Markets

Individual

Health plans that serve the individual market face specific challenges to stay ahead in today’s competitive and dynamic marketplace. Keeping pace with the innovation of the exchanges while at the same time providing seamless integration – these are key requirements.

HealthEdge’s HealthRules product suite enables health plans serving individual markets to tackle critical imperatives including:

  • Enroll large numbers of new members successfully and accurately
  • Meet the specific needs of individual members easily with a variety of rapidly configured plans
  • Increase member satisfaction with transparency of real-time information
  • Deliver a superior customer experience that retains members and increases engagement
  • Reduce administrative cost significantly by automating everything
  • Participate in exchange business profitably with the agility to adapt to changes quickly

HealthEdge customers with individual business achieve greater levels of operational efficiency, lower costs, and deliver enhanced levels of transparency and customer service with the HealthRules product suite. They are able to use standard integrations that enable accurate reporting and information exchange and are highly configurable for rapid implementation. HealthRules products enable easy self-service for members, promoting high levels of engagement.

The HealthRules platform is the only modern, enterprise-class software suite for all types of health and specialty insurers. Regular software updates deliver new capabilities, ensuring continued compliance with industry standards, allowing health insurers to stay current and competitive with the latest market developments, and drastically reduce both IT and operational costs.