Case Study
HealthRules Promote Empowers Medica Health Plan to Streamline Processes
HealthRules ® Promote Empowers Medica Health Plan to Streamline Processes Steady growth typically indicates that a company is doing something right, and for Medica, a large health insurance provider in Minnesota, that has been the case for nearly the past 50 years. However, over the past several years, the company has experienced explosive growth, expanding its lines of business and the number of states in which it operates – growing from four to 12 states in only six years. The core administrative processing system (CAPS) underlying this growth is HealthRules ® Payer (HealthRules Payer) from HealthEdge ® . As the business grew, so did the number of HealthRules Payer instances. For Medica’s Manager of Configuration Architecture, Quality and Business Analysts, Robb T us