New York Medicaid plan to leverage the HealthRules® Product Suite to
drive product and service innovation
BURLINGTON, Mass.--(BUSINESS WIRE)--
HealthEdge®,
provider of the only modern, enterprise-class software platform for
healthcare payors, today announced that Hudson Health Plan (Hudson) of
Tarrytown, N.Y. has selected the HealthRules software suite as its new
core claims and administration platform. Hudson chose HealthRules, after
a rigorous review process, to drive new levels of agility, compliance
and transparency throughout its organization.
The healthcare payor market is currently undergoing a period of
unprecedented change, and payors must navigate among various market
forces and government regulations as they adapt to the rapidly evolving
health insurance landscape. After struggling with legacy systems that
were negatively impacting its ability to meet its goals, Hudson decided
to transform its core administrative platform to enable the
not-for-profit organization to continue its mission of providing access
to innovative, high-quality health services to its members while
continuously adapting to changing New York Medicaid regulations. Hudson
also recognized the need to automate manual operations, a move that
would save the health insurance industry billions of dollars that are
currently wasted on administrative costs every year.
“HealthRules provides us with a next-generation software platform that
gives us the speed, flexibility and ease-of-use that will enable us to
help our providers by processing claims efficiently,” said Georganne
Chapin, President and CEO of Hudson Health Plan. “Our use of HealthRules
will allow us to lower administrative costs and reduce manual
operations, so that we can redirect resources to fund the innovative
quality-improvement programs for which we are known.”
Hudson is a community-based health care organization providing
state-sponsored Medicaid Managed Care, Child Health Plus and Family
Health Plus insurance coverage to more than 115,000 members in New
York’s Hudson Valley Region. In addition to selecting HealthEdge and the
HealthRules Platform, Hudson also chose Click-4-Care, a highly
configurable, member-centric care management system for physicians,
payors and their members. Combined, HealthEdge and Click4Care provide a
comprehensive product suite designed to help organizations streamline
interactions with members, analyze health information and link everyone
involved in the healthcare delivery cycle.
“Hudson Health Plan has recognized the need to adopt new technology in
order to successfully operate in the 21st century healthcare
system,” said HealthEdge CEO Rob Gillette. "We are confident that its
implementation of HealthRules will enable the organization to
dramatically enhance operational efficiencies and significantly increase
its agility.”
About Hudson Health Plan
Hudson Health Plan is a community-based not-for-profit health care
organization that provides state-sponsored Medicaid Managed Care, Child
Health Plus, and Family Health Plus insurance coverage to over 115,000
members in New York’s Hudson Valley. Hudson uses every government dollar
it receives to fulfill its mission, which is “to promote and provide
access to excellent health services for all people.” Hudson improves the
health of its members and the communities in which they live through its
innovations in care coordination, and by supporting over 5,000 local
health providers. Hudson received the national 2012 Medicaid Health Plan
Innovation Award for its Westchester Cares Action Program, an innovative
integrated care management project. In both 2009 and 2010, Hudson
achieved the highest quality incentive scores of any Medicaid plan in
New York State, and in 2010, it received the highest overall performance
rating of any Medicaid plan in the Hudson Valley. It also has earned the
highest ratings in overall satisfaction among Medicaid Managed Care
members in the Hudson Valley region every year since 2003. Hudson Health
Plan is based in Tarrytown, N.Y.Visit Hudson on the Web at www.hudsonhealthplan.org,
and follow us on Facebook
and Twitter.
About HealthEdge
HealthEdge® provides the only modern, enterprise-class software
platform for healthcare payors. Using the patented HealthRules®
software suite, health plans, health insurance companies, and other
payors can finallyrespond to new business opportunities and
market changes in hours, not months or years, while drastically reducing
both IT and operational costs. Leveraging an investment of over $125
million, HealthRules is the most modern, scalable, and cost-effective
technology in the industry. HealthEdge is the only choice for payors to
survive and thrive in the emerging healthcare economy. For more
information, visit www.healthedge.com.
Racepoint Group
PJ Lurvey, 617-624-3210
plurvey@racepointgroup.com
Source: HealthEdge
| Copyright: | Copyright Business Wire 2012 |
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