Welcome!

News Feed Item

HTMS, an Emdeon Company, Successfully Preps WINhealth to Compete on the Health Insurance Exchange Marketplace

HTMS's depth of knowledge assisted with strategic planning and operational readiness for consumer-facing HIX product offering

NASHVILLE, Tenn., Jan. 24, 2014 /PRNewswire/ -- HTMS, an Emdeon company, was selected by WINhealth to provide strategic planning, product design, operational preparation and implementation for health insurance products on the Wyoming Health Insurance Exchange (HIX). WINhealth is a not-for-profit managed care company that provides members with a choice of doctors, healthy living tools and affordable plans that demonstrate its strong commitment to delivering quality health care options to members.

Despite a bumpy start, Health Insurance Exchanges across the country are up and running, with previously uninsured or underinsured Americans now obtaining coverage through a competitive marketplace. A little over a year ago, WINhealth executives realized that participating in the HIX marketplace could dramatically alter the way their health plan serves members and providers and also realized that outside expertise would be necessary to plan and execute their strategy within tight deadlines. WINhealth called HTMS, an Emdeon company, known for its consulting proficiency and proven ability to help health plans execute market strategies. For WINhealth, competing on the HIX required a complete product and operational transformation to deliver a new, modernized product for the retail consumer market – a market segment that WINhealth had not previously served.

Throughout the past year, HTMS consultants advised WINhealth on competitive market analysis and sizing, product design, operational readiness, implementation and post-live transition. WINhealth plans went live in Wyoming on the Federally Facilitated Marketplace on October 1, 2013, and they have enjoyed a successful response.

"HTMS helped us develop our product offering with rich benefit choices at competitive prices that ultimately led to 50% growth in our membership base for these products starting January 1, 2014," said Stephen Goldstone, chief executive officer of WINhealth. "Selecting the right partner was critical for our success on the HIX and for us that partner was HTMS."

"The synergy we have experienced with WINhealth has been phenomenal," said Nancy Wise, vice president of strategic consulting for HTMS, an Emdeon company. "Our work together resulted in WINhealth entering a new, previously nonexistent market, with a well-defined strategy." Jonathan Leonard, senior consultant with HTMS, an Emdeon company, who led the HIX implementation effort, noted the agility of WINhealth. "It was exciting to work with an insurer that was prepared to make decisions quickly and correct course as needed. This agility contributed to WINhealth's tremendous success on the exchange," said Leonard.

About HTMS
HTMS, an Emdeon company, is a management consulting firm focused exclusively on the healthcare market. HTMS's specialty is helping healthcare organizations achieve their strategic and operational objectives through the use of applied technology and business process optimization. HTMS offers consulting services to help clients innovate, solve problems and improve performance in an ever-changing healthcare environment.  

Over the past eleven years, HTMS has helped more than 120 health plans and delivery systems implement new products, expand their service areas, migrate to new system platforms and reengineer their business processes. In the past year, HTMS worked with more than 20 organizations in 15 states to help prepare for business on health insurance exchanges. Engagements range from complex, multi-year projects to concise and efficient assessments or market inquiries. For more information, visit www.htms.com.

About Emdeon
Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. Emdeon's offerings integrate and automate key business and administrative functions of its payer and provider customers throughout the patient encounter. Through the use of Emdeon's comprehensive suite of solutions, which are designed to easily integrate with existing technology infrastructures, customers are able to improve efficiency, reduce costs, increase cash flow and more efficiently manage the complex revenue and payment cycle and clinical information exchange processes. For more information, visit www.emdeon.com.

SOURCE Emdeon Inc.

