Webinar Recording

Lowering Admin Costs, Maximizing Operational Efficiency and Being Resilient to Change

Headquartered in Brooklyn, New York, Elderplan is a well-established, not-for-profit health plan. This webinar details how Elderplan leveraged auto-adjudication to maximize their operational efficiency and control administrative costs while embracing an evolving business model. At the end of 2019, Elderplan was posed with a unique and new challenge – serving members living in the epicenter of the COVID-19 pandemic—New York City. Elderplan needed to nimbly react to evolving regulatory requirements to remain compliant and continue to serve their members and providers quickly and accurately.

In this webinar, Elderplan's Assitant VP of Claims Lee Ditkowsky and Assistant Director of Configuration Daniel Ramos sit down with HealthEge VP of Customer Success, Len Rosignoli to discuss:

  • The challenges faced by Elderplan in maximizing operational efficiency to process Medicare and Medicaid claims
  • How innovative functionality enabled Elderplan to achieve 92-93% auto-adjudication rates across Medicare and Medicaid
  • How automation contributed to a 34% reduction in staffing costs related to claims processing
  • How Elderplan remained resilient in the midst of COVID-19 pandemic
 
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Real-World Examples: Elderplan ROI-Results

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Lower Administrative Costs & Maximize Efficiency

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