Insights

Search or filter the Insights library to gain access to a rich set of resources designed to provide insight into key topics impacting your business.
Blog Post August 02, 2018
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You Can’t Lower Healthcare Costs or Improve Outcomes in a Siloed System
Everyone wants better outcomes and lower costs. It sounds good when people in the industry talk about achieving those ends, but the Triple Aim has been a goal …
Story Sheet July 30, 2018
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Agility and Speed Story Sheet
Agility and speed to market are critical capabilities for health plans in today’s fast moving market. Expanding membership, rapidly rolling out new produ…
Story Sheet July 30, 2018
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Lower Admin Costs Story Sheet
Lowering administrative costs has been a consistent priority for health plans. What seems straightforward is often not easy to accomplish. However, a nex…
Case Study July 27, 2018
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McLaren - Capturing New Business in a Competitive Landscape
McLaren had an urgent need to modernize its outdated technology and turned to HealthRules to do it. In this case study you will learn: Why McLar…
Case Study July 27, 2018
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Independent Health: Value-Based Payments - Getting from Here to There
Headquartered in Buffalo, New York, Independent Health is a not-for-profit health plan and aims to provide its community with innovative health-related p…
Case Study July 27, 2018
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Elderplan: Lower Administrative Costs and Maximize Operational Efficiency
Headquartered in Brooklyn, New York, Elderplan is a well-established, not-for-profit health plan organization. This case study details how Elderplan leve…
Case Study July 27, 2018
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AmeriHealth Administrators: Agility and Flexibility in HealthCare Today
AmeriHealth Administrators (AHA), incorporated in 1988 and headquartered in Philadelphia, PA, is a wholly owned subsidiary of Independence Blue Cross, a …
Market Brief July 27, 2018
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Core Administration for Blue Cross and Blue Shield Plans
Industry changes are creating an imperative for Blue Cross and Blue Shield plans to transform the way they do business. What was once status quo has …
Market Brief July 27, 2018
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Care Management
Industry changes are generating a new set of critical needs for health plans: Care coordination and management of at-risk populations Promoting me…
Market Brief July 27, 2018
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Core Administration
Industry changes are creating an imperative for health plans to transform the way they do business. What was once status quo has now become a dynamic…
Blog Post July 12, 2018
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Social Determinants of Health - What are Payers Doing?
Social Determinants of Health (SDOH) was a bleeding-edge concept 20 years ago but today, healthcare payers and providers are starting to incorporate SDOH facto…
Blog Post June 27, 2018
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Key Takeaways from AHIP Institute 2018
Hundreds of health plan executives, sponsors and others assembled June 20 - 22 in in San Diego, CA to discuss and share with each other a wide variety of …