Amherst, 14226, NY,
United States
Computer Task Group
Computer Task Group, a prominent reseller, system integrator, and consulting company, that plays a vital role in numerous system integration and digital transformation initiatives. Computer Task Group collaboration with software players such as HealthEdge Software empowers organizations to embrace disruptive technologies and accelerate their journey to the cloud, thus reshaping their business models.
| Reseller and SI | Vendor | Application | Category | Market |
|---|---|---|---|---|
| Computer Task Group | HealthEdge Software | HealthRules Payer | Core Admin Processing System | ERP Services and Operations |
| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Product | Category | When | Insight |
|---|---|---|---|---|---|---|---|---|---|---|
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Independent Health Association | Insurance | 1850 | $670M | United States | HealthEdge Software | HealthRules Payer | Core Admin Processing System | 2023 |
In 2023, Independent Health Association implemented HealthRules Payer from HealthEdge Software as its Core Admin Processing System, replacing SS&C PowerMHS to support a strategic shift toward value based reimbursements. The deployment was driven by a need to align payer operations with provider networks for capitated payment models and to provide accurate, real time information across the care continuum for approximately 375,000 members served by the plan.
The HealthRules Payer implementation focused on configuring the core administrative platform to automate critical manual business processes and to support web and digital capabilities for member and provider engagement. Implementation work included standard Core Admin Processing System capabilities such as eligibility and enrollment orchestration, claims adjudication workflows, and data sharing services that enabled more transparent exchange of clinical and financial information with providers. Computer Task Group acted as the systems integrator for implementation and configuration activities.
Operational scope included provider contracting and network management teams, care management and member services functions, and primary care practice partners across Independent Healths service area centered in Buffalo, New York. The program also centralized administrative processing to improve consistency of benefit administration and to enable near real time reporting to provider partners, aligning payer operational processes with value based payment flows.
Governance changes emphasized contractual alignment and enrollment into capitation, with Independent Health reporting that 98% of primary care practice members are now in full capitation contracts. By leveraging HealthRules Payer Independent Health automated administrative tasks and increased sharing of robust, accurate data with providers, outcomes explicitly reported include improved patient outcomes, reduced healthcare costs, and increased customer satisfaction.
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