To solve the problem, the industry had to look outside of healthcare to leverage more advanced evidence-based technologies and methodologies. The CEO and chairman of EagleForce Health, Stanley Campbell has provided cutting-edge knowledge and analytics to the defense and intelligence sectors for many years. Today, EagleForce Health is applying its neural computing, machine learning and artificial intelligence methodologies to provide real-time insurance verification that enables drug makers to more accurately identify patients who are using government-paid insurance, preventing them from illegally receiving co-pay program benefits. Most importantly, these advanced analytics capabilities allow for the identification of the vast majority of government health plan members including Medicare, Medicaid, Veterans Health Services, DoD, Indian Affairs, Bureau of Prisons, CHIP and more. In line with the intent of AKS, this service is not just focused on Medicare Part D.
"In this era of compliance, we believe our solution will be able to accurately identify between 5% - 20% of claimants which could otherwise improperly receive pharmaceutical copayment benefits without the integration of the EagleForce solution," states LtGEN (Ret) John Morgan, COO of EagleForce Health.
EagleForce Health and ConnectiveRx are rapidly expanding the use of this solution across many of the top pharmaceutical manufacturers that offer co-pay support to help patients obtain and adhere to the medications that they need. Tom O'Grady, senior legal consultant to Big Pharma further suggests that "Executives and legal regulatory departments within the industry are adopting this real-time eligibility solution so they can rest well at night knowing that they have deployed the very best government-beneficiary screening available."
About EagleForce Health, LLC
EagleForce Health is an Advanced Analytics Company that established its pedigree in the Defense and Intelligence sector of the government solving some of the country's biggest challenges. The Company has many patents in the area of eligibility and predictive analytics with a new focus on solving healthcare's biggest challenges with respect to disparate data interoperability, universal eligibility and predictive analytics. For more information, please contact us or visit our website: www.TheEagleForce.net.
About ConnectiveRx (pskw dba as ConnectiveRx and its affiliates and its subsidiaries)
ConnectiveRx simplifies how people get and stay on medications by providing information, savings and access to medications people need. ConnectiveRx connects prescribers, pharmacists and patients through the nation's largest aggregated EMR network, a national network of pharmacies, and direct digital channels reaching over 800,000 prescribers. The ConnectiveRx focus is to educate prescribers and patients throughout the medication management life cycle, optimize prescriber and patient access to medications through co-pay savings, increase medication adherence via multiple touchpoints and deliver unmatched insights from the ConnectiveRx analytics platform with over 2 billion EMR and pharmacy transactions annually.
To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/with-over-12-million-claims-analyzed-eagleforce-health-and-connectiverx-lead-the-industry-in-real-time-insurance-verification-300354322.html
SOURCE EagleForce Health, LLC