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TMCNet:  HighRoads Solves Health Plan Data Management for Health Care Payers

[February 08, 2013]

HighRoads Solves Health Plan Data Management for Health Care Payers

Feb 08, 2013 (Close-Up Media via COMTEX) -- HighRoads, a company focusing on health care compliance and benefits management, launched the HighRoads Benefits Plan Management System.

According to a release, the new, SaaS-based solution automates plan design management and eases the compliance burden for health insurance payers.

"Health Care Reform has created new complexities for health care payers who have been charged with communicating new regulations in an easy-to-understand language to their customers," said Michael Byers, CEO, HighRoads. "The challenge is that typical payer technologies have not been built to accommodate the plan management requirements needed to easily deliver these critical compliance documents. HighRoads has been a leader in managing health plan data for complex environments and employers for over a decade. We are now bringing this technology to the payer market with a customized solution designed to ease the burden of developing compliant materials for the health insurance consumer." The health insurance payer has complex plan data residing in multiple systems and in multiple formats. To combine this information to deliver health care reform-compliant SBC materials, often requires massive manual processes with limited or no automated workflow.


The HighRoads Benefits Plan Management System is a patented technology that enables payers to become more competitive and adapt to the frequent changes expected in the consumer-focused health care market. By helping payers manage data holistically - rather than managing individual documents - HighRoads enables payers to generate benefits documents more easily, based on their business rules. Ultimately, the HighRoads Benefits Plan Management System will help payers thrive in a consumer-centric environment by helping them to adapt quickly to changing requirements and policies.

"AHIP is pleased that innovative solution providers such as HighRoads are addressing the critical need of payers to achieve compliance in a cost-effective and efficient manner," said Brendan Miller, Vice President, Business Development, America's Health Insurance Plans (AHIP). "HighRoads' SaaS-based solution for plan management, communication and compliance is an example of how the health care industry is embracing technology to manage a considerably more complex health care environment." More information: www.highroads.com/payers ((Comments on this story may be sent to newsdesk@closeupmedia.com))

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