HealthEdge: helping payers embrace new business models (podcast)
April 24th, 2012 by 
David E. Williams of the Health business blog
Health plans face unprecedented changes to their business models: value-based purchasing, new flavors of consumer directed health care, accountable care organizations (ACOs), payment reform and more. Regulatory changes such as implementation of ICD-10 and imposition of minimum medical loss ratios are also high on the priority list.
Traditionally, health plans have been reluctant to move away from legacy systems such as TriZetto, because risks seemed too high relative to the benefits. However, the changing environment makes staying the course riskier, and that’s providing an opening for players such as HealthEdge, that position themselves to address the new business models with efficient, effective, automated solutions.
HealthEdge Sales & Marketing EVP Ray Desrochers provides his take in this podcast interview.
Posted in Health plans, Podcast, Technology | 
3 Comments »
April 24th, 2012 at 12:40 pm
Nice interview with Ray at HealthEdge. He was very articulate in explaining some of the complexities involving healthcare billing and administration.
For the uninitiated into the world of medical administration, it quickly becomes apparent that there are some real economies to be gain from the integration of all the different platforms.
April 26th, 2012 at 11:08 pm
[...] HealthEdge: helping payers embrace new business models (podcast) [...]
April 26th, 2012 at 11:16 pm
[...] News This is the transcript of my recent podcast interview with HealthEdge EVP Ray [...]