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  • Title: Model citizens. Outsourcing helps start-up Medicare HMO.
    Author: Slavic B, Adami S.
    Journal: Healthc Inform; 1999 Apr; 16(4):113-4, 116-8. PubMed ID: 10538421.
    Abstract:
    UNLABELLED: Health Plans of Pennsylvania (HPP), the managed care arm of Crozer-Keystone Health System, in Media, Pa. PROBLEM: Selecting the information systems and building the infrastructure to support the start-up of a new Medicare HMO product. SOLUTION: HPP chose to outsource the information systems needed to integrate all the components of managed care administration into a cost-effective and cohesive program. RESULTS: Because of its aggressive programming and start-up of the MedCarePlus product offering, HPP became the first plan in the country to submit Medicare claims data electronically for encounter reporting to the Health Care Financing Administration (HCFA). KEYS TO SUCCESS: "Through an integrated team approach, an organization truly can benefit from the economies of scale gained through outsourcing."
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