About Us
Inside Healthation
Healthation has taken core administration systems to the next level by developing the only comprehensive financial administration platform for healthcare's retail future. The Healthation solution offers traditional and emerging healthcare payers and administrators the ability to accelerate their innovation and speed-to-market.
As the market transforms from a traditional fee-for-service system to one that is performance-based and consumer-centric, Healthation already enables the configuration of tomorrow's business of healthcare. For example, the emergence of accountable care and corresponding episodic care contracting models will require extreme levels of automation and integration. Healthation supports these future models today, with such capabilities such as:
- Diagnosis-based benefit design across all lines of business
- Mixed capitation and fee-for-service contracts
- Time-based clinical step therapy across all lines of business
- Non-funded product and service processing
- Real-time Web service calls to external utilization data and performance indices
- Incident/Episode framework
- Automated proactive workflow events
- Value-based benefit designs
History & Background
Founded in 2002, Healthation is privately-held portfolio member company of SilverStream Capital, LLC, an alternative investment fund focused on growth equity in the healthcare technology, healthcare services and software sectors. The principals of SilverStream have significant healthcare industry experience with strategic investments in payers, providers, pharmacy benefit managers and pharmaceutical services.
Having pioneered the first commercially-available pharmacy benefit management systems more than 20 years ago, Healthation's founders have successfully transferred their real-time system design expertise to the larger healthcare market. As a result, no other system is better prepared to meet the demands of fully-integrated and automated benefits administration at the points of decision, care, and sale.
Today, Healthation supports 22 customers representing nearly 24 million members across all lines
of business.
Vision, Mission and Value Proposition
Vision
Healthation will be the preferred partner for comprehensive healthcare financial administration systems. We will be sought after for our innovative, flexible, and real-time architecture that streamlines the business of healthcare.Mission
Healthation's mission is to deliver a comprehensive financial administration system for healthcare's retail future that improves business performance and agility while decreasing costs-accelerating our customers' ability to efficiently deliver their innovative products and services.Value Proposition
Innovation - Our innovative solutions, processes, and business model enable customers to deliver their innovative products to market faster and at lower costs.Acceleration - Our highly efficient system architecture built on a Microsoft® technology stack and open source model accelerate collaborative development and delivery of our customers' innovative products and services.
Automation - We built real-time rules-based workflow into our system architecture to extend auto-adjudication beyond claims, enabling customers to define their own level of automation.
