Managed Care Providers

A managed care organization finances and manages healthcare delivery through networks of doctors, hospitals, and specialty providers and is tasked with business processes that have to be efficient, effective and actionable. Near-term survival depends on maintaining financial health and driving operational efficiencies. Long-term success depends on the ability to deliver on the core mission—care delivery and clinical excellence.

High-performance providers understand that in today's competitive healthcare market, groups need to not only satisfy members and patients, but to also address the requirements of purchasers and accrediting agencies.

Pearson Assessments has successfully performed healthcare surveys for managed care agencies and providers. We work with 1,000’s of healthcare clients, including some of the largest HMOs and PPOs in the nation. This gives us the experience and expertise to create survey solutions that meet your specific needs.

Pearson Assessments has the products and services needed to create solutions for your organization. We offer OMR OpScan^® and imaging hardware and software and OMR scan forms for in-house data collection needs or you can outsource to one of our state-of-the-art facilities. Whether through paper, Internet, email, wireless (PDA or kiosk) or fax, we have the products and services to collect your data and help you meet compliance.

Our managed care offerings include:

Enrollment / Registration

Pearson Assessments can design a benefits enrollment or registration solution that fits your organization's needs. We can transform a tedious, manual process to an efficient, automated solution, allowing your customers to enroll or update their benefits information via fax, mail, Internet, or telephone.

Pearson Assessments currently provides enrollment processing services in support of the Federal Employees Health Benefits Annuitant Open Season for the U.S. Office of Personnel Management, allowing 1.8 million retired federal employees participating in group health plans to make changes to their healthcare plans or request additional information.

Medicare Surveys and Forms

Government reimbursement programs, such as Medicare + Choice, require a great deal of data about covered beneficiaries. Pearson Assessments works with providers to accurately gather and report on this required data, ensuring the highest level of reimbursement possible.

We can also work with your organization to create a scannable form formatted to the standards of Centers for Medicare & Medicaid Services (CMS). The ability to automate this data collection process will save you immeasurable staff time, freeing them up to do what they do best; provide quality care.

Research Data Collection

Pearson Assessments has worked on 100's of government health research projects for non-profit and profit organizations. Utilizing our state-of-the-art data collection technologies we can help gather a variety of healthcare information, including statistics about medical care and outcomes, drug use, health history, and health risk assessments.

This information is used by national research organizations in the study of disease and treatment programs In fact; we have been conducting the Harvard Medical School Nurse Health Survey for the last 20 years using a paper and online collection process.

Managed Care Providers

Enrollment / Registration

Medicare Surveys and Forms

Research Data Collection

More information about healthcare solutions?