HTMS, an Emdeon company, has introduced an algorithm-based analytics model, Alfred, that can help all types of healthcare stakeholders calculate health plan rates and federal subsidies through its comparison and advisory capabilities. The purpose of Alfred is to help healthcare payers and providers support consumers with instantaneous and dynamic access to information that is available through the Health Insurance Exchange (HIX) Marketplace and can be used to illustrate consumer health coverage options. In addition, the tool is for healthcare payers to understand their competitive position and determine how their solutions compare against other Qualified Health Plans (QHP) on the HIX Marketplace.
Nancy Wise, vice president of strategic consulting for HTMS, explained the reason behind the products development, “as a trusted advisor to so many in the healthcare industry, we created Alfred as a value add tool for our clients as they plan their QHP portfolio for the 2015 HIX Marketplace”.
Emdeon, the parent company of HTMS, is a provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. The company integrates and automates key business and administrative functions of its payer and provider customers throughout the patient encounter. HTMS consults exclusively on the healthcare market. A client of HTMS, Patricia Tanquary, chief executive officer for Contra Costa Health Plan, says that "using Alfred enabled us to help our potential members understand their coverage and subsidy options before they purchased our plan”.
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