HERNDON, Va.--(BUSINESS WIRE)--Cúram Software, the leading provider of Social Enterprise Management (SEM) software solutions, today announced Cúram for Health Care Reform, a commercial off-the-shelf solution that leverages a common system of record for enrollment and eligibility in order to provide critical functionality for families shopping for and enrolling in health care coverage. Cúram for Health Care Reform offers health and human services agencies a robust solution to address the complex eligibility and enrollment requirements associated with the Patient Protection and Affordable Care Act (ACA). The Cúram solution is a content-rich, out-of-the-box alternative to the high-risk, custom-built solutions that use general purpose development tools. The Cúram approach enables organizations to progress their transformation and compliance strategies with an eligibility, enrollment, and benefits delivery solution already employed by over 80 institutions globally. As a result, states will be able to safely and confidently meet the challenges of health care reform using a clear roadmap for addressing the ACA’s specific mandates and recommendations while supporting overall modernization efforts.
With the Affordable Care Act, states are required to create an insurance exchange to provide insurance options for individuals, families and small businesses. Many states are reexamining their current processes and systems with an emphasis on efficiency. “A key piece of this process is to allow citizens to determine which programs they are eligible for,” said Stephen Fletcher, CIO, State of Utah. “From a state’s perspective, it is very inefficient to do this fifty times. We don’t want to build another stovepipe system. We want to look at health care and see if we can streamline federal data stores and consolidate eligibility determination.”
Among the most compelling features of the new Cúram for Heath Care Reform solution is that it focuses on the heart of the ACA requirements, enrollment and eligibility. Enrollment and eligibility determination systems support the most critical of processes – at a point where program access and cost are determined. In addition, they provide the greatest opportunity for improving the client experience by making it streamlined, real-time, and paperless. Cúram for Health Care Reform provides pre-built processes and interfaces, supporting the integration between eligibility and health care enrollment within the exchange. The Cúram solution provides ongoing enrollment support as individual and family circumstances change over time. It is also extremely flexible, designed to provide states choice around their selection of an exchange provider while delivering ongoing support for changing programs and regulations.
“States are seeking ways to work smarter, reduce risk, and meet the aggressive timelines of the ACA," said Ronan Rooney, CTO and co-founder of Cúram Software and HIT sub-committee member. “Cúram for Health Care Reform addresses key challenges that demand the majority of a state’s attention and resources, allowing them to deploy a health care reform solution in the required timeframe, to support the spectrum of human services programs on an incremental basis, and provide a new, flexible platform for the future.”
As an active member of the HIT subcommittee, a federal advisory committee that provides standards and recommendations on health IT policy issues to the Office of the National Coordinator, Cúram Software is integrally involved with ongoing ACA IT policy. Cúram Software is the only product vendor that was selected for the workgroup due to its global experience and health and human services expertise. Cúram Software carried out a detailed analysis of the eligibility rules, data models and business processes used in 37 of the 50 states. This research uncovered the many commonalities among programs, allowing us to develop a “no wrong door” approach or “common front-end” that supports integrated, streamlined enrollment and eligibility for all agency programs, including those supporting health care reform, and provide a solid and flexible foundation for the future.
This research will be presented during a health care reform webinar on May 25, 2011. Ronan Rooney will address the challenges of the ACA’s federal mandates and discuss how states can prepare for the fast approaching deadline based on his recent work with the Health Information Technology Enrollment Workgroup. For more information or to register, visit: http://www.curamsoftware.com/news-and-events/webinars/health-care-reform-how-to-best-prepare-your-state-by-2014.
SEM is a category of enterprise software that is citizen-centric and leverages COTS products to transform as well as modernize health, human services, workforce services, and social security agencies. SEM provides comprehensive enterprise eligibility IT solutions – crossing agency boundaries, simplifying policies, and integrating with existing technology. SEM fosters holistic, convenient services for citizens as well as provides screening for needs and referrals to state- and community-based resources.
About Cúram Software:
Cúram Software is the leading provider of Social Enterprise Management (SEM) software solutions, delivering best-in-class applications for social enterprises globally including, health and human services, workforce services, and social security organizations. Using the Cúram Business Application Suite™ agencies can immediately reap the benefits of client-centric business processes and an outcomes-driven integrated service delivery model. The Cúram Business Application Suite, underpinned by the Cúram Enterprise Framework™, combines the advantages of commercial off-the-shelf (COTS) software, an enterprise platform and service-oriented architecture with the business and technical flexibility required to allow agencies to implement solutions to meet their strategic objectives. Cúram Software is headquartered in Dublin, Ireland with offices throughout North America, Europe, Australia, and India. For more information, visit www.curamsoftware.com.