The Falls Church, Va.-based IT software provider CSC and Softheon, a Hauppauge, N.Y.-based healthcare business process software provider, have come to asoftware distribution agreement that will aim to help healthcare professionals optimize efficiency and increase productivity through a cloud-based insurance process software program. CSC will implement and provide the Softheon framework of business administration modules in a cloud environment which will let health insurance plans to extend the capabilities of their current system in a usage-based, software as a service (SaaS) model.
The agreement will aim to allow health insurance plans to reduce manual processes and enable disparate systems to communicate with one another based on standard Service Oriented Architecture (SOA) protocols and achieve return on investment through a SaaS model.
“We are honored and privileged to work with CSC to assist healthcare payers in being responsive to various market opportunities, from complying with Administrative Loss Ratio (ALR) and Medical Loss Ratio (MLR) mandates to healthcare exchanges and consumerism,” Eugene Sayan, founder and chief executive officer of Softheon, said in a statement.
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Eleven private insurers, including Aetna, Humana and Anthem, are urging the Congressional Budget Office (CBO) to consider the experience of commercial insurers when evaluating the impact of telemedicine coverage in Medicare.