|By PR Newswire||
|November 28, 2012 09:51 AM EST||
KANSAS CITY, Mo., Nov. 28, 2012 /PRNewswire/ -- Argus Health Systems, Inc., a leading transparent pharmacy benefits administrator, today announced its next-generation claims processing engine, RxNova™.
From 2011 through 2020, the Centers for Medicare and Medicaid Services projects an 86% increase in prescription drug spending. Also, as predicted by the Affordable Care Act, the number of insured Americans could rise by as many as 33 million over the next decade. This changing market, along with new Health Care Reform regulations and broader coverage requirements, means that health plans must have increasingly flexible tools with comprehensive capabilities to support increasingly complex, customized benefit designs. In this time of rapid market change, health plans must accelerate their product development and personalize benefit designs to satisfy today's members and tomorrow's prospective members. Successful pharmacy benefit administration and management companies must be prepared with advanced technology, significant flexibility and rapid time-to-market solutions to enable their customers to adapt to changing member demographics, external demands, and expected outcomes.
RxNova™ is a technology- and business-driven initiative that began when the company made the strategic decision to invest in our already reliable, functionally-rich claims processing system. This investment to enhance the user experience was a multi-year project to transform the underlying architecture, business design and rules structure of our claims processing technology to create a best-in-breed, highly flexible, highly extensible, easy-to-use, web-based benefit management solution. The culmination of this effort is RxNova™, the convergence of our customer collaboration and insight with Argus innovation and delivery.
"Argus has embraced a 'listen first, then act' approach in its system enhancement efforts, ensuring that the resources devoted to this effort have been focused on solving real-world customer issues as opposed to producing technologies in search of a business need, as sometimes happens when companies eschew listening to their customers," stated Mary Ellen Mitchell, COO, Excelsior Solutions, LLC, a pharmaceutical and healthcare consulting firm. "The fact that such material amounts of innovation have occurred without sacrificing the quality of the core service delivery to customers is a testimony to the technical sophistication of Argus."
RxNova™ provides Argus customers with a robust system designed to allow the user to control benefit development through an intuitive protocol that gives the user increased control of their benefit design and exposure to their data without the need for hard coding. This initiative includes a user interface with an intuitive rules-based architecture to engage with the software, delivering greater ease of use, and flexibility in customized benefit design.
To facilitate increased benefit complexities, enhancements to the benefit auditability include customized messaging and tagging options within the benefit rules structure. Embedded into this component is Benefit Validator™, documentation and analytics that provide a real-time accountability trail and audit feature that supports and augments evidence of coverage at the pharmacy-benefit level. Enhancements to claim inquiry include detailed data enrichment that provides a decision flow of the adjudicated claim, including each of the decision points or rules utilized during the adjudication process. The increased visibility into these decision points includes a historical audit perspective that identifies messages associated with the claim as it was adjudicated, such as error exceptions and overrides. Historically, several hours could be spent on pharmacy claim research to determine why and how a particular claim derived its resultant financial and clinical outcome; RxNova™ has built-in data enrichment capability that provides the user a logical view of the executed rules and illuminates the entire picture of the adjudication process from beginning to end.
"Increasing market complexities in the healthcare industry, combined with stringent government regulations and guidance, have compelled businesses that support healthcare to significantly expand their functionality to harness the possibilities created by these trends," said Jonathan Boehm, president and CEO, Argus Health Systems. "Our focus has always been on our customers and offering them the most efficient solutions to meet their business needs. RxNova™ is a culmination of the synergistic relationship we are fortunate to enjoy with our customers. We have integrated new functionality, design flexibility, and powerful rules configuration with robust, reliable and resilient technical infrastructure that allows our customers to confidently deliver their benefit designs in an online fashion, presenting clear visibility into their outcomes based on their business and clinical decisions. We have accomplished this without sacrificing the reliability and scalability they have come to expect with Argus. RxNova™ provides superior navigation, testing, analytic and reporting capabilities, and enables customization at a very granular level. These enhancements also allow our customers to be more competitive related to time to market, help them increase efficiencies, and enable them to take advantage of an integrated claims-benefit management solution. This is an exciting time to be an Argus customer as we continue to focus on our customers and their business demands in this period of rapid change and opportunity."
