportunity to exploit the power
of ACM’s technology, seamlessly integrated and delivered through our
network. Together we now can provide clients with enhanced capabilities to
re-price drug claims, add advanced claim edits, reduce error rates for these
pharmacy claims, and bring even more cost savings to their bottom line.”
This ACM and Emdeon partnership illustrates a commitment
to collaborate in delivering innovative solutions that go beyond administrative
savings
to address
the true cost of care, while leveraging Emdeon’s extensive provider/payer
network.
ABOUT ACM
ACM is a healthcare benefits management company that delivers next generation
decision support tools to manage authorizations, claims processing technology
for pricing precision, nationally-recognized patient care programs, and
first-class provider network services. Covering over 40 million lives
for the nation’s
largest health plans and payers, Minneapolis-based ACM is URAC-accredited
for health utilization management and also holds full accreditation by
EHNAC. www.ACMcentral.com.
ABOUT EMDEON BUSINESS SERVICES
Emdeon Business Services is a leading provider of revenue
cycle management and clinical communications solutions that enables payers,
providers and
patients to improve healthcare business processes. Our solutions are designed
to simplify
the business and improve the delivery of healthcare for providers, payers
and patients. Emdeon Business Services is owned by General Atlantic LLC and
Hellman & Friedman
LLC. For more information, visit www.emdeon.com.
