Welcome!

News Feed Item

Healthfirst Turns to Infogix To Ensure Accurate Cost Sharing Reduction Data

Infogix, Inc., a developer of software that helps businesses automate the monitoring and analysis of operational data, today announced that Healthfirst, a not-for-profit managed care organization offering health insurance to individuals and families living in the New York metropolitan area, has invested in the Infogix Cost Sharing Reduction Solution to accurately forecast important financial formulas under the Patient Protection and Affordable Care Act legislation while also ensuring the integrity of all data involved.

Under the legislation, insurers and payers must annually reconcile the Cost Sharing Reduction (CSR) data with the government to determine their CSR reimbursements. The Cost Sharing Reduction Solution of Infogix allows companies to conduct that reconciliation while providing data integrity and visibility into the overall management of the cash flow. Healthfirst turned to Infogix for the following capabilities:

  • Forecast and determine the difference between actual cost sharing for the member and the cost sharing under the hypothetical applicable plan;
  • Capture source data from various sources requires to calculate the difference;
  • Map claims and claim lines to plan information and benefits information;
  • Calculate CSR amount
  • Manage discrepancies identified during reconciliation

“In this new world of health care reform, there are myriad complexities to the legislation and the processes, and if you’re not on top of all of it, it can make a huge financial impact,” said Robert Ruocco, VP, Information Systems, Healthfirst. “We ultimately made the decision that investing in the quality of the Infogix Cost Sharing Reduction Solution just made the best business sense and will, at the end of the day, protect our members, for whom the legislation was intended to help.”

The Infogix Cost Sharing Reduction Solution for Healthfirst will include automated and customized controls, government advanced payment monitoring, detection of missing or out-of-balance payment, monthly forecast on expected vs. actual reconciliation reports and charts, and centralize dashboards of all CSR-related metrics.

“The Affordable Care Act legislation is terribly complex, in both its language and in its application, so insurers and payers are looking for either answers or reassurance that everything will go according to plan,” said Sumit Nijhawan, CEO of Infogix. “Healthfirst is taking a bold step as a leader in the industry as one who ensures that their Cost Sharing Reduction expectations are accurate through protection and interpretation of the data. We know both the company and their members will have a smooth transition into reform because they’ve gone the extra mile to prevent damaging errors and miscalculations.”

About Healthfirst

Established in 1993, Healthfirst is a not-for-profit managed care organization offering health insurance to individuals and families living in the New York metropolitan area. It provides a variety of low-cost or free government-sponsored health insurance programs, including Medicaid Managed Care, Child Health Plus, and Managed Long Term Care, as well as Medicare Advantage. It is also a Qualified Health Plan on NY State of Health: The Official Health Plan Marketplace. For more information, visit the company's websites at www.healthfirst.org and www.healthfirstnj.org.

About Infogix Inc.

Many of the world’s largest enterprises depend on Infogix to transform their operations. Through the use of Infogix solutions, customers are able to control, analyze and improve their data integrity and compliance efforts. Since 1982, Infogix has been providing Infogix Controls Solutions to Global 2000 enterprises. Millions of Infogix Controls continuously monitor and assure the integrity of information in hundreds of enterprises each day. For more information, call +1.630.649.6800 (U.S, Canada, and International), or visit http://www.infogix.com.

