VitalSpring Health Information Technology Networks Private Limited (VHITN) is a subsidiary of VitalSpring Technologies Inc., US, an innovator in health benefits performance software and is one of the highly rated Health ERP Company in the US market that is significantly dominated by Employers and Government Health Plans. With over 10 years of successful deployments and a passion for top client service, VitalSpring has grown over the last decade to be recognized as a leader in executing, delivering, and analyzing complex healthcare information.

Given the dynamics of Indian healthcare market, VitalSpring proposition for the India market is to focus on assisting, improving and interpreting Health data for Health Plan Payers (Insurers, Govt. programs and Employers) and Health Service Providers. It aims to evolve as a key integrator of Healthcare Information in the fast evolving Healthcare Services environment in the country.

VitalSpring Health Information Technology Networks Private Limited (VHITN) vision is to establish strategic partnership with health plan payers, govt. health service providers, consultants and assist them with market tested services and applications that can allow stakeholders in-depth analysis of its data there by impacting the growth and sustainability of the portfolio/services, bring in greater consumer touch points, build an efficient & measurable administrator partnerships protocols and provider participation.

Our key focus areas would be to make available our expertise through solutions and services across the following verticals 

• Health Plan Payers Insurers
• Employers with Self Managed Health Plans
• Health Plans sponsored by State and Centre Govts.

Data Management – The service supplies efficient sustainment and cleansing of data for production ready status. Our proven operations infrastructure has best of breed expertise in “data acquisition” to “production ready data”. Value of incoming data is significantly enhanced using proprietary algorithms and the vertical has the flexibility to work with varied vendor data formats. This service is aimed to build tremendous efficiency for insurers/employers/state plans that use multiple vendors   for administering various schemes which come generally with varied degree of reporting formats. This can be offered on frequencies as desired by clients in a virtual format.

This service is intended to cover qualitative transformation of enrollment and claims data received from underwriting and administrator offices of TPAs, Wellness vendors & Providers. This services is critical to,deliver insightful information through on-demand reports, dashboards and analytics to internal business audience, regulator, business partners and vendors.

Analytics as Service/Application - for underwriters & claims adjudication teams, product dev, network relations, HR-Benefits Managers and CFOs - Organizations are constantly making operational decisions based upon previous experience and basic data analysis. But this traditional approach to business analysis can be costly and inefficient when compared to more advanced analytics that use economic theory and statistical methods to measure the effects of a business decision. The service provides following reports to the clients:

• Benefit Dashboards
• Enrollment
• Medical Plan Analytics
• Vendor Analytics
• Performance Analytics of Portfolios
• Benefits  Review & Designs

Claims Audit Services - This is enabled by our financial information’s software integrator VitalSpring Integrity, it is an award winning hosted software that delivers financial performance information, metrics and scorecards that illustrate opportunities to improve financial performance for claims administration, funding, and accounting. The objective of this service is to analyze claims and the integrity of the financial information provided by the TPA, the member and the provider. Reconcile the company's financial records with actual claims data.

Benefits Modeling - Future cost estimate based on an analysis of the current risks and health of the member population.Modeling capabilities against dozens of plan parameters. Identify outliers in cost and service performance. Reports allow for drilldown across several dimensions, to assist in prioritizing cost and utilization analyses.

VitalSpring Value Proposition - Plan benefit designs can provide economic signals to participants at enrollment.

• Inspecting dependent costs to identify disproportionate users.
• Using low out-of-pocket maximums to attract high-cost members to the most efficient plan.
• Varying payroll withholdings to maximize participation of the healthiest members, maintaining low overall rates. 
• Setting out-of-network benefits to keep employer/plan payer costs neutral, while allowing the member choice.
• Design/revise detailed benefits plans using dozens of service attributes for co-pays, deductibles, co-insurances, etc.
• Re-price actual historical claims data on the basis of scenario plan designs
• Account for inflation and behavior impact of plan design change

For further details about VitalSpring solutions, please write to us at:

IndiaSales@vitalspring.com or Contact
Bindu Sebastian, Director of Sales
Email: bindu.sebastian@vhitn.net
Mobile: 91 98200 84512                               

Headquarters
C-522,215-Atrium,
Next to Courtyard by Marriott Hotel,
Opp.Divine Child High School,
Andheri Kurla Road,
Andheri(East), Mumbai - 400059
Tel: 91 98200 84512

India Operations Centre
106 Embassy Square
148 Infantry Road, Bangalore 560001