Healthcare Software Systems Evolve in 2013

This is why private insurers are seeking insurance software solutions that can help them become web-based entities akin to state exchanges, and if possible, exceed them. However, for every insurer, the challenges to adopting a comprehensive healthcare software system are quite different.

Insurer Demands Rising
Every insurer is faced with different type of variables. Thus, the variable entity needs to be customized for every insurer based upon parameters like demographics, regionality, income levels, local communities, provider networks and poverty line communities. To address this problem, most of the insurance software vendors are intent upon developing solutions that can adjust such variable in varying insurer environments. These are essentially browser-based applications that are service-oriented and can provide an insurance quote according to the parameters chosen by an insurer. The application can be understood as an insurance quote engine. It is conceived to maximize flexibility and ensure ease-of-integration within the existing system of the client. Some of the insurers are demanding analytics for the data that is retrieved from such an application since it helps to further categorize and understand a particular community better, acting like a robust marketing tool.

Different Demands, Same Dynamics
Different insurance software vendors are contemplating the kind of solution they should offer in the reformed market for insurers since every payer seems to offer a slightly different end-solution. Some payers prefer PDFs that contain critical insurance details and cannot be edited without having the necessary approval. Some payers prefer online information displays where the information can be immediately edited in collaboration with the approving authority. However, all insurers prefer that such details are attached to the policy document so that the policy management becomes undemanding. Invariably, every payer requires a user-friendly and dynamic interface that doesn’t put forth a learning curve.

Another demanded feature among insures is a Policy Management System. Software vendors understand that clients require the ability to handle their core businesses on the go, i.e. being online. Thus, a robust architecture is required that protects client data at all times and keeps all functionalities like an employer portal or an agent log-in active at all times. Policy management should be such that it seems like a homogenous entity to all entities handling policy information or processing, increasing its manageability, along with reducing maintenance.

Conclusion
The most significant aspect of these medical insurance software solutions is their high-pitched demand as 2013 progresses. Vendors like hCentive are in great demand since they are already serving the state exchange market. Insurers realize that an IT solution provider that has the ability to serve the state agencies can definitely provide their business the kind of technical fortitude it requires to develop a seamless private health exchange and manage it with negligible downtime and decreasing costs.