SeeChange Health Delivers Value-Based Benefit Plans Using HealthEdge’s Next-Generation HealthRules Product Suite

Patented, Language-Based HealthRules Technology Platform Provides Real-Time Configurability and Agility That Enables SeeChange Health to Offer a Wide Variety of Cutting-Edge Healthcare Products

BURLINGTON, Mass.--(BUSINESS WIRE)-- HealthEdge, provider of the only modern, enterprise-class software platform for healthcare payors, today announced that SeeChange Health has gone live with the patented HealthRules product suite. As the first commercial payor to focus exclusively on offering value-based benefit plans to the healthcare market, SeeChange Health selected HealthRules for its ability to enable them to quickly design, implement and update the wide variety of benefit plans that will be required to meet the rapidly evolving needs of their clients.

According to Martin Watson, CEO of SeeChange, “HealthEdge is providing us with unmatched claim adjudication capabilities to support our vision of delivering the next generation of benefit offerings to the market. By leveraging the HealthRules products, SeeChange is confident that we will be ready to respond quickly to market demands during this period of unprecedented change and opportunity.”

Unlike legacy systems that were not built to accommodate the variability of emerging plan designs, HealthRules’ language-based technology provides real-time configurability and a level of flexibility that allows payors to easily create virtually any type of benefit plan, regardless of complexity. Built on a service-oriented architecture, HealthRules also enables seamless integration of data and systems across and between organizations, which is essential for those who wish to truly compete in the 21st-century healthcare economy.

“The legacy claims processing platforms used by most health insurers do not provide the flexibility or sophisticated configuration necessary to quickly accommodate the drive toward prevention and wellness that is mandated by healthcare reform,” said HealthEdge CEO Rob Gillette. “We are excited to play such a significant role in enabling SeeChange to deliver the next wave of healthcare offerings to the market, and we are looking forward to continuing to help them achieve their goals.”

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.

About SeeChange Health

SeeChange Health Insurance Company provides value-based health insurance to employer groups. The company combines value-based benefit designs, data analytics and an interactive personal health record to consistently improve the health profile of individuals. Preventive health actions are assigned and tracked at an individual level. Individuals with disease states such as pre-diabetes, diabetes, asthma and heart disease receive specific health actions based on their medical conditions. SeeChange Health rewards its members for completing both preventive and condition-specific health actions by depositing money into a Health Incentive Account and reducing the plan participants’ out of pocket expenses for health care services. SeeChange Health is headquartered in San Francisco and is focused on reducing health care costs through proactive health management and early detection of health conditions. For more information, visit


For HealthEdge
Lindsey Karberg, 480-664-8412, ext. 13
[email protected]
For SeeChange Health
Janice Rahm, 763-582-1262
[email protected]

KEYWORDS:   United States  North America  Massachusetts

INDUSTRY KEYWORDS:   Technology  Data Management  Health  Hospitals  Medical Devices