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BOWIE, Md., Jan. 24, 2012 /PRNewswire/ -- MedAssurant, Inc., a leading provider of data-driven healthcare solutions, today announced that Triple-S Salud, also known as BlueCross BlueShield of Puerto Rico, and its subsidiary American Health Medicare, have selected MedAssurant's Star Advantage™, Prospective Advantage® and INDICES™ systems in a multi-year engagement, providing an integrated solution for identifying and closing gaps in care, quality, assessment and documentation. The platform leverages the nation's most widely used healthcare quality measurement system, large-scale healthcare dataset analytics, and a nationwide clinical operations infrastructure to proactively identify, and both efficiently and effectively resolve gaps in member quality outcomes and improve financial performance.
MedAssurant's advanced analytical capabilities touch approximately 120 million Americans in all 50 states, the District of Columbia, and Puerto Rico – delivering superior insight into clinical and quality outcomes, claims and payment integrity, and financial performance improvement solutions. Leveraging the analysis of more than 5.2 billion medical events from more than 77 million unique de-identified individuals, MedAssurant's systems enable the near-real-time identification of gaps in care, quality, and financial performance. An additional analytical layer is then able to determine ideal intervention modality, venue, content, and timing for optimal member and provider engagement and gap resolution success. A nationwide infrastructure of clinical call centers, message fulfillment, integrated data platforms, and in-market clinical personnel numbering in the thousands brings to bear an end-to-end capability from analysis to impact – enabling meaningful health care improvement.
"Triple-S Salud and American Health Medicare are committed to providing medical excellence through high quality and cost-effective care in Puerto Rico,"
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