Solutions
Future-proof Architecture
Moving forward, healthcare payers and administrators need to be future-proof within a system architecture and technology framework that will give them the flexibility and control to handle their needs both today and tomorrow. Over the next decade you will be innovating your way to success
in a market that will be changing at amplitudes far greater than at any other previous time in
our history.
Blueprints, product roadmaps, and feature function lists do not exist for the next decade; but you know you have to innovate to compete. We look forward to showing you what's possible with technology architecture for enabling innovation, acceleration, and automation. (Click on any tab to learn more):
Completely rules-based and object oriented: The Healthation rules-based object oriented architecture is the most flexible, efficient, and high performance way to build complex transactional systems, especially claims processing systems. Re-usable objects defined and configured by business users deliver innovation on the fly with minimum maintenance overhead and optimal system performance.
Completely Workflow automated: The emerging marketplace will require new levels of efficiency while at the same time imposing increasingly complex transactions and business processes. Core administration systems will need to auto-adjudicate not just claims across all lines of business, but complex supporting business processes and transactions as well. The entire Healthation system is an event-driven workflow automation system. For every edit a business user configures, one or more corresponding workflow processes can be triggered. Resulting work can be routed to internal or external users, or more importantly, to automated system queues for hands-free processing.
Completely Real-time and Web-architected: In this rapidly evolving marketplace, the drive towards interoperability and performance based delivery of care will be synonymous with real-time processing. Payers and administrators will increasingly be required to interoperate in real-time at the point of sale, care, and decision. Having previously built the only commercial real-time PBM systems in the market, Healthation architects have engineered the market's first real-time enterprise core administration system from the ground up.
Integrated across all lines of business: As the market moves towards performance based contracting, managing and administrating care for individuals will require real time clinical, workflow, and financial integration across the continuum of care. Medical, dental, pharmacy, vision, behavioral health, DME, and even non-funded over the counter patient encounters will need to be integrated and administrated across mixed funding models. Healthation is the only solution in the market that delivers this integration today. Our solution is content agnostic with respect to line of business and corresponding product and service nomenclature.
Integrated dual-sided general ledger accounting system: Process complex and innovative financial transactions with an unparalleled level of automation, such as completely automating the financial recoupment processes for retro-activity at the group, provider, and member levels. Meet the growing market demand for individual versus group billing with unprecedented levels of automation.
Architected for Pre- and Post-Adjudication: The new market administrative business use cases will challenge existing payment and billing systems. The Healthation real time Pre- and Post-Adjudication capability enables administrators to configure and automate complex transactions that require an interrogation of a transaction to determine if external data or processing is required before it can be settled. As the market increasingly develops performance indices, this Pre- and Post-Adjudication capability will consume these indices when determining what products and services are appropriate from what source and at what price.
Open Source Code for Collaborative Software Development: Healthation delivers source code to our customers, taking advantage of their subject matter expertise and skilled workforce. In collaboration we accelerate each customer's innovation agenda while minimizing associated engineering costs and lowering the risk of obsolescence.
Software as a Service business model: Whether in an ASP or customer-hosted deployment, Healthation offers a subscription-based pricing model that is inclusive of source code. Since our solution has no "modules", the entire application is installed regardless of what lines of business or functionality are implemented. Pricing is commensurate with system utilization.