About Argus Health Systems, Inc.
Argus is a leading independent provider of healthcare information management services supporting commercial, Medicaid and Medicare Part D with a business model that provides full disclosure and transparency. Argus serves a wide range of clients and key healthcare organizations, including managed care organizations, pharmacy benefit managers and pharmaceutical manufacturers. Argus is a wholly-owned subsidiary of DST Systems, Inc. For more information, please visit http://argushealth.com.
About DST Systems, Inc.
DST Systems, Inc. provides sophisticated information processing solutions and services to support the global asset management, insurance, retirement, brokerage, and healthcare industries. In addition to technology products and services, DST also provides integrated print and electronic statement and billing solutions through DST Output. DST's world-class data centers provide technology infrastructure support for financial services and healthcare companies around the globe. Headquartered in Kansas City, MO., DST is a publicly traded company on the New York Stock Exchange.
The information and comments in this press release may include forward-looking statements respecting DST and its businesses. Such information and comments are based on DST's views as of today, and actual actions or results could differ. There could be a number of factors, risks, uncertainties or contingencies that could affect future actions or results, including but not limited to those set forth in DST's periodic reports (Forms 10-K or 10-Q) filed from time to time with the Securities and Exchange Commission. All such factors should be considered in evaluating any forward-looking statements. The Company undertakes no obligation to update any forward-looking statements in this press release to reflect future events. Brand, service or product names or marks in this press release are trademarks or service marks, registered or otherwise, of DST Systems, Inc., DST subsidiaries or affiliates, or third parties.
The information and comments above may include forward-looking statements respecting DST and its businesses. Such information and comments are based on DST's views as of today, and actual actions or results could differ. There could be a number of factors affecting future actions or results, including those set forth in DST's latest periodic financial report (Form 10-K or 10-Q) filed with the Securities and Exchange Commission. All such factors should be considered in evaluating any forward-looking comment. The Company will not update any forward-looking statements in this press release to reflect future events.
SOURCE Argus Health Systems, Inc.
SYS-CON Events announced today that BMC will exhibit at SYS-CON's 16th International Cloud Expo®, which will take place on June 9-11, 2015, at the Javits Center in New York City, NY. BMC delivers software solutions that help IT transform digital enterprises for the ultimate competitive business advantage. BMC has worked with thousands of leading companies to create and deliver powerful IT management services. From mainframe to cloud to mobile, BMC pairs high-speed digital innovation with robust...
May. 27, 2015 05:30 PM EDT Reads: 1,111
Over the years, a variety of methodologies have emerged in order to overcome the challenges related to project constraints. The successful use of each methodology seems highly context-dependent. However, communication seems to be the common denominator of the many challenges that project management methodologies intend to resolve. In this respect, Information and Communication Technologies (ICTs) can be viewed as powerful tools for managing projects. Few research papers have focused on the way...
May. 27, 2015 05:00 PM EDT Reads: 2,143
As the world moves from DevOps to NoOps, application deployment to the cloud ought to become a lot simpler. However, applications have been architected with a much tighter coupling than it needs to be which makes deployment in different environments and migration between them harder. The microservices architecture, which is the basis of many new age distributed systems such as OpenStack, Netflix and so on is at the heart of CloudFoundry – a complete developer-oriented Platform as a Service (PaaS...
May. 27, 2015 05:00 PM EDT Reads: 2,053
As cloud gives an opportunity to businesses to buy services externally – how is cloud impacting your customers? In his General Session at 15th Cloud Expo, Fabio Gori, Director of Worldwide Cloud Marketing at Cisco, provided answers to big questions: Do you see hybrid cloud as where the world is going? What benefits does it bring? And how does Cisco connect all of these clouds? He also discussed Intercloud and Cisco’s investment on it.
