WASHINGTON, Sept. 23, 2015 (GLOBE NEWSWIRE) -- Gorman Health Group (GHG), the leading consulting firm and solutions provider in government-sponsored healthcare programs, announced its reconciliation tool, Valencia™, reached a milestone this month, now managing the membership and financial data of more than 10 million members in Medicare, Medicaid, and the Health Insurance Marketplace.
Valencia™ continues to be the leading reconciliation application that addresses the challenges of government programs. By providing health plans a complete end-to-end solution comprised of a data repository, comparison engine, workflow and reporting; plans are able to move informal, manual processes into a repeatable, auditable environment. In addition, Valencia™ offers coveted transparency into the status of each individual to minimize payment shortfalls by identifying membership and revenue gaps.
"Health plans face critical administrative complexities in identifying and tracking membership and payments. We are thrilled that our proven solution has now surpassed 10 million members and is fundamental in increasing the productivity of health plans' staff while decreasing the compliance exposure of our clients," said John Gorman, Founder and Executive Chairman at Gorman Health Group.
As government programs like the Health Insurance Marketplace continue to evolve with new processes, namely the upcoming 820 payment files, Valencia™ goes beyond the comparison of data by providing a comprehensive application that allows plans to manage the process and outcomes, not just the data. By moving beyond simple comparisons, Valencia™ links critical enrollment and financial data at the member level, provides automation and reduces the burden on health plan staff.
To learn more about Valencia's capabilities across Medicare, Medicaid or the Health Insurance Marketplace, please contact us at ghg@gormanhealthgroup.com.
About Gorman Health Group | Gorman Health Group is a national healthcare professional services and software company staffed by subject matter experts, former health plan executives, and seasoned regulators. Since 1996, hundreds of clients serving millions of beneficiaries have leveraged the strategic counsel and technology solutions of GHG to maintain compliant operations, improve market position, and advance growth objectives. GHG's solutions continually evolve to meet the needs of our clients. Learn more at www.gormanhealthgroup.com.