Jack Be Nimble, Jack Be Quick: Bracing for Health Insurance Reform Under a New Presidency

President-elect Donald Trump has pledged to repeal and replace the ACA, but we don’t know many details yet.  The ACA has required payers & providers alike to invest, change and adapt – in a relatively short period.  One hopes that Mr. Trump’s administration will look at well-reasoned and potentially incremental change.  However, we do need to consider how we can leverage the technology investments made thus far to support the ACA.

With the likelihood that at least some of the ACA will be dismantled, what should health insurers be considering?  What should payers be looking at?  One thing is certain   they need to be as nimble as possible – nimble enough to pivot and react to changes ever more effectively.

What does that mean from a technology perspective?

Insurers have invested significant time and money to support the ACA as well as other needs.   Plans are rich with data, and virtually everything produced with this data is based upon standardized templates.  The SBC is a key example of an ACA-mandated presentation and template that is data driven, communicating member-specific details.  Many of our clients have built a “digital template/form warehouse” which allows them a closed-loop collaborative system for many different internal functions to develop and change member communications. Under this type of “system”, carriers have reduced the operational drag of producing massive number of SBCs (and other critical forms such as plan books, EOCs, wellness programs, etc.) by using automation to generate 100% accurate & compliant documents at every point of need.

In this environment of post-election uncertainty, it is ever more important that health plans house all their member interaction communications in a single, centralized, collaborative warehouse.  As changes occur, whether driven externally or through their own innovation, it is 100% clear that innovative automation allows them to more nimbly pivot and react.  Centralized technology and automation will serve long-term needs of improving interaction with members and other parties, regardless of what occurs in terms of the ACA.

Ultimately, this is about health care – as populations and demographics change, payers and providers alike will need to be able to pivot and respond to these changes.  Nimbleness will only support their ability to communicate more clearly, effectively and simply with individuals to help them improve their own well-being.  And throughout the entire patient/member journey, isn’t this really a goal to which we all agree?

Experlogix, LLC Acquires Xpertdoc Technologies, Inc.

Experlogix, LLC fait l’acquisition de Xpertdoc Technologies, Inc.

This acquisition brings significant value to Xpertdoc customers and partners and we are excited to become part of the Experlogix family. This further strengthens our effort to help organizations deliver better documents, faster.

Cette acquisition amène une valeur considérable aux clients et partenaires de Xpertdoc. Elle renforce nos efforts pour aider les organisations à distribuer de meilleurs documents, plus vite. Nous sommes heureux de faire partie de l’équipe d’Experlogix.