Challenges At initiation of the implementation, the health plan had limited resources with very little experience executing large-core system implementation projects. In addition, the plan had more than a dozen trading partners, requiring a substantial IT build effort to integrate with HealthRules® Payor. The tight timeline put substantial risk on all project phases, and the testing phase, in particular, was at risk of being squeezed to the point of being ineffectual. Change Healthcare staffed the team with experienced consulting project leaders and subject matter experts who understood HealthEdge HealthRules® Payor, HealthRules® Answers (TM) , HealthRules® Answers Ad Hoc, and HealthRules® CareManager. Case Overview A Medicare Advantage Prescription Drug (MA-PD) Plan, focused on a

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