HealthEdge to Discuss Market Forces Driving Transformation of Payor Technology at AHIP Institute 2010 Conference

Presentation Will Explore Technology Infrastructure Required to Deliver the Agility and Configurability Payors Need to Thrive During Unprecedented Industry Transition

BURLINGTON, Mass.--(BUSINESS WIRE)-- HealthEdge, provider of the only modern, enterprise-class software platform for healthcare payors, today announced that its COO Ray Desrochers and CTO Matt Kuntz, Ph.D., will present “Surviving the Perfect Storm: The Need For 21st-Century Healthcare Technology” at America’s Health Insurance Plans (AHIP) Institute 2010 on Thursday, June 10th from 1:45 to 2:45 p.m. at Caesars Palace in Las Vegas. The presentation will focus on major market trends that are forcing payor organizations to replace their outdated core technology platforms, and highlight ways that payors can use next-generation technology to respond to both imminent and longer-term business challenges and to compete more effectively during a period of unprecedented industry transformation.

Desrochers and Kuntz will describe the technology demands payors will face as they confront sweeping changes that will revolutionize how they do business and the consequences they will face if they continue to rely on their already overburdened 20- to 30-year old legacy systems during this time of market upheaval. They will present information about healthcare reform, the upcoming move to the ICD-10 coding standard, the growing popularity of value-based and consumer-based benefit plans, and the push for improved customer service and transparency.

Attendees will learn how to:

  • Determine whether it is practical, or even possible, to remediate their existing systems to support ICD-10;
  • Evaluate various ICD-10 transition options, including HealthEdge’s existing ability to simultaneously and seamlessly process both ICD-9 and ICD-10 claims;
  • Prepare for anticipated and unexpected regulatory and market changes; and
  • Assess when the time is right to invest in a next-generation technology platform.

“Most payors are ill-equipped to tackle the challenges they will face as they move to the world of 21st-century healthcare,” explained Desrochers. “They are currently shackled to aging systems that were simply not designed to meet the needs of the new healthcare economy. Payors using these legacy platforms, and even newer systems that were not designed with the modern healthcare marketplace in mind, risk becoming marginalized as they find themselves unable to quickly respond to their customer’s needs.”

Desrochers continued, “HealthEdge’s patented, language-based product suite provides the real-time configurability and flexibility that allows payors to quickly take on any type of new business, regardless of complexity, automate and streamline all of their existing lines of business, quickly adapt to new industry standards, and provide superior levels of transparency to everyone involved in the healthcare delivery cycle.”

HealthEdge staff will be on hand to provide demonstrations of the award-winning HealthRules suite throughout the show at booth #526. Attendees will have the opportunity to see the market-leading HealthRules ICD-10 capabilities, to learn how they can quickly and easily configure anything they can imagine using the patented HealthRules Language, and to understand how unique HealthRules features like Benefit Predictor can be used to deliver significantly enhanced levels of customer service.

Thousands of top healthcare, business and political leaders, including CEOs, COOs, CIOs, CFOs, chief medical officers and medical program managers from leading health plans and technology companies are expected to attend AHIP Institute 2010. They will discuss the issues facing the U.S. healthcare system, share best practices and learn about the latest healthcare tools and technologies. This year’s keynote speaker is former President Bill Clinton.

About HealthEdge

HealthEdge provides the only modern, enterprise-class software platform for healthcare payors. Using the patented, award-winning HealthRules software suite, health plans and other payors can respond to business opportunities and market changes within hours rather than the usual months or years, while drastically reducing both IT and operational costs. Leveraging an investment of more than $125 million, HealthRules is the most modern, scalable, and cost-effective technology in the industry. HealthEdge provides the competitive advantage that enables payors to thrive in the dynamic healthcare environment. For more information, visit or call 781-285-1300.


For HealthEdge
Lindsey Karberg, 480.664.8412, ext. 13
[email protected]
Jan Shulman, 480.664.8412, ext. 12
[email protected]

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