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eHealth Insider

January 2006

eHealth Insider January 2006; Volume 7, Number 1
Fraud can lurk behind automation...Case study: BPM enables a billing firm to automate workflow...GE completes acquisition of IDX...Per-Se names Perkins COO; completes NDC acquisition...Sierra to put $1 MM in e-script effort in 2006...Zix pays down another $5 MM in debt...Zix signs up 1,000 docs for Aetna e-script pilot...and more...

FRAUD CAN LURK BEHIND AUTOMATION
When it comes to claims processing, the managed care industry tends to focus on increasing auto-adjudication rates and moving to real-time technology, but the experts warn to balance these initiatives with a focus on the possibility of fraud and abuse.

CASE STUDY: BPM ENABLES A BILLING COMPANY TO AUTOMATE WORKFLOW
Automating work flow using business process management (BPM) helped a billing company increase quality and productivity by 30%, which ultimately lowered costs and staff time.

BUSINESS PROCESS MANAGEMENT DEFINED
Business process management (BPM) means a lot of different things to different companies.

GE COMPLETES ACQUISITION OF IDX
GE Healthcare (Barrington, IL) has completed the acquisition of IDX Systems Corp. for $1.2 billion in cash. GE Healthcare is a unit of General Electric Co.

SIERRA TO PUT $1 MM IN E-SCRIPT EFFORT IN 2006
Sierra Health Services (Las Vegas, NV) will commit $1 million in 2006 to fund the rollout of e-prescription technology from Allscripts (Chicago) to physicians in Nevada who aren’t affiliated with the company’s owned practice, according to Anthony Marlon,

HHS LAUNCHES $6 MILLION E-SCRIPT PILOT
The U.S. Dept. of Health & Humana Services has announced the launch of a $6 million e-prescribing pilot program aimed at creating “a robust system of electronic transmission of prescription information for the new Medicare Part D prescription drug program.”

PER-SE NAMES PERKINS COO; COMPLETES NDC DEAL
Per-Se Technologies (Alpharetta, GA) said it has promoted Chris Perkins to the newly created position of chief operating officer following the completion of its acquisition of NDCHealth (Aug. 21, 2005).

ZIX PAYS DOWN ANOTHER $5 MM IN DEBT
Zix Corp. (Dallas) announced that it has paid down another $5 million in debt (plus $300,000 in premiums and accrued interest) and has issued a warrant allowing the holder of the convertible notes to acquire 650,558 shares of common stock at $5.38 per share. The company has redeemed a total of $15 million in convertible notes (EHI E-Mail Update, Dec. 26, 2005), leaving another $5 million outstanding.

ZIX SIGNS UP 1000 DOCS FOR AETNA E-SCRIPT PILOT
Zix Corp. (Dallas) reported that it has signed up 1000 physicians for an e-prescribing pilot program sponsored by Aetna Inc. (Hartford, CT), with the deployment of technology to be completed by the end of the first quarter of 2006.


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