Healthation, Inc.

Situation

Fueled by unsustainable cost and quality concerns and the promise of ever increasing demand for services, the healthcare industry is the latest commercial sector in the US economy to dip a toe in the waters of consumerism. Ultimately healthcare will undergo a retail-like transformation where the convergence of high quality individualized benefit, health and consumer-oriented information delivered to the point of decision can shape behaviors, reduce costs and influence outcomes.

We believe that the fastest path to realizing the benefits of a transformed healthcare marketplace is through real-time enabling and interconnecting the rich data that already resides in payer based systems. To accomplish this feat, payers need information systems that are light and agile but also fast and reliable. They need systems that support increasingly complex business processes, transactions and relationships unencumbered by antiquated or irrelevant functionality. Finally, they need systems that they control, that are driven by their business rules, not those of their vendors or partners.

Solution

AcceleHealth® by Healthation, Inc. represents new thinking and new science for exchanging individualized benefit and healthcare information in real-time. AcceleHealth offers Health Plans, Managed Care Companies and Administrators a comprehensive benefit management and transaction processing solution for all market segments and lines of business including Dental, Medical, Vision, Life, even Pharmacy. AcceleHealth along with our optional AboveHealth® Self-Service Web portal and Inform® business intelligence solutions combine to form a 100% Web based platform for streamlining processes across a payer’s enterprise from enrollment and premium billing to provider contracting and network management through claims processing and medical cost management.

What makes AcceleHealth fundamentally different is the unique execution of a recursive data model that powers a single “content agnostic” rules engine. This rules engine is completely user-definable giving business people the power to construct their own benefit, clinical, administrative, financial and business process rules. A flexible, user-configurable real-time Transaction Server provides any-to-any data transformation and integration services for exchanging data between disparate platforms, applications and programming languages. Furthermore, the system’s core architecture is built upon Web Services standards and is delivered to users via Web browser making it easy to use and economical to operate.

Finally, our innovative “all-inclusive” utility computing model helps business leaders better align their technology and business strategies. Whether implemented as an on-premise or a software as a service (SaaS) solution, clients pay a single utilization-driven monthly subscription fee which entitles them to the entire AcceleHealth solution, all implementation and conversion services, general purpose enhancements and around the clock support. There is also a unique Cooperative Development program modeled after trends emerging from the open source marketplace. Under this program clients are able to advance their own development priorities while at the same time benefiting from Healthation’s expertise and support infrastructure.

Better Health Lower Costs

Our AcceleHealth benefits management and AboveHealth Self-Service Web eHealth solutions are helping a wide range of payers and third party administrators improve business performance across multiple domains. Our user-definable rules engine is helping clients streamline processes and improve care, thus reducing administrative and medical costs. For example, business users are leveraging workflow automation and honing their adjudication logic to reengineer manual claim review and pre-authorization processes resulting in lower administrative and medical costs as well as improved loss rations. Product development teams are reducing time to market by creating new products on the fly without requiring IT support while many of our clients are reducing customer support costs by implementing self-service eHealth solutions.

Our solutions offer health plans, managed care companies, administrators and other employee benefit managers new capabilities for adapting to and anticipating change. We welcome inquiries.