Capital Health Plan Selects QCSI's QNXT System for Targeted Business Outcomes
Capital Health Plan, a not-for-profit health plan affiliated with Blue Cross Blue Shield of Florida, has selected Quality Care Solutions, Inc.'s (QCSI) QNXT system and professional services to achieve its targeted business outcomes. The QNXT system will enable automation, flexibility, and accurate reporting for Capital Health Plan's Medicare and Commercial HMO lines of business. With QNXT, Capital Health Plan aims to reduce administrative costs, focus on member and provider satisfaction, and implement preventative care initiatives.
Key Takeaways:
- Capital Health Plan, a not-for-profit health plan with over 112,000 members, selected QCSI's QNXT system to administer its Medicare and Commercial HMO lines of business.
- QNXT will increase automation, provide flexibility for provider contracting, benefit plans, and accurate and timely reporting.
- Eric Smith, Chief Information Officer of Capital Health Plan, stated that QNXT is the optimum solution for their business requirements, providing scalability and flexibility.
- QNXT's fully integrated application with user-defined rules will enable Capital Health Plan to control administrative costs and focus on high standards for member and provider satisfaction.
- The QNXT system includes next-generation enterprise application technology that will facilitate measurable results and ease of use.
Statistics:
- Capital Health Plan has over 112,000 members in the Tallahassee, Florida, area.
- CHP selected QCSI's QNXT system to administer its Medicare and Commercial HMO lines of business.
- QNXT is a fully integrated application with user-defined rules and a system architecture that will provide flexibility and extensibility.
Sources:
- Health & Medicine Week editors from staff and other reports
- NewsRx.com
- Quality Care Solutions, Inc. (QCSI)
- Capital Health Plan (CHP)
- Blue Cross Blue Shield of Florida
- Blue Cross Blue Shield Association