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HealthEdge(R) Launches HealthRules(R) Answers(TM) Business Intelligence Solution for Health Plans.


Revolutionary Analytics and Reporting Tools Give Payors Unparalleled Agility in Business Operations Business operations are those activities involved in the running of a business for the purpose of producing value for the stakeholders. Compare business processes. The outcome of business operations is the harvesting of value from assets , Product Design and Deployment

BURLINGTON, Mass. -- HealthEdge Software, Inc., a pioneering healthcare software company, today unveiled HealthRules Answers[TM], a powerful, web-based, real-time business intelligence solution that enables payors to manage their business, understand trends and investigate growth opportunities. Tightly integrated with HealthRules Payor[TM], HealthEdge's next-generation claims administration platform, HealthRules Answers is designed to let payors perform sophisticated reporting and analytics based on the terms and concepts they use everyday.

"Traditionally, health plans have been limited by technology infrastructure and have had to base their business models on ideas that are constrained con·strain  
tr.v. con·strained, con·strain·ing, con·strains
1. To compel by physical, moral, or circumstantial force; oblige: felt constrained to object. See Synonyms at force.

2.
 by those limitations," said Rob Gillette, CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board.  of HealthEdge. "HealthEdge lets health plans be much more creative and innovative, with highly individualized in·di·vid·u·al·ize  
tr.v. in·di·vid·u·al·ized, in·di·vid·u·al·iz·ing, in·di·vid·u·al·iz·es
1. To give individuality to.

2. To consider or treat individually; particularize.

3.
 and rapidly deployable products. Answers is essential to that process because it renders complex data analytics in terms that business users understand, and makes powerful, real-time business intelligence tools accessible to the non-technical user."

HealthRules Answers is a highly flexible, sophisticated analytics solution that gives payors unprecedented levels of insight into their business. Tightly integrated with HealthRules Payor, or with other third-party claims processing systems, HealthRules Answers offers a broad set of powerful components, including:

* Real-time data Real-time data denotes information that is delivered immediately after collection. There is no delay in the timeliness of the information provided.

Some uses of this term confuse it with the term dynamic data.
 warehouse - The data warehouse offers a real-time repository of claims, financial, membership and provider data that payors can analyze to monitor any operational parameter at any time. A unique aspect of the data warehouse is the presentation of English-like HealthRules Language statements as the actual business logic of the system. This allows a new level of insight into the relationships between benefit plans and provider contracts, and the actual financial outcomes created by them.

* Reporting - Embedding 1. (mathematics) embedding - One instance of some mathematical object contained with in another instance, e.g. a group which is a subgroup.
2. (theory) embedding - (domain theory) A complete partial order F in [X -> Y] is an embedding if
 the power of Crystal Reports, Answers enables payors to run standard and customized reports on specific areas of their business, all using the familiar Crystal interface. HealthRules Answers also offers powerful export functionality so health plans can easily transform the data into executive presentations or other useful reporting formats.

* Sophisticated dashboards - Built on the latest visualization Using the computer to convert data into picture form. The most basic visualization is that of turning transaction data and summary information into charts and graphs. Visualization is used in computer-aided design (CAD) to render screen images into 3D models that can be viewed from all  technology from ADVIZOR([R]) Solutions, Inc., HealthRules Answers offers health plans powerful analytical tools designed specifically for the needs of payors. Dashboards are comprised of a rich set of related, interactive charts that work together to display key operational data associated with core functions such as claims, utilization management Utilization management is the evaluation of the appropriateness, medical need and efficiency of health care services procedures and facilities according to established criteria or guidelines and under the provisions of an applicable health benefits plan. , membership and revenue management. Using the dashboards, payors can interact with multiple views of data in various dimensions which use strong visual cues - like color and shape - to highlight the most relevant aspects of each chart in a highly visual and intuitive manner.

* Web portal See portal.  - All of the functionality of Answers is available through a secure, web portal accessible through any internet connection. The portal allows administrators to provide multiple levels of security to ensure appropriate access for a wide range of user types.

About HealthRules

HealthRules([R])is the only health plan administration software in the market today that was conceived to address modern healthcare challenges using the best in modern enterprise technology. HealthRules provides payor organizations with a level of flexibility, accuracy and cost-savings that can only be achieved by a next-generation solution. HealthRules combines industry expertise and technology vision to deliver a single platform for analysis, planning and management of health plan operations.

About HealthEdge

HealthEdge Software, Inc. is an agile and innovative software company serving payor organizations and benefit administrators. Health plans, TPAs, PPOs, insurance companies and employer groups employer group Association of employers Managed care An entity with a current group benefits agreement in effect with a health plan to provide covered health care services to its employee-subscribers and eligible dependents.  improve business performance and outperform Outperform

An analyst recommendation meaning a stock is expected to do slightly better than the market return.

Notes:
Exact definitions vary by brokerage, but in general this rating is better than neutral and worse than buy or strong buy.
 their competitors with HealthEdge products. HealthEdge provides HealthRules([R]), the only health plan administration software in the market today that was conceived to address modern healthcare challenges using the best in modern enterprise technology. Headquartered in Burlington, Massachusetts Burlington is a town in Middlesex County, Massachusetts, United States. The population was 22,876 at the 2000 census. History
Burlington was first settled in 1641 and was officially incorporated on February 28, 1799.
, HealthEdge can be contacted at 781-285-1326 or info@healthedge.com, or visit our website at www.healthedge.com for more information.
COPYRIGHT 2007 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2007, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Date:Jun 14, 2007
Words:632
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