May. 27, 2015 05:00 PM EDT Reads: 6,053
The Internet of Things is not new. Historically, smart businesses have used its basic concept of leveraging data to drive better decision making and have capitalized on those insights to realize additional revenue opportunities. So, what has changed to make the Internet of Things one of the hottest topics in tech? In his session at @ThingsExpo, Chris Gray, Director, Embedded and Internet of Things, discussed the underlying factors that are driving the economics of intelligent systems. Discover ...
May. 27, 2015 04:00 PM EDT Reads: 6,782
Containers Expo Blog covers the world of containers, as this lightweight alternative to virtual machines enables developers to work with identical dev environments and stacks. Containers Expo Blog offers top articles, news stories, and blog posts from the world's well-known experts and guarantees better exposure for its authors than any other publication. Bookmark Containers Expo Blog ▸ Here Follow new article posts on Twitter at @ContainersExpo
May. 27, 2015 04:00 PM EDT Reads: 1,639
In their general session at 16th Cloud Expo, Michael Piccininni, Global Account Manager – Cloud SP at EMC Corporation, and Mike Dietze, Regional Director at Windstream Hosted Solutions, will review next generation cloud services, including the Windstream-EMC Tier Storage solutions, and discuss how to increase efficiencies, improve service delivery and enhance corporate cloud solution development. Speaker Bios Michael Piccininni is Global Account Manager – Cloud SP at EMC Corporation. He has b...
May. 27, 2015 03:45 PM EDT Reads: 1,975
SYS-CON Events announced today that O'Reilly Media has been named “Media Sponsor” of SYS-CON's 16th International Cloud Expo®, which will take place on June 9–11, 2015, at the Javits Center in New York City, NY. O'Reilly Media spreads the knowledge of innovators through its books, online services, magazines, and conferences. Since 1978, O'Reilly Media has been a chronicler and catalyst of cutting-edge development, homing in on the technology trends that really matter and spurring their adoption...
May. 27, 2015 03:37 PM EDT Reads: 566
In a recent research, analyst firm IDC found that the average cost of a critical application failure is $500,000 to $1 million per hour and the average total cost of unplanned application downtime is $1.25 billion to $2.5 billion per year for Fortune 1000 companies. In addition to the findings on the cost of the downtime, the research also highlighted best practices for development, testing, application support, infrastructure, and operations teams.
May. 27, 2015 03:30 PM EDT Reads: 1,832
The OpenStack cloud operating system includes Trove, a database abstraction layer. Rather than applications connecting directly to a specific type of database, they connect to Trove, which in turn connects to one or more specific databases. One target database is Postgres Plus Cloud Database, which includes its own RESTful API. Trove was originally developed around MySQL, whose interfaces are significantly less complicated than those of the Postgres cloud database. In his session at 16th Cloud...
May. 27, 2015 03:15 PM EDT Reads: 1,956
In her General Session at 15th Cloud Expo, Anne Plese, Senior Consultant, Cloud Product Marketing, at Verizon Enterprise, focused on finding the right mix of renting vs. buying Oracle capacity to scale to meet business demands, and offer validated Oracle database TCO models for Oracle development and testing environments. Anne Plese is a marketing and technology enthusiast/realist with over 19+ years in high tech. At Verizon Enterprise, she focuses on driving growth for the Verizon Cloud platfo...
May. 27, 2015 03:00 PM EDT Reads: 5,671
The widespread success of cloud computing is driving the DevOps revolution in enterprise IT. Now as never before, development teams must communicate and collaborate in a dynamic, 24/7/365 environment. There is no time to wait for long development cycles that produce software that is obsolete at launch. DevOps may be disruptive, but it is essential. The DevOps Summit at Cloud Expo – to be held June 3-5, 2015, at the Javits Center in New York City – will expand the DevOps community, enable a wide...
May. 27, 2015 03:00 PM EDT Reads: 2,754
EMC Corporation on Tuesday announced it has entered into a definitive agreement to acquire privately held Virtustream. When the transaction closes, Virtustream will form EMC’s new managed cloud services business. The acquisition represents a transformational element of EMC’s strategy to help customers move all applications to cloud-based IT environments. With the addition of Virtustream, EMC completes the industry’s most comprehensive hybrid cloud portfolio to support all applications, all workl...
May. 27, 2015 03:00 PM EDT Reads: 1,289
The speed of product development has increased massively in the past 10 years. At the same time our formal secure development and SDL methodologies have fallen behind. This forces product developers to choose between rapid release times and security. In his session at DevOps Summit, Michael Murray, Director of Cyber Security Consulting and Assessment at GE Healthcare, examined the problems and presented some solutions for moving security into the DevOps lifecycle to ensure that we get fast AND ...
May. 27, 2015 02:00 PM EDT Reads: 5,116
The 5th International DevOps Summit, co-located with 17th International Cloud Expo – being held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA – announces that its Call for Papers is open. Born out of proven success in agile development, cloud computing, and process automation, DevOps is a macro trend you cannot afford to miss. From showcase success stories from early adopters and web-scale businesses, DevOps is expanding to organizations of all sizes, including the...
May. 27, 2015 02:00 PM EDT Reads: 4,688
Cloud Expo, Inc. has announced today that Andi Mann returns to DevOps Summit 2015 as Conference Chair. The 4th International DevOps Summit will take place on June 9-11, 2015, at the Javits Center in New York City. "DevOps is set to be one of the most profound disruptions to hit IT in decades," said Andi Mann. "It is a natural extension of cloud computing, and I have seen both firsthand and in independent research the fantastic results DevOps delivers. So I am excited to help the great team at ...
May. 27, 2015 02:00 PM EDT Reads: 2,286
SYS-CON Events announced today that MetraTech, now part of Ericsson, has been named “Silver Sponsor” of SYS-CON's 16th International Cloud Expo®, which will take place on June 9–11, 2015, at the Javits Center in New York, NY. Ericsson is the driving force behind the Networked Society- a world leader in communications infrastructure, software and services. Some 40% of the world’s mobile traffic runs through networks Ericsson has supplied, serving more than 2.5 billion subscribers.
May. 27, 2015 02:00 PM EDT Reads: 2,146
How does one bridge the gap between traditional enterprise storage infrastructures and the private, hybrid, and public cloud? In his session at 15th Cloud Expo, Dan Pollack, Chief Architect of Storage Operations at AOL Inc., examed the workload differences and required changes to reuse existing knowledge and components when building and using a cloud infrastructure. He also looked into the operational considerations, tool requirements, and behavioral changes required for private cloud storage s...
May. 27, 2015 02:00 PM EDT Reads: 2,943
Software is eating the world. Companies that were not previously in the technology space now find themselves competing with Google and Amazon on speed of innovation. As the innovation cycle accelerates, companies must embrace rapid and constant change to both applications and their infrastructure, and find a way to deliver speed and agility of development without sacrificing reliability or efficiency of operations. In her Day 2 Keynote DevOps Summit, Victoria Livschitz, CEO of Qubell, discussed...
May. 27, 2015 02:00 PM EDT Reads: 5,835
Discussions about cloud computing are evolving into discussions about enterprise IT in general. As enterprises increasingly migrate toward their own unique clouds, new issues such as the use of containers and microservices emerge to keep things interesting. In this Power Panel at 16th Cloud Expo, moderated by Conference Chair Roger Strukhoff, panelists will address the state of cloud computing today, and what enterprise IT professionals need to know about how the latest topics and trends affec...
May. 27, 2015 01:30 PM EDT Reads: 2,099