Category: Thought Leadership

CalAIM Six-Month Check-Up

A Moderated Discussion Among Health Plan and CBO Leaders from Health Plan of San Mateo and Pacific Clinics.

As we are nearly six months into the launch of the CalAIM initiative, hear perspectives from health plan and CBO leaders on successes and failures of their ECM and CS implementations.

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Target and Tackle Your Biggest Administrative Burdens

Improve your operational efficiencies while reducing errors and costs by targeting and tackling your biggest administrative burdens. 
Catalyst takes a unique approach to helping health plans transform the way they do business. Our focus is on driving positive change in the key areas that net the greatest ROI and outcomes for your members. ​

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Core Platforms– A Modular Approach

A “rip-and-replace” or full system replacement is not always necessary when your technology needs updating. One of the dilemmas payers face today is whether to invest in a new platform or renovate/enhance their current platform.

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Clinical Management Outsourcing and Consulting

Catalyst solutions announces expanded service offerings of clinical management outsourcing and clinical consulting practices. Catalyst Solutions, an industry leader in strategic consulting, Business Process Outsourcing (BPO) and staff augmentation for health plans, is pleased to announce it is introducing BPO and consulting services into the clinical space of the health plan.

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New Comprehensive Care Management Solution

Introducing a new comprehensive physical and behavioral health care management solution provided through a partnership with InfoMC. Together Catalyst Solutions and InfoMC are jointly solving care management and coordination challenges for health plans.
With even quicker implementation and greater economies of scale!

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BPO Webinar for Health Plans

Watch this video to learn how Catalyst helps health plans streamline operations costs and improve member satisfaction.
Presented by Catalyst’s VP, Operations, Christine Henderson.

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Leveraging BPO

As an industry, healthcare has undergone enormous change. The landscape is dynamic, and new challenges are on the horizon. Mergers, acquisitions, and partnerships are occurring at an unprecedented rate.

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Advantages and Disadvantages to Virtual Training

The use of the virtual classroom and those participating depends on the instruction topic and level of the learners. Although there are advantages with virtual training there are also disadvantages. If the course is self-paced, fully instructor led, or partial individual instruction.

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Why Outsourcing Claims Administration Makes Good Business Sense

Insurance companies are reliant on two main pillars — bringing in new business and claims administration. Claims administration is a significant responsibility. Any new customer that signs onto a policy is doing so with the confidence that their claim will be processed fairly and quickly, should the occasion arise.

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Reduce Costs by Addressing Medical Loss Ratio

Nearly all sectors of public healthcare have projected increased spend in the next decade. The U.S. population is rising, which will result in more enrollments in government programs. The Center for Medicare and Medicaid Services (CMS) projects that nearly half (47.3%) of the U.S. population will be enrolled in Medicare, Medicaid, or CHIP programs by 2026.

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