Outsourcing Solutions
In today's unpredictable, ever-changing, and highly competitive marketplace, organizations are tasked with improving productivity and operational efficiency with budgetary challenges. The Lungen Group focuses on providing Business Process Outsourcing (BPO) solutions for managed care companies, health plans, TPAs, providers, Centers for Medicare & Medicaid Services (CMS) programs such as Part D (PDP), Private Fee For Service (PFFS) and Medicare Advantage (MA) plans, PPOs, etc. Services provided for the preceding customers are related to claims, benefits & policy administration, sales/distribution, call center, fulfillment and more. Our approach is to offer the market cost-effective, innovative strategies with leading quality standards at reduced costs below typical operational expenses.
Solution Partners
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Claims Processing
Data Dimensions Corporation
For over 25 years, Data Dimensions has been an innovative leader in the area of Business Process Outsourcing (BPO) with core competencies focused on medical claims document capture administration.
Medicare Administration & Medical Products
NationsHealth
As the operator of a National Medicare Prescription Drug Plan Part D, and a recognized leader in Medicare Part-B services, NationsHealth offers deep experience in the development and administration of complex Medicare businesses. We also offer a private labeled, member centric program which provides low price point cost containment on medical products and professional services related to key disease states via a mail-order process. Founded with the mission to improve American Seniors' access to healthcare; today the company services over 300,000 Medicare beneficiaries and 3,000,000 discount drug card holders, as well as 100,000 members for medical products, nationwide. NationsHealth brings a track record of innovation and success in the one-to-one marketing of products and services to Medicare beneficiaries.
Pharmacy Benefits Management (PBM)
Better Pharmacy Benefit Management Solutions. More Options for Payers.
The Lungen Group provides best practice Pharmacy Benefits Management (PBM) solutions to help payer organizations, associations, employers, managed care companies and insurance carriers face the uphill battle of managing the spiraling costs of healthcare and the continued rising pharmacy costs being experienced today.
PPO Repricing
Ecom PPO Advisors
Ecom PPO Advisors, Inc. (SM) consistently delivers an unprecedented, industry-changing approach to optimizing PPO network savings, analysis, selection and administration.
Transplant & Catastrophic Management
Better Transplant and Catastrophic Management Solutions. Lower Risk for Payers.
While almost 90,000 Americans are waiting longer than ever for a solid organ transplant, The Lungen Group's solution excels at expediting the process with a properly designed transplant network that affords the payer the best approach to managing the clinical and cost implications associated with transplantation. We work diligently to analyze and select the most appropriate transplant network and provide support in an effort to maintain and measure an effective program.