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
Amazon has gradually rolled out parts of its IoT offerings in the last year, but these are just the tip of the iceberg. In addition to optimizing their back-end AWS offerings, Amazon is laying the ground work to be a major force in IoT – especially in the connected home and office. Amazon is extending its reach by building on its dominant Cloud IoT platform, its Dash Button strategy, recently announced Replenishment Services, the Echo/Alexa voice recognition control platform, the 6-7 strategic...
19th Cloud Expo, taking place November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy. Meanwhile, 94% of enterpri...
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...
Akana has announced the availability of version 8 of its API Management solution. The Akana Platform provides an end-to-end API Management solution for designing, implementing, securing, managing, monitoring, and publishing APIs. It is available as a SaaS platform, on-premises, and as a hybrid deployment. Version 8 introduces a lot of new functionality, all aimed at offering customers the richest API Management capabilities in a way that is easier than ever for API and app developers to use.
Kubernetes, Docker and containers are changing the world, and how companies are deploying their software and running their infrastructure. With the shift in how applications are built and deployed, new challenges must be solved. In his session at @DevOpsSummit at19th Cloud Expo, Sebastian Scheele, co-founder of Loodse, will discuss the implications of containerized applications/infrastructures and their impact on the enterprise. In a real world example based on Kubernetes, he will show how to ...
Personalization has long been the holy grail of marketing. Simply stated, communicate the most relevant offer to the right person and you will increase sales. To achieve this, you must understand the individual. Consequently, digital marketers developed many ways to gather and leverage customer information to deliver targeted experiences. In his session at @ThingsExpo, Lou Casal, Founder and Principal Consultant at Practicala, discussed how the Internet of Things (IoT) has accelerated our abil...
With so much going on in this space you could be forgiven for thinking you were always working with yesterday’s technologies. So much change, so quickly. What do you do if you have to build a solution from the ground up that is expected to live in the field for at least 5-10 years? This is the challenge we faced when we looked to refresh our existing 10-year-old custom hardware stack to measure the fullness of trash cans and compactors.
SYS-CON Events announced today that Isomorphic Software will exhibit at DevOps Summit at 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Isomorphic Software provides the SmartClient HTML5/AJAX platform, the most advanced technology for building rich, cutting-edge enterprise web applications for desktop and mobile. SmartClient combines the productivity and performance of traditional desktop software with the simp...
The emerging Internet of Everything creates tremendous new opportunities for customer engagement and business model innovation. However, enterprises must overcome a number of critical challenges to bring these new solutions to market. In his session at @ThingsExpo, Michael Martin, CTO/CIO at nfrastructure, outlined these key challenges and recommended approaches for overcoming them to achieve speed and agility in the design, development and implementation of Internet of Everything solutions wi...
Cloud computing is being adopted in one form or another by 94% of enterprises today. Tens of billions of new devices are being connected to The Internet of Things. And Big Data is driving this bus. An exponential increase is expected in the amount of information being processed, managed, analyzed, and acted upon by enterprise IT. This amazing is not part of some distant future - it is happening today. One report shows a 650% increase in enterprise data by 2020. Other estimates are even higher....
I wanted to gather all of my Internet of Things (IOT) blogs into a single blog (that I could later use with my University of San Francisco (USF) Big Data “MBA” course). However as I started to pull these blogs together, I realized that my IOT discussion lacked a vision; it lacked an end point towards which an organization could drive their IOT envisioning, proof of value, app dev, data engineering and data science efforts. And I think that the IOT end point is really quite simple…
Internet of @ThingsExpo, taking place November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 19th Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The Internet of Things (IoT) is the most profound change in personal and enterprise IT since the creation of the Worldwide Web more than 20 years ago. All major researchers estimate there will be tens of billions devices - comp...
Qosmos has announced new milestones in the detection of encrypted traffic and in protocol signature coverage. Qosmos latest software can accurately classify traffic encrypted with SSL/TLS (e.g., Google, Facebook, WhatsApp), P2P traffic (e.g., BitTorrent, MuTorrent, Vuze), and Skype, while preserving the privacy of communication content. These new classification techniques mean that traffic optimization, policy enforcement, and user experience are largely unaffected by encryption. In respect wit...
"My role is working with customers, helping them go through this digital transformation. I spend a lot of time talking to banks, big industries, manufacturers working through how they are integrating and transforming their IT platforms and moving them forward," explained William Morrish, General Manager Product Sales at Interoute, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
Internet of @ThingsExpo, taking place November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with the 19th International Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world and ThingsExpo Silicon Valley Call for Papers is now open.