News & Events
Jessica Cohen for Healthation
Phone: 617.332.9999 x203
Healthation Announces Enhanced Individual Billing Capability for AcceleHealth
Advanced Functionality Supports Health Plans' Ability to Meet Increasing Individual Member Demand Driven by Healthcare Reform
Chicago, IL - June 1, 2010 - Healthation, a leading provider of core administrative systems for medical and specialty insurance payers and administrators, today announced an enhanced individual billing capability for its AcceleHealth® solution, a next-generation benefit management system that offers payers a single Web-based system for administering benefits across all lines of business. With the Congressional Budget Office (CBO) estimates that recent reform initiatives will bring approximately 32 million currently uninsured individuals into the health insurance market, AcceleHealth's new individual billing enhancements have been designed to help managed care organizations meet the increased demand for individual plans with much greater automation and efficiency.
Healthation has been working closely with its customers to refine its individual billing capabilities and provide even deeper functionality that can bring group-level efficiencies to the creation and management of individual plans. The enhanced individual billing capabilities include a range of functionality around contract creation, invoicing and the broker relationship. Some of these enhancements include:Contract Creation
- Contract-level data elements down to the member level
- Rating at the member level
- The ability to control member-level eligibility and validation
- One common billing address to list bills and artificial groups of individual members while maintaining individual account receivables and "paid to" dates
- Automated lapsed payments at the member level with auto-reinstatement
- Automatic termination for non-payment of premium
- Ability to allow individuals to move freely within manual payment, Automated Clearing House (ACH) and credit card at the member level
- Automated, on-demand invoicing
- Ability to assign commission levels down to the individual member
- Multiple levels of agency/broker relationships at the member level
"Individual plans have been a small but labor-intensive sideline for most payers-until now. With healthcare reform, individual plans promise to become a major line of business, and in order for health plans to remain successful they will need to implement systems that allow them to handle individual billing very efficiently," said Scott Kornhauser, Chief Executive Officer, Healthation. "There is expected to be a lot of competition for the millions of lives coming into the market, and the ability to offer flexible plans and benefit design within a real-time benefit management system is expected to be critical."
AcceleHealth is a comprehensive benefit management system that offers payers a single Web-based system for administering benefits across all lines of business including dental, Medical, vision and pharmacy. AcceleHealth's core technology consists of a flexible user-definable "content agnostic" rules and workflow engine that enables business people to drive the system's functionality. As a single system, there are no costly modules to buy, integrate or maintain. This tightly integrated yet flexible solution helps payers rapidly build and deploy new businesses, products and processes to quickly adapt to and anticipate change. Healthation's optional business intelligence data warehouse gives clients a flexible ad hoc reporting and decision support solution for managing their business with precision.
Lisle, Illinois based Healthation helps healthcare payers and administrators improve business performance with user-configurable, rules based benefits administration and claims transaction processing solutions. The company's goal is to help accelerate the retail transformation in healthcare with a real-time, open source platform. The company's AcceleHealth solution is the industry's only fully web-based payer system built to administer benefits across all lines of business, including medical, dental, vision, pharmacy, life and AD&D. The company's website is www.healthation.com.