Improving Healthcare Payer Profitability and Enrollment

healthcare payer it strategyHealthcare Payer Executives are facing an environment filled with change and challenges. Whether it’s the largest overhaul of the medical coding system in history (ICD-10), the need for strategic acquisitions, intense federal regulations, or the adoption of a business to consumer model, the industry is crossing the Rubicon.

Upp Technology is intensely focused on enabling the profitability, scalability and longevity of Payers dealing with this rapidly changing landscape. With a team of expert consultants and specialists, our IT solutions include:

Core Administration Systems

  • TriZetto®
  • HealthEdge®
  • SAP®
  • Oracle®
  • Homegrown Systems
 

Security & Compliance

Regulatory Environments

  • Health Insurance Portability and Accountability Act (HIPAA)
  • Health Information Technology Economic and Clinical Health Act (HITECH)
  • Sarbanes-Oxley (SOX)
  • Federal Information Security Management Act (FISMA)
 
Security Standards
  • Payment Card Industry - Data Security Standard (PCI-DSS)
  • Standard on Statements Attestation Engagements (SSAE)
  • Department of Defense Security Technical Implementation Guide (STIG)
  • Department of Defense Security Requirements Guide (SRG)
 
Security Frameworks
  • NIST Information Systems Risk Management Framework
  • Operationally Critical Threat, Asset, and Vulnerability Evaluation (OCTAVE)
  • Information Technology Infrastructure Library (ITIL)

Discover our expertise in Healthcare Payer Security & Compliance

Business Intelligence

  • Salesforce®
  • Microsoft Dynamics®
  • SAP®
  • Oracle®