Baptist Health Plan Achieves Medicare Advantage Administration Automation with Health Solutions Plus (HSP)

Melville, NY, November 17, 2016 Health Solutions Plus (HSP) announced today that Baptist Health Plan has successfully completed its first full year in production with the HSP Payer Suite to support their Medicare Advantage line of business. In addition to core claims administration processing, the HSP Payer Suite includes a comprehensive Medicare Advantage platform that has provided Baptist Health Plan with the ability to achieve end to end automation for their Medicare Advantage processing needs. This includes electronic communications with CMS, complete pre-enrollment and enrollment support, coordination of benefits, premium billing and revenue reconciliation, risk adjustment activities, correspondence and fulfillment, and RAPS/EDPS processing, all adhering to CMS compliance.

The HSP approach to application architecture offers both standard and tailored components, ensuring their client’s compliance and scalability needs are met. The HSP system is constantly evolving and ready to respond to the ever-changing needs of its clients. HSP was able to provide Baptist Health Plan with the guidance necessary to implement their Medicare Advantage line of business while developing the tailored functionality required by CMS to automate the business processes and communicate with CMS.

“We regard technology as a strategic asset rather than a tool. The HSP Payer Suite significantly reduces manual administrative burdens, improves scalability, and reduces costs and downtime enabling our clients to be agile and extremely efficient,” said John Buser, HSP’s President and CEO. "Our team thoroughly enjoyed working with the Baptist Health Plan throughout the implementation process and the first year of production. We congratulate Baptist Health Plan on their first year of success and look forward to continuing this partnership for many years."

“The implementation process and success of the first year in production was a significant collaboration effort with many moving parts. The HSP team was very attentive and responsive to our unique business needs and the flexibility of their system allowed for customizations to be made faster than we would have ever expected,” said Preston Gorman, Director of Information Technology for Baptist Health Plan.

About Baptist Health Plan

Baptist Health Plan, which offers healthcare coverage to employers of all sizes, individuals and families, is part of Baptist Health, one of the largest not-for-profit healthcare systems in Kentucky. Licensed to do business in six states, Baptist Health Plan covers the lives of more than 98,000 people – the majority in Kentucky and Southern Indiana.

Baptist Health Plan, formerly known as Bluegrass Family Health, has offered health insurance in Kentucky and surrounding areas for more than 20 years. Headquartered in Lexington, Ky., Baptist Health Plan is committed to improving the health and wellness of those they serve, delivering real value to their members and strives to offer access to quality, cost-effective healthcare solutions.

About Health Solutions

Health Solutions Plus (HSP) is a U.S. based provider of the most mature Payer Administration software solution in the industry. Onshore resources provide all development and support activities. The HSP Payer Suite provides the flexibility and automation needed to support multiple lines of business while increasing operational efficiencies in order to compete in today’s marketplace. HSP designs solutions that deliver the ability to immediately respond to change as it occurs. HSP has a proven track record assisting Payers with lowering costs and increasing growth across multiple lines of business including Commercial, Commercial Risk, Medi-Cal and Medicare Advantage. HSP’s design approach eliminates the need for "multi-vendor" interfacing and associated costs. For more information about Health Solutions Plus, you can call 800-244-8718 or visit our website at