AHIP Industry Resource Guide

Choosing the appropriate vendor to meet the needs of your company can be a daunting task. This easy-to-use electronic resource is designed to assisst health insurance plans in finding the vendor with the right solution to meet their specific needs.

 

This exclusive AHIP HiWIRE vendor selection tool is a one-stop source for Health insurance Plan solutions to include:

Operations


Operations Solutions for Insurers and Health Plans
Administrative Processes/ServicesCall Center / Integrated CommunicationsConsulting Firms/ServicesConsumer Directed Health (CDH)CRM / Customer LoyaltyFraud & Abuse Detection/ServicesPayment SolutionsReinsurance / Liability CoverageRisk ManagementTelecommunicationsThird Party Administrator (TPA)
Specialty Health Plan Solutions
Behavioral HealthChiropracticComplimentary / Alternative HealthcareConsumer Directed Health (CDH)DentalDisabilityMedicaid Health PlanMedicare Health PlanVision ServiceWorkers' Compensation

Information / Technology

Administrative Information SystemsAdministrative Processes/ServicesApplications SolutionsBPO / Other OutsourcingBusiness Process SolutionsCall Center / Integrated CommunicationsClaims Cost ManagementClaims ProcessingClinical Information SystemsCoding / ReimbursementConnectivity / EDI ServicesDecision Support Systems/ToolsDocument Management/Imaginge-prescribing / Prescription Management SystemeHealthInfrastructure SolutionsIntegration ServicesInternet / Web-based DeveloperMedical Record PlatformPredictive ModelingSecure Online CommunicationsSecurity TechnologySoftware as a Service (SaaS)Technology Assessment | Comparative EffectivenessTechnology ConsultingThird Party Administrator (TPA)Web-based Services Automation

Marketing / Sales

Call Center / Integrated CommunicationsConsumer Directed Health (CDH)CRM / Customer LoyaltyHealth Promotion, Productivity and WellnessHealth Surveys & AssessmentsIncentives – Consumer ProgramsIncentives – Pay-for-Performance ProgramsMarket ResearcherResearch Solutions

Public Relations / Communications

Communication SolutionsMarket ResearcherPublic Relations / Marketing ServicesPublisher / PublicationResearch Solutions

Underwriting / Risk Management / Fraud Detection

Fraud & Abuse Detection/ServicesReinsurance / Liability CoverageRisk IdentificationRisk Management

Financial / Auditing / Account / Investment

Financial ServicesFraud & Abuse Detection/ServicesPayment SolutionsRevenue Cycle Management / PerformanceSubrogation / Overpayment Recovery

Clinical | Medical Care Solutions


Clinical Services
Call Center / Integrated CommunicationsChiropracticClinical LaboratoryCredentialingDecision Support Systems/ToolsDiagnostic ServicesGenomics / Genetic TestingInfusion Therapy/ServicesMedical Travel | International Medical TourismPatient Care SolutionsPBM / Prescription ProgramRadiology Services
Medical Management | Care Coordination
AccreditationCare|Disease ManagementCase Managment Tools/ServicesEmployee Assistance ProgramsIncentives – Consumer ProgramsIncentives – Pay-for-Performance ProgramsMedical Assistance ProgramsMedical Device Manufacturer / ServiceMedical ManagementMedical Travel | International Medical TourismPatient Care SolutionsPatient Counceling / EducationWellness Program Design/Development
Chronic Care-Disease Specialization
AsthmaCardiopulmonaryCare| Disease Management TechnologiesCare|Disease ManagementComplex Chronic DiseasesDemand ManagementDiabetesDisease Management: Web-Based SolutionsEmployee Assistance ProgramsInteractive SolutionsOncologyPreventive Benefit PackagesRenal CareRespiratoryRisk IdentificationWellness Program Design/Development
Quality Improvement
External / Independent ReviewHealth Surveys & AssessmentsPeer Review OrganizationPerformance Measurement/ServicesPredictive ModelingQuality ImprovementRisk Identification

Provider Relations

CredentialingHealthcare Foundation / Educational Non-ProfitIncentives – Pay-for-Performance Programs

Pharmacy

Biotechnologye-prescribing / Prescription Management SystemMedical Device Manufacturer / ServicePBM / Prescription ProgramPharmaceuticalSpecialty Pharmaceutical

Counsel / Legal / Regulatory

Compliance Solutions (Regulatory, HIPAA)Fraud & Abuse Detection/ServicesGovernment Relations | AdvocacyLegal Firm / Services

HR / Benefits

Benefits PlanningEmployee Assistance ProgramsSearch Firm / Job-Recruiting Resources

Sponsors