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eHealth Insider

January 2005

EHI January 2005; Volume 6, Number 1
E-prescribing to see gains...NDCHealth eyes sale...QCSI to buy MyHealthBank...RealMed tops 12 million claims...Quovadx sells MCO assets...WebMD eyes 28%+ ’05 net gain...Ramp raises $4 million...Trizetto sees 53%+ EPS gain...eHealth services stocks rise 3%...Kaiser enjoys EMR savings...Horizon has 70% e-claims rate...Health Net cranks up IT project...BCN targets 70% e-claims rate...and more...

E-PRESCRIBING TO SEE GAINS, CMS SAYS
The number of physicians using electronic prescribing technology is expected to increase about 10% annually over the next five years as a result of the adoption of e-prescribing standards, according to the Centers for Medicare & Medicaid Services (Washington).

NDCHEALTH EYES SALE; TO RETAIN BANK
NDCHealth (Atlanta) said it would retain an investment bank to evaluate strategic options, including the potential sale of the company. NDCHealth shares closed at $15.81 on Jan. 11, the day of the announcement, indicating a market cap of nearly $570 million.

QCSI TO ACQUIRE MYHEALTHBANK
MyHealthBank (Portland, OR) has reached its final iteration, agreeing to be acquired by managed care administration software provider Quality Care Solutions (Phoenix, AZ).

KAISER EMR CUTS 5-7% OF REPEAT OFFICE VISITS
Kaiser Permanente (Oakland, CA) is finding that the rollout of its electronic medical record is resulting in an immediate 5% to 7% reduction in unnecessary repeat physician office visits, according to George Halvorson, chief executive.

HORIZON BCBS HAS 70% PROVIDER E-CLAIMS RATE
Horizon Blue Cross Blue Shield of New Jersey (Newark, NJ) is receiving about 70% of hospital and physician claims electronically, according to William Marino, chief executive.

REALMED GENERATES 12MM CLAIMS IN 2004—85-90% DIRECT
Of the 12 million physician claims submitted to health plans through RealMed (Indianapolis) in 2004, about 85% to 90% were through the company’s direct online connections, according to Chet Burrell, chief executive.

HEALTH NET CRANKS UP IT CONSOLIDATION ONCE AGAIN
Health Net (Woodland Hills, CA) has once again cranked up its information systems consolidation effort, according to Jay Gellert, chief executive.

BLUE CARE NETWORK TARGETS 70% E-CLAIMS RATE
Blue Care Network, the HMO unit of Blue Cross Blue Shield of Michigan (Detroit), is currently receiving more than 60% of provider claims submissions electronically; however, the company hopes to get the number up to 70%, according to Kevin Seitz, chief executive.

QUOVADX SELLS MANAGED CARE ASSETS TO ROYAL
Quovadx Inc. (Englewood, CO) has sold its Managed Care Transaction Manager system and related assets to New York-based MSO Royal Health Care for $1.9 million in cash.

WEBMD EYES 28-54% GAIN IN ’05 NET; STAMPIGLIA OUT
WebMD (Elmwood Park, NJ) said it expects 2005 net income of $51 million to $61 million ($0.15 to $0.18 per share), an increase of 28% to 54% from projected full-year 2004 figures.

RAMP PLACES $4 MILLION IN CONVERTIBLE DEBT
Ramp Corp. (New York) raised $4 million in a private placement of 8% convertible redeemable debentures that are convertible to common stock at $2.40 per share.

TRIZETTO EXPECTS ’05 EARNINGS TO RISE 53-167%
Trizetto Group (Newport Beach, CA) expects 2005 earnings per share to rise 53% to 167% to between $0.26 and $0.32 ($11.7 million to $14.4 million based on 45 million diluted shares).

eHEALTH, INFO SERVICES STOCKS DOWN 2% IN 2 WEEKS
eHealth and information services stocks rose 2% in the two weeks ended Jan. 21, according to a tally of 24 issues tracked by EHI.


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