Initiative provides key insight into utilization and case management

EMERYVILLE, Calif., Feb. 16, 2012 /PRNewswire/ -- MedeAnalytics, a leading provider of healthcare performance management solutions, announced today that Blue Shield of California has expanded its use of MedeAnalytics' Medical Management Analytics solution. The expansion will enable Blue Shield of California to gain insight into utilization and case management, facilitating related planning, management, audit and client reporting.

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"A valuable result of this expansion will be our Medical Operations team's ability to quickly identify the root cause for deviations in operational metrics and apply more timely and effective corrective actions," commented Meredith Mathews, M.D., senior vice president and chief medical officer of Blue Shield of California.

"We are pleased to continue to work with Blue Shield of California and build upon the Medical Management solution," said MedeAnalytics' Chief Executive Officer Mike Gallagher. "The expansion will provide weekly authorizations and case management data, providing additional information to manage Blue Shield's business processes."

The Medical Management Analytics solution enhances a plan's ability to manage its operational processes to ensure efficiency. In addition, it provides added value through the inclusion of operational data that reside upstream of claims. These data eliminate the lag related to services and claim processing, allowing for more immediate measurement and intervention.

About Blue Shield of California

Blue Shield of California, an independent member of the Blue Cross and Blue Shield Association, is a not-for-profit health plan with 3.3 million members, 4,800 employees, and one of the largest provider networks in California. Founded in 1939 and headquartered in San Francisco, Blue Shield of California offers a wide range of commercial and government products throughout the state. The company has contributed more than $125 million over the past four years to the Blue Shield of California Foundation — which was named one of BusinessWeek's 20 most generous corporate foundations. Contact your local agent or broker for more information about Blue Shield products and services, or visit the Blue Shield website at www.blueshieldca.com.

About MedeAnalytics

Founded in 1994, MedeAnalytics delivers performance management solutions across the healthcare system—including hospitals, physician practices and payers—to ensure accountability and improve financial, operational and clinical outcomes. For more information, visit www.medeanalytics.com.

SOURCE MedeAnalytics

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