HealthRules® drives success in value-based environments by aligning goals between health plans and providers. Customers have increased customer satisfaction and overall health in the communities they serve by improving patient outcomes and lowering costs. Health plans with an agile and flexible system have a competitive advantage. The modern architecture and unique design of the HealthRules Solutions Suite lends itself to a controlled and comprehensive modeling of new product designs and provider pricing methodologies.

HealthRules delivers unparalleled support for new healthcare business models, including:

  • Value-based benefit and payment approaches
  • Complex provider networks
  • Accountable care organizations
  • Individual and exchange business
  • New consumer engagement initiatives
  • Medicare and Medicaid expansion

Download the data sheet to learn more about how we differentiate.