More Stories By Business Wire

Copyright © 2009 Business Wire. All rights reserved. Republication or redistribution of Business Wire content is expressly prohibited without the prior written consent of Business Wire. Business Wire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
WebRTC is bringing significant change to the communications landscape that will bridge the worlds of web and telephony, making the Internet the new standard for communications. Cloud9 took the road less traveled and used WebRTC to create a downloadable enterprise-grade communications platform that is changing the communication dynamic in the financial sector. In his session at @ThingsExpo, Leo Papadopoulos, CTO of Cloud9, discussed the importance of WebRTC and how it enables companies to focus...
StackIQ has announced the release of Stacki 3.2. Stacki is an easy-to-use Linux server provisioning tool. Stacki 3.2 delivers new capabilities that simplify the automation and integration of site-specific requirements. StackIQ is the commercial entity behind this open source bare metal provisioning tool. Since the release of Stacki in June of 2015, the Stacki core team has been focused on making the Community Edition meet the needs of members of the community, adding features and value, while ...
Deploying applications in hybrid cloud environments is hard work. Your team spends most of the time maintaining your infrastructure, configuring dev/test and production environments, and deploying applications across environments – which can be both time consuming and error prone. But what if you could automate provisioning and deployment to deliver error free environments faster? What could you do with your free time?
Using new techniques of information modeling, indexing, and processing, new cloud-based systems can support cloud-based workloads previously not possible for high-throughput insurance, banking, and case-based applications. In his session at 18th Cloud Expo, John Newton, CTO, Founder and Chairman of Alfresco, described how to scale cloud-based content management repositories to store, manage, and retrieve billions of documents and related information with fast and linear scalability. He addres...
SYS-CON Events announced today the Kubernetes and Google Container Engine Workshop, being held November 3, 2016, in conjunction with @DevOpsSummit at 19th Cloud Expo at the Santa Clara Convention Center in Santa Clara, CA. This workshop led by Sebastian Scheele introduces participants to Kubernetes and Google Container Engine (GKE). Through a combination of instructor-led presentations, demonstrations, and hands-on labs, students learn the key concepts and practices for deploying and maintainin...
The competitive landscape of the global cloud computing market in the healthcare industry is crowded due to the presence of a large number of players. The large number of participants has led to the fragmented nature of the market. Some of the major players operating in the global cloud computing market in the healthcare industry are Cisco Systems Inc., Carestream Health Inc., Carecloud Corp., AGFA Healthcare, IBM Corp., Cleardata Networks, Merge Healthcare Inc., Microsoft Corp., Intel Corp., an...
Cloud analytics is dramatically altering business intelligence. Some businesses will capitalize on these promising new technologies and gain key insights that’ll help them gain competitive advantage. And others won’t. Whether you’re a business leader, an IT manager, or an analyst, we want to help you and the people you need to influence with a free copy of “Cloud Analytics for Dummies,” the essential guide to this explosive new space for business intelligence.
"We're bringing out a new application monitoring system to the DevOps space. It manages large enterprise applications that are distributed throughout a node in many enterprises and we manage them as one collective," explained Kevin Barnes, President of eCube Systems, in this SYS-CON.tv interview at DevOps at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
Big Data, cloud, analytics, contextual information, wearable tech, sensors, mobility, and WebRTC: together, these advances have created a perfect storm of technologies that are disrupting and transforming classic communications models and ecosystems. In his session at @ThingsExpo, Erik Perotti, Senior Manager of New Ventures on Plantronics’ Innovation team, provided an overview of this technological shift, including associated business and consumer communications impacts, and opportunities it ...
Aspose.Total for .NET is the most complete package of all file format APIs for .NET as offered by Aspose. It empowers developers to create, edit, render, print and convert between a wide range of popular document formats within any .NET, C#, ASP.NET and VB.NET applications. Aspose compiles all .NET APIs on a daily basis to ensure that it contains the most up to date versions of each of Aspose .NET APIs. If a new .NET API or a new version of existing APIs is released during the subscription peri...
SYS-CON Events announced today that 910Telecom will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Housed in the classic Denver Gas & Electric Building, 910 15th St., 910Telecom is a carrier-neutral telecom hotel located in the heart of Denver. Adjacent to CenturyLink, AT&T, and Denver Main, 910Telecom offers connectivity to all major carriers, Internet service providers, Internet backbones and ...
Enterprise networks are complex. Moreover, they were designed and deployed to meet a specific set of business requirements at a specific point in time. But, the adoption of cloud services, new business applications and intensifying security policies, among other factors, require IT organizations to continuously deploy configuration changes. Therefore, enterprises are looking for better ways to automate the management of their networks while still leveraging existing capabilities, optimizing perf...
Ixia (Nasdaq: XXIA) has announced that NoviFlow Inc.has deployed IxNetwork® to validate the company’s designs and accelerate the delivery of its proven, reliable products. Based in Montréal, NoviFlow Inc. supports network carriers, hyperscale data center operators, and enterprises seeking greater network control and flexibility, network scalability, and the capacity to handle extremely large numbers of flows, while maintaining maximum network performance. To meet these requirements, NoviFlow in...
SYS-CON Events announced today that LeaseWeb USA, a cloud Infrastructure-as-a-Service (IaaS) provider, will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. LeaseWeb is one of the world's largest hosting brands. The company helps customers define, develop and deploy IT infrastructure tailored to their exact business needs, by combining various kinds cloud solutions.
Adding public cloud resources to an existing application can be a daunting process. The tools that you currently use to manage the software and hardware outside the cloud aren’t always the best tools to efficiently grow into the cloud. All of the major configuration management tools have cloud orchestration plugins that can be leveraged, but there are also cloud-native tools that can dramatically improve the efficiency of managing your application lifecycle. In his session at 18th Cloud Expo, ...