Extend Health Plan Flexibility and Responsiveness with Business Rules and Calculation Engines


Opening Page	Managing Costs	P4P Trends	Outlook 2006	HSA Regulations	Future Care
CD-ROMs of past events
Upcoming Events

Extend Health Plan Flexibility and Responsiveness with Business Rules Engines

A Free Industry Web Summit & Audio Conference from CSC

Topic: Extend Health Plan Flexibility and Responsiveness with Business Rules Engines

Date: Thursday, November 18, 2004

Time: 1:00 PM Eastern

Place: Your desk – we’ll provide you with all session materials and connection information

Cost: None

To Register: www.healthwebsummit.com/vpmsregister.htm

Deadline to register: Monday, November 15, 2004. After this date, you can request a Post-Summit CD by going to: http://www.healthwebsummit.com/csc/vpmscdorder.htm.

ABSTRACT

Making changes to support new business or to service existing business more efficiently often requires expensive programming. Waiting for programming can cause you to miss market opportunities, to prolong inefficient processes and to deliver less than perfect service. It doesn’t have to be this way.

Integrating a business rules engine with your core plan administration system puts extreme flexibility and power into the hands of your business experts. By applying external business rules and calculations to support changes, you simplify processing and maintenance while reducing your reliance on programming. You also significantly reduce the development cycle and cost for new products, helping you meet the speed-to-market challenge.

Featured Case Study: VP/MS is an extremely versatile application that works with any vendor-supplied or internally developed core health plan administration system to address a wide range of business challenges. To provide an example of just a few possibilities, this Web seminar will feature a brief case study highlighting how VP/MS was integrated with CSC’s PowerSTEPP System to support new processing needs without programming. Integration points include:

Billing calculations – Adding custom criteria to vary billing rates.
Claims processing – Applying custom edits to vary processing rules (models can be created and customized to edit any information supplied by the calling adjudication program).

Join us for a 45-minute overview of how rules engine technology can help you in these and other important business areas.

FACULTY

Tim Smith
Business Development Consultant, CSC

Tim Smith is business development consultant for CSC’s Health Plan Solutions. Supporting sales pursuits through in-depth product knowledge and demonstrations, he provides expertise in CSC’s PowerSTEPP applications suite. He also serves on several product development teams, helping CSC bring new products and functionality to the market. He has also served CSC in training, implementation and consulting.

Billy Callans
System Architect, CSC

Billy Callans is system architect for CSC’s Health Plan Solutions. With more than 14 years of healthcare IT experience, he is responsible for CSC’s health plan business rules and workflow application architectures. His experience includes software development of health plan systems, including claims, membership and providers. He has also managed CSC data center operations for health plans in an outsourcing environment.

Bev Havens
Vice President Marketing, CSC

Bev Havens is vice president of marketing for CSC’s Health Plan Solutions. With more than 18 years of experience servicing healthcare and managed care industries, she has acquired an in-depth understanding of the managed care industry and its nuances with healthcare organizations administering HMO, PPO, TPA, Managed Medicaid, Medicare Risk, Indemnity and Point-of-Service processing-type products.

REGISTRATION:

Register online at www.healthwebsummit.com/vpmsregister.htm and you will receive instructions for logging in to the Web seminar. Slots for this event are limited. Please register promptly. All registrations are subject to review and approval by CSC. If you have questions, contact Patty Jamison at the Healthcare Web Summit Office at 209.577.4888 for more information. We look forward to your participation in this event!

Deadline to register: Monday, November 15, 2004. After this date, you can request a Post-Summit CD by going to: http://www.healthwebsummit.com/csc/vpmscdorder.htm.

Summit Phone		Summit E-Mail		Summit Fax
209-577-4888		pattyj@mcol.com		209-577-3557