While health plans need to ensure regulatory compliance to play in the individual market, they also need to deliver innovative products and a seamless, efficient customer experience. This will require health plans to partner with federal and state agencies coordinating, operating and technical interactions with the exchanges.
Our solutions help health plans:
- Connect to Health Insurance Exchanges, Federal and State Agencies, and Individual Customers
- Capitalize on new opportunities through the individuals market
- Acquire and retain new members through tailored member engagement
- Gain in share of wallet for each individual member through up sell/cross sell
- Achieve regulatory compliance
EXCHANGE CONNECTOR 360°:
A comprehensive solution providing implementation and infrastructure services for organizations offering health insurance exchanges that must meet robust federal requirements and is powered by our deep experience in designing, working with, and operating state Health Insurance Exchanges.
When it comes to cost containment and being innovative while maximizing business value, IT is a vital lever for healthcare. Our FuturEdge for Modernization allows organization to start where it makes sense to them.
PREMIUM BILLING 360°:
Stay ahead of regulatory pressures and market innovations while successfully addressing the billing needs of Health Exchanges at the state and federal level. Our end-to-end solution includes business process capabilities, application management and hosting services for complex health plan products, enabled by a fully integrated flexible software application.
PAYER OPTICS 360°:
Payer Optics 360° is a suite of comprehensive business decision support solutions for health plans that deliver deep understanding of the health plan consumer using comprehensive customer databases and advanced analytics.
We offer innovative solutions for Medicare Part D plans and can help you save money, maximize your CMS revenues, and assist with ensuring CMS-compliant operations.
FirstPortfolio provides users with a customizable collection of applications that are hosted and maintained by us.