• Healthcare Payers
  • National Health Insurance Plans
  • Federal Government (CMS – Medicare)
  • State Government (DHHS – Medicaid)

• Healthcare Providers
  • Hospitals
  • Long-Term Care Facilities
  • Physician Medical Practices
  • Specialty Care Providers (Outpatient, Oncology, etc)

• Affiliated Organizations
  • Clearinghouses, Third Party Administrators, etc.

Key Business Drivers

• The revenue source of a hospital is driven by patient flow
  • Physician referral is the key to patient flow
  • Non-teaching hospitals generally do not have staff physicians
  • Insurance payments are determined based on diagnosis, not length of stay

• Shortage of qualified resources
  • Estimated 125,000 open nursing positions in the US, projected to grow to 500,000 by year 2020
  • Pharmacists are being hired faster than they are graduating

• Significant need to focus on user productivity and satisfaction