Government

The need for supporting government healthcare services is growing more critical by the hour. Together, all lines of government-influenced healthcare business represent a significant and often costly portion of the insured population and present a growing concern among health Plans. The good news is that NASCO is prepared to support your government programs.

We are responding to the government-unique requirements of the individual program sectors (Medicare, Medicaid and health insurance exchanges) to produce a robust, multi-product, multi-state, fully integrated and highly leveraged single-payer solution for our Plan customers.

FEP

NASCO isn’t new to government business. With nearly 30 years of experience in processing Federal Employee Program (FEP) claims, NASCO is well integrated into the FEP process and completely familiar with government business. NASCO’s standardized model for FEP processing allows our Plan customers to interface with the FEP Operations Center to adjudicate claims for federal employees, while benefiting from NASCO’s shared-system environment.

Medicare Advantage

NASCO’s Medicare Advantage offering provides Plan customers with the flexibility to configure a commercial claims processing environment to meet the compliance and business needs of a Medicare Advantage Plan. NASCO’s Medicare Advantage offering runs in a shared environment providing Plans with the ability to leverage costs and benefit from the experience and knowledge of other Blue Plans participating in the shared environment. The shared environment offers a healthy and open dialogue on interpretation of compliance and system requirements. Teams meet weekly, or as needed, to review CMS direction and system impacts regarding all aspects of the Medicare Advantage program.