HighRoads Solves Health Plan Data Management for Health Care Payers

New Benefits Plan Management System Streamlines Health Insurance Companies’ Compliance with Summary of Benefits and Coverage (SBC) Requirements

BOSTON--(BUSINESS WIRE)--HighRoads, the industry leader in health care compliance and benefits management, today launched the HighRoads Benefits Plan Management System. The new, SaaS-based solution automates plan design management and eases the compliance burden for today’s health insurance payers.

“AHIP is pleased that innovative solution providers such as HighRoads are addressing the critical need of payers to achieve compliance in a cost-effective and efficient manner”

“Health Care Reform has created new complexities for health care payers who have been charged with communicating new regulations in an easy-to-understand language to their customers,” said Michael Byers, CEO, HighRoads. “The challenge is that typical payer technologies have not been built to accommodate the plan management requirements needed to easily deliver these critical compliance documents. HighRoads has been a leader in managing health plan data for complex environments and employers for over a decade. We are now bringing this technology to the payer market with a customized solution designed to ease the burden of developing compliant materials for the health insurance consumer.”

Today’s health insurance payer has complex plan data residing in multiple systems and in multiple formats. To combine this information to deliver health care reform-compliant SBC materials, often requires massive manual processes with limited or no automated workflow.

The HighRoads Benefits Plan Management System is a patented technology that enables payers to become more competitive and adapt to the frequent changes expected in the consumer-focused health care market. By helping payers manage data holistically – rather than managing individual documents – HighRoads enables payers to generate benefits documents more easily, based on their unique business rules. Ultimately, the HighRoads Benefits Plan Management System will help payers thrive in a consumer-centric environment by helping them to adapt quickly to changing requirements and policies.

“AHIP is pleased that innovative solution providers such as HighRoads are addressing the critical need of payers to achieve compliance in a cost-effective and efficient manner,” said Brendan Miller, Vice President, Business Development, America’s Health Insurance Plans (AHIP). “HighRoads’ SaaS-based solution for plan management, communication and compliance is an example of how the health care industry is embracing technology to manage a considerably more complex health care environment.”

HighRoads serves as the plan design system of record for some of the largest organizations in the world. Using patented technology to automate the collection, centralization and re-purpose of plan data, HighRoads eliminates manual manipulation, reducing errors and minimizing management cost and time. HighRoads technology is used by over 1,000 insurance vendors, outsourced administrators, employers and HR consulting firms.

For more information on the HighRoads Benefits Plan Management System, please visit: http://www.highroads.com/payers/

About HighRoads

The world’s leading organizations choose HighRoads to gain complete control over their health care costs and compliance. HighRoads’ SaaS-based solutions provide organizations with complete benefits plan management capability, including benefits plan information and pricing, competitive benefits benchmarks, and compliance management. The privately-held company is headquartered in Woburn, MA. For more information, visit www.HighRoads.com, become a fan on Facebook, follow us on Twitter (@HighRoadsHR), or read our HR Compliance Connection Blog.