Insight. Innovation. Transformation. White Paper A core system is a large-scale software package that supports all major functions within a health plan, including member enrollment, premium billing, benefits, providers, contracts, claims adjudication, and claims payment. Most health plans will undertake a core-system replacement project once every decade or so to take advantage of increased functionality available through evolving, modernized technologies. Because core-system replacements are pursued so infrequently, the required subject matter expertise may not be available in-house. At Change Healthcare Consulting, our team of experts has worked on hundreds of core-system projects over the past decade. From these experiences, we’ve developed recommendations that can help you

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