Beacon Healthcare Systems is a leading provider of SaaS solutions for healthcare compliance. With extensive expertise in health plan technology, operations, IT, compliance, and product development, Beacon Healthcare Systems offers transformative solutions alongside best-in-class technology.

Their solutions help organizations automate their healthcare processes and meet regulatory requirements. Some of their key offerings include:

1. Beacon Appeals Manager (BAM): This solution helps manage members and providers in appeals and grievances, ensuring regulatory compliance and enhancing the member and provider experience. It is ideal for Medicare, Medicaid, and Commercial lines of business.

2. Beacon Compliance Manager (BCM): This solution transforms the effectiveness and efficiency of audit programs with centralized workflows, a data management system, healthcare auditing and monitoring capabilities, and a central repository for HPMS memos.

3. Beacon Enrollment Manager (BEM): BEM is an auto-adjudication software for Medicare Advantage enrollment. It simplifies the administrative burden associated with member maintenance processes, leading to improved beneficiary satisfaction and reduced churn.

4. SDoH/Supplemental Benefits Manager: This solution optimizes health plans by facilitating the approval and delivery of supplemental benefits beyond traditional Medicare offerings. Examples include adult day care and utilities.

5. Utilization Manager (UM): UM assists health plans in managing prior authorizations effectively. It includes features such as workflow management, letters generation, and reporting capabilities to improve quality and compliance.

Beacon Healthcare Systems is dedicated to driving innovation in healthcare by providing cost-efficient solutions that ensure greater accountability, accuracy, productivity, and improved member/provider experiences.