SS&C and Edifecs Enable Interoperability Solution for Healthcare

SS&C Health to offer a comprehensive solution for health plans' compliance with CMS regulations

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Jul 22, 2020, 08:00 ET

WINDSOR, Conn., July 22, 2020 /PRNewswire/ -- SS&C Technologies Holdings, Inc. (Nasdaq: SSNC) today announced that it has partnered with Edifecs, a global health information technology solutions company. SS&C will offer Edifecs' leading interoperability application as a comprehensive solution using Business Process as a Service (BPaaS). The solution is offered to small-midsized health plans to address new Centers for Medicare and Medicaid Services (CMS) regulations.

To meet the 2021 CMS interoperability regulations, SS&C Health and Edifecs have partnered to provide a multi-tenant, platform-agnostic solution. As a result, government health plans can comply with interoperability regulations without costly infrastructure development and deployment.

"Building a CMS-compliant solution is complex, requiring expertise, resources and long-term commitment to change as regulations evolve. We are pleased to partner with Edifecs, a premier healthcare vendor in the information exchange industry, to deliver this interoperability," said Daniel DelMastro, Senior V.P. and General Manager, SS&C Health. "We are offering traditional large-scale health plan technology at market-entry value pricing. The ability to "turn on" capabilities through BPaaS enables small-midsized plans to compete on par with their largest competitors."

Edifecs' application facilitates interoperability using open application programming interfaces (APIs) and Fast Healthcare Interoperability Resources (FHIR) to deliver a trusted exchange of electronic health information (EHI). The solution adopts the common standards/framework outlined in CARIN Blue Button Framework and Da Vinci Project use cases. The technology allows healthcare consumers to directly access their EHI on laptops and mobile computers using new and emerging apps. The combined SS&C and Edifecs' offering is developed specifically for Medicare Advantage, Federal Exchange Marketplace, Medicaid and Children's Health Insurance Program plans, SS&C will manage all system and plan-specific configuration and production processes.

"We are excited to partner with SS&C to help health plans realize maximum value from this mandate," said Sunny Singh, Edifecs CEO. "With the ability to rapidly deploy a CMS-compliant solution, