Payer and Provider: New Imperatives in Generating Revenue to Sustain Healthcare According to a Thomson Reuters study: The Comparative Performance of U.S. Hospitals: The Sourcebook, a hospital must generate $1,000 in revenue to offset every $1 of operating expense At Wincere, we know that the U.S. healthcare system is undergoing the most rapid, transformational change of any segment of the U.S. economy. Both private sector and government experts agree that traditional healthcare organizations built along independent professional lines are being replaced by multidisciplinary management organizations. Between HIPAA, electronic medical reporting, financial reporting, state-by-state regulations, clinical data management, and regulatory compliance, healthcare data management is facing unprecedented challenges. Present day EMR/EHR and hospital information systems (HIT) are hard pressed to keep up with, let alone to effectively manage, such a complicated data mix. The industry’s profit pools are under pressure as policy, medical loss ratio mandates, exchanges, new pricing guidelines and a substantial increase in Medicaid patients, all come into practice. To win, companies must develop the right strategy, but also must have the ability to implement it quickly and efficiently. In a world where pricing is more regulated lowest cost wins. Payers and providers can find ways to meaningfully manage rising medical costs by using technology and business intelligence. Controlling medical costs will require new incentive systems. Wincere’s healthcare consultants expertise encompasses such areas as:

• Clinical system implementation
• Epic, Cerner, Meditech, Allscripts, Misys, Siemens, GE Centricity, Eclipsys and McKesson implementation, interfaces, configuration and customization
• Business Process Management (BPM), process design and work process redesign
• Business Intelligence (BI), enterprise data warehousing and reporting
• Interface support and development
• Project Management (PM) and product management
• Data center management and server engineering
• Business and functional analysis
• Revenue cycle consulting

Our experts will help you to an integrated billing and payment solution that smoothly meshes together eligibility, benefits verification, claims and payment processing, as well as fraud and abuse management. A solution that reduces administrative costs while speeding up processing efficiencies. Wincere is ready to support you with a tailored payer solution that provides all-inclusive support from claims to payments crafting your financial needs into an intelligent transaction service that streamlines and modernizes the overall cost of healthcare.