ACA Exchange

Source: Our Work With Plans Offering Home & Host Capabilities

How Plans with Home and Host Capabilities Lead in Value-Based Care

In our work with HealthRules® Payer clients, we have gained first-hand experience, supporting these plans with the technology they need to lead value-based care and healthcare transformation.

Platform Access Delivers a Transformative Approach to Payment Integrity

Optimize Payment Accuracy with History-Based Editing

HealthRules® Payer named “Best in KLAS®”

HealthRules Payer has been named “Best in KLAS” by KLAS Research for Claims & Administration Platforms for the second year in a row.

The Path to Point-of-Service Payment Success: Integrated Ecosystems

The Path to Point-of-Service Payment Success: Cloud-based Data Delivery

The Path to Point-of-Service Payment Success: Process Automation and Intelligent Workflow

Prospective Payment Integrity Moving from Pay and Chase to Predictive

This Spotlight examines payer payment integrity platforms and how payers can aggressively apply analytics and coordinate workflows to move "left" from reactive postpay to proactive, predictive prepay.

Automatically Manage Retroactive Policy and Pricing Changes

Prospective Payment Integrity Brochure

Full Service Model for Effortless Upgrades Data Sheet

Large, National Health Insurer Case Study