Burgess Group, designer of advanced revenue management software for healthcare, announced a partnership with Advocate Physician Partners, a care management collaboration with Advocate Health Care, to help meet the needs of the growing Medicaid patient population in the state of Illinois. Burgess Group will provide network pricing, payment integrity, and claims editing and management services to reduce avoidable costs and streamline reimbursement for the more than 100,000 Medicaid beneficiaries who have enrolled in Advocate’s Accountable Care Entity (ACE).
Part of Illinois Medicaid reform, Accountable Care Entities (ACEs) and Care Coordination Entities (CCEs) are networks designed to better coordinate care with the ultimate goals of improving patient outcomes and healthcare quality, while reducing cost. Advocate Physician Partners is a leader in the delivery of integrated clinical care with its successful, nationally-recognized model. Payment and financial structures within these complicated networks also require forward-thinking strategies to ensure the highest-level of operational efficiency.
“We are pleased to announce our partnership with Burgess Group,” said Mike Englehart, president of Advocate Physician Partners. “Though our organizations differ in many ways, we believe Burgess’ technology combined with our care model will lead to more efficient and affordable care for the Medicaid population. Our overall vision and focus could not be more aligned.”
Burgess Group’s web-based software-as-a-service (SaaS) model reduce costs by eliminating IT burden and alleviating added labor and administrative costs. Its proprietary enterprise technology sets the industry standard for delivery speed of updated payment policies and fee schedules to ensure accuracy for submitted claims. The company’s focus on upfront design, quality and user interface also reduce hefty integration costs associated with current healthcare technology investments.
“There is significant growth around the adoption of mission-critical SaaS applications such as network reimbursement in healthcare,” said Greg Burgess, CEO of Burgess Group. “Advocate has been a leader in IT adoption to advance its population health management goals and this is a testament to their commitment to creating more affordable healthcare by further eliminating administrative waste.”
About Burgess Group
Burgess Group provides game-changing, integrated payer and provider network management solutions to streamline medical claims reimbursement in a way that establishes a new industry standard. The company’s proprietary software applications and consulting services help organizations save millions through improved accuracy, efficiency and performance, while offering powerful analytics and automation. Headquartered in Alexandria, VA., Burgess serves government and commercial lines of business including insurance providers, healthcare systems, and accountable care organizations (ACOs). For more information, call 800-637-2004 or visit www.burgessgroup.com.
About Advocate Physician Partners
Advocate Physician Partners (APP) brings together more than 4,800 physicians committed to improving health care quality, safety and outcomes for patients across Chicagoland and Central Illinois.
Formed as a care management collaboration with Advocate Health Care, APP is a leader in population health management and has garnered wide-spread national recognition for its innovative clinical integration program. The comprehensive approach coordinates patient care across the continuum—ensuring care is delivered at the right place and at the right time. This results in more efficiency, improved health outcomes and significant cost savings for patients.
APP also supports its physician members in managing the health of their practices with contracting, medical management, electronic medical records and value added services including group health and dental insurance and preferred pricing on vaccines, medical surgical supplies and office supplies.
