Regional Health Plans
Can Your Health Plan Compete?
Although there are areas of growth potential, regional plans are struggling to compete. In addition to managing margins, regional plans also have limited resources to manage changing regulations and configure their solution quickly to meet the market demands.
HealthRules® Payor allows health plans to design and implement any type of benefit plan or provider contract
HealthRules Payor empowers health plans to model benefit plans and provider contracts
HealthRules Payor network design options are highly flexible to support easy and rapid configuration
To learn more about Elderplan’s success after implementing HealthRules®, read the case study
Listen to Dave Mike, Vice President, Core Systems at Independent Health discussing Value-Based Reimbursement
To learn more about McLaren's success after implementing HealthRules, read the case study
UCare's Senior Vice President of Public Affairs and Chief Marketing Officer Ghita Worcester and HealthEdge's Regulatory Compliance Manager Maggie Brown explored how health insurance providers are handling changing regulations and updates to Star Ratings in the recent webinar, co-sponsored by AHIP.