Vestica Healthcare specializes in providing government entities with the industry’s most reliable and effective program management solutions for Medicare and Medicaid benefits programs, long-term care programs, and correctional health. With decades of experience and a world-class technology platform, we can provide unmatched cost reduction and real-time transparency into program operations. Our solutions include management of enrollment/eligibility, medical claims processing, utilization management, provider enrollment, networks, fraud and abuse detection and prevention, and compliance. We are the smart choice for state and federal agencies committed to state-of-the-art program management. .
Medicare & Medicaid Programs
Medicare and Medicaid are profoundly different from other healthcare programs in ways that impact systems, business requirements and workflows. At Vestica Healthcare, our solutions have been built from the ground up specifically for government benefit program management. We offer more than 20 years of experience with Medicare and Medicaid program management, and the technology to provide unmatched efficiency, transparency and cost reduction for state and federal agencies.
Long-Term Care Programs
Vestica Healthcare leverages specialized experience and state-of-the-art technology to meet the challenges of benefit program management for highly complex member populations. With extensive expertise in government program cost management and comprehensive reporting capabilities, we offer clients unrivaled advantage not only by simplifying management processes, but also by exposing potential fraud and abuse before services happen. We’re able to lower costs while improving your program’s effectiveness and service to members.
Vestica Healthcare offers a unique approach to correctional healthcare that delivers standardization and complete transparency in all program activities. As a flexible, experienced partner, we can efficiently
tailor our solution to each state’s requirements, leveraging innovative technology to offer tracking and trending, reporting consistency and records protection. The result is a more effective healthcare program for inmates at a significantly lower cost for the state and its taxpayers.