Healthcare Administration
Epione Health Solutions is a leading health care consulting firm in value-based payment and population health management strategy. Our team experts provides a wide range of services to clients across the health care continuum, including, health systems, medical groups, and health plans. We committed to helping our clients navigate the complex and rapidly evolving health care landscape, and have the tools and expertise to them succeed.
Claims Administration
End to End solutions from ingestion of claims, processing, analytics, workflow optimization, auto-adjudication all the way to encounter submission,
Network Management
Network adequacy analysis and tools. Let us help you build your network of providers or start your own delegated group. Contract analyses.
Call Center
Build strong brand loyalty and relationships with your valued members. Reduce wait times with our AI solutions. Leverage customer feedback to identy issues proactively.
Compliance Management
Tools and services for compliance and security officers. Risk assessments, penetration testing, and assistance with corrective actions.
Population Health
Let us help you build a 5 STAR quality program. Weather you need help with HEDIS, STARS or HCC, we have the most comprehensive real time data process that eliminates lag.
Utilization Management
Increases efficiency in your UM team using a platform that can optimize workflows and can automate tasks.
What Our Clients Say
UM Director
"With Epione, we have had a detailed view into the operation of our current team and its process. We can see benchmark metrics, touches per authorization, the performance of the UM staff, and the over and under-utilization of our providers. With a model that uses data and AI, we have seen a significant reduction in our utilization management effort."