Washington, DC-based Gorman Health Group provides thought leadership, advice, and business support to Medicare managed care. As the nation's leading Medicare solutions and professional services firm, the company serves over 60 Medicare Advantage and Part D companies each year, and provides those companies with a blend of software and BPO services.
Their new health plan enrollment and payment reconciliation software, Valencia™, ties workflow and reporting control directly to a discrepancy engine that allows plans to gain faster processing times, increase visibility and performance, and operate more compliantly.
In looking for a new hosting provider, many critical factors presented themselves due to Valencia's ability to store sensitive information. HIPAA Compliance, a law containing privacy rules that require entities like health plans, health care providers, and health care clearing houses to keep private health information protected, was the most critical factor:
"Healthcare in general, and Medicare contractors especially, demand the highest standards of HIPAA compliance and security," said GHG's Senior Vice President of Strategic Development, Nathan Goldstein, "INetU's expert solution design and service make it easy for us to help our clients by delivering secure and scalable hosted solutions as part of their business plans. We had over 2.5 million members on our software within weeks of launch and INetU made the launch simple and seamless."
Other factors included SAS 70 Type II certification for additional security, a high availability solutions design, and an expert IT staff.