InformationWeek: Obamacare Drives One Health Plan's BPM Adoption

A major regional health plan needed to implement new automated processes associated with the Affordable Care Act yet ensure the flexibility to easily change those processes whenever new laws and regulations required further changes.

The health plan had already dealt with mandatory health insurance as legislated in Massachusetts. From this experience they recognized that the additional federal requirements of Obamacare meant the health plan would need an intelligent business process management platform.

Leveraging solutions from Pegasystems and moving to an agile development methodology the plan was able to “define, develop, and test as you go”. Frank Barresi, CIO, noted, “We were the first ones to have our 2014 rates on the exchange, and we were in compliance for everything we needed on October 1.”