 Information Technology, Evaluation and Assessment
 When a managed care organization needs an improved information system, it will need to identify vendors that can provide the full range of "information systems" and reporting that are necessary to support the following functions of the typical HMO's in-house staff:
- Financial administration and management
- Underwriting and rate setting
- Utilization management
- Quality management
- Network management
- Enrollment and eligibility
- Billing and receivables
- Claims processing
- Capitation processing
- Management reporting
Managed Care Resources staff can assist organizations in locating a vendor with experience in providing HMO administrative support services and one that may eventually be able to assist them in establishing back-office operation. The goal should always be to achieve a smooth transition from the existing administrative systems to the new system by the contract termination deadline. It is vital to select a vendor that will be able to meet implementation time constraints and that has also had conversion experience.
Need more information or answers to your questions? Call, email or write us at:
Managed Care Resources, Inc.
1141 Laurie Lane
Burr Ridge, IL 60527 U.S.A.
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Telephone: (630) 325-6543  Fax: (630) 325-6512
Email: info@mcres.com
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