Health Plan Selects XpandACC to Address ACA Single Out-of-Pocket Requirement

Solution Improves Operational Efficiency for Commercial and Medicare Advantage Products LORTON, Va. (August 26, 2013) – Acero Health Technologies announces that UPMC Health Plan, the second-largest health insurer in western Pennsylvania, will use Acero’s real-time XpandACC™ technology solution to support and manage shared benefit accumulators for its commercial and Medicare Advantage product portfolio. Designed to work as a data hub for multiple systems that need to rely on the same shared accumulator information for a single member, XpandACC supports shared medical, pharmacy, behavioral health, vision or dental benefits. XpandACC eliminates the need for daily or weekly batch files while also reducing the demand for staff to handle the manual processes commonly associated with over-accumulation issues. This true, real-time approach reduces operating costs by eliminating many of the claim processing errors that typically occur due to timing or rule synchronization issues. ”Implementing XpandACC simplifies the administrative process in support of shared accumulators, consolidating business rules and creating a single data hub for both the core claims system and the ancillary systems,” said Alan Merchant, CEO of Acero Health Technologies. Specifically, XpandACC provides payers with a scalable, operationally-efficient method to support the new Affordable Aare Act (ACA) single maximum out-of-pocket (MOOP) which requires that all essential health benefits (EHB) accumulate toward the same MOOP. New ACA actuarial value requirements also limit plan design flexibility, driving some carriers to consider shared deductible designs. In either case, XpandACC provides payers with the functionality to support plan designs with shared accumulator requirements. Acero’s technology team has years of experience creating integrated, scalable solutions for health plan administrators. The XpandACC solution is system and vendor agnostic with the means to support sub-second transaction response times to support the required service level agreements. For more information about XpandACC, go to Acero Health Technologies Acero Health Technologies, an innovative information technology company serving today's healthcare visionaries, allows health plans to incrementally add software solutions to address new business challenges without requiring wholesale changes to existing investments. The Acero team has significant health plan and technical experience developing sophisticated enterprise software solutions for health plans and third-party benefits administrators. Acero’s PlanXpand™ engine powers several technology solutions including XpandCDH™, a powerful tool for administering consumer driven health plans and XpandHCR™, an application that helps payers calculate and reconcile federal cost-sharing reduction subsidies. For more information, visit Media Contact: [email protected]