Shared Risk, Shared Reward: Redefining Financial Success in the Era of Reform

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Vik Anantha of Edifecs to Present at AHIP Operations and Technology Forum Nov. 19.

At AHIP's Operations and Technology Forum next week in Chicago, health IT expert Vik Anantha, vice president of Financial Management Solutions at Edifecs, will discuss the increased importance of reporting and analytics as health plans adapt to the evolving financial structure of the U.S. healthcare system in an era of reform. Anantha will share insights garnered from consulting with payers and providers seeking to adapt to major shifts such as value-based payments and risk sharing.

While the healthcare industry has seen small pockets of payment reform over the last 30 years, none have taken hold industry wide. With value-based payment and care delivery initiatives emerging at the federal level, health plans and providers must ensure they can jointly deliver efficient, high-quality care to their shared customer—the patient. Health plans need to devise information-driven approaches to ensure accurate payment and revenue reconciliation, while providers will need to embrace a shared-risk model to optimize revenue. Anantha will discuss the critical value of reporting and analytics based on trusted, real-time exchange of clinical and financial information, rather than older data warehouse approaches.

WHEN: Tuesday, Nov. 19, 2013 from 2:40 p.m. – 3:40 p.m. CST

WHAT: An educational session titled, “Shared Risk, Shared Reward: Redefining Financial Success in the Era of Reform.” Anantha will discuss how payers and providers can adapt to the changing financial structure of the healthcare system under the Patient Protection and Affordable Care Act and other healthcare mandates. Attendees will learn how to avoid costly disruptions using technology designed to drive insight into performance and transparency around reimbursement for payers and providers alike.

WHO: Vik Anantha, Vice President–Financial Management Solutions at Edifecs, is a healthcare software veteran with nearly 20 years of experience. Prior to joining Edifecs, Anantha was most recently senior director of Product Management at McKesson Health Solutions, where he was responsible for the reimbursement products that were a key part of McKesson’s value-based reimbursement strategy. Prior to that, Anantha was the vice president of Contracting and Reimbursement at Portico Systems, which McKesson acquired in 2011. Prior to Portico, he was the vice president of Health Plan Products at Kryptiq.

About Edifecs, Inc.
An industry leader since 1996, Edifecs provides healthcare software solutions that improve operational performance by streamlining the exchange of information among health plans, hospitals, and other healthcare organizations, while enabling compliance with current mandates such as HIPAA, Operating Rules and ICD-10.

Today, more than 250 healthcare customers use Edifecs technology to unify transactions from any information channel source and input mechanism, while automating manual business processes such as enrollment, claims and payments management. Edifecs is headquartered in Bellevue, WA. For more information, please visit

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Robin Rees
Edifecs, Inc.
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