Algorithm-based Analytics Tool helps calculate health plan rates.April 22, 2014 -
Through comparison and advisory capabilities, Alfred™ helps healthcare stakeholders calculate health plan rates and federal subsidies. Solution helps healthcare payers/providers support consumers with instantaneous and dynamic access to information available via Health Insurance Exchange (HIX) Marketplace and can be used to illustrate consumer health coverage options. Also, healthcare payers can be made to understand competitive position and determine how their solutions compare against others.
HTMS, an Emdeon Company, Creates Algorithm Tool 'Alfred'
3055 Lebanon Pike
Nashville, TN, 37214
Press release date: April 10, 2014
Tool allows health plans to compare Qualified Health Plans in the Health Insurance Exchange Marketplace and also provides insights for consumers
NASHVILLE, Tenn. – HTMS, an Emdeon company, is pleased to introduce Alfred™. Alfred is an algorithm-based analytics model that can help all types of healthcare stakeholders calculate health plan rates and federal subsidies through its comparison and advisory capabilities and is both easy to use and understand. Alfred's greatest utility is to help healthcare payers and providers support consumers with instantaneous and dynamic access to information that is available through the Health Insurance Exchange (HIX) Marketplace and can be used to illustrate consumer health coverage options. In addition, the tool is useful for healthcare payers to understand their competitive position and determine how their solutions compare against other Qualified Health Plans (QHP) on the HIX Marketplace.
"Our enrollment counselors love Alfred because it's fast and easy to use," said Patricia Tanquary, chief executive officer for Contra Costa Health Plan. "Using Alfred enabled us to help our potential members understand their coverage and subsidy options before they purchased our plan."
"As a trusted advisor to so many in the healthcare industry, we created Alfred as a value add tool for our clients as they plan their QHP portfolio for the 2015 HIX Marketplace," said Nancy Wise, vice president of strategic consulting for HTMS, an Emdeon company. "We also have seen our clients utilize Alfred when working directly with consumers who seek access to coverage through the HIX Marketplaces. And further, health plans can use the tool to train their internal sales, marketing and customer service personnel on the nuances of the QHP portfolio and how it impacts consumers," Wise said.
Alfred is available now as a part of HTMS advisory services, including HTMS HIX consulting services, or as a stand-alone engagement.
HTMS, an Emdeon company, is a management consulting firm focused exclusively on the healthcare market. HTMS's specialty is helping healthcare organizations achieve their strategic and operational objectives through the use of applied technology and business process optimization. HTMS offers consulting services to help clients innovate, solve problems and improve performance in an ever-changing healthcare environment.
Over the past eleven years, HTMS has helped more than 120 health plans and delivery systems implement new products, expand their service areas, migrate to new system platforms and reengineer their business processes. In the past year, HTMS worked with more than 20 organizations in 15 states to help prepare for business on health insurance exchanges. Engagements range from complex, multi-year projects to concise and efficient assessments or market inquiries. For more information, visit www.htms.com.
Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. Emdeon's offerings integrate and automate key business and administrative functions of its payer and provider customers throughout the patient encounter. Through the use of Emdeon's comprehensive suite of solutions, which are designed to easily integrate with existing technology infrastructures, customers are able to improve efficiency, reduce costs, increase cash flow and more efficiently manage the complex revenue and payment cycle and clinical information exchange processes. For more information, visit www.emdeon.com.