With the medical loss ratio (MLR) mandate, it’s more critical than ever for health plans to increase the quality of administrative functions while lowering costs. CITI provides the full spectrum of healthcare transaction processing services. Recognizing that these functions are essential for businesses to succeed but are also a serious drain on resources, we can assume the day-to-day tasks to help streamline operations and allow our clients to focus on their core business and achieve profitable growth.
We utilize onshore, near-shore, and offshore processing centers around the world to offer round-the-clock, end-to-end service delivery. By combining of a number of discrete services, CITI can manage the entire content lifecycle and automate manual processes for improving access to, and the quality of, critical information. Our healthcare transactional services include:
In the evolving healthcare environment, health plans and the programs they serve will be graded and rewarded based on improvements to the member's health status. Our Third-Party Administration (TPA) services give health plans and Co-Ops the flexibility to do more for their members while reaping significant financial dividends under the right operating structure. These programs help cut costs while maintaining efficiency.
Our TPA services give health plans the ability to rapidly scale so they can meet the uncertain demands of healthcare reform, allowing them to focus on providing better services to their members and use healthcare reform as an opportunity to grow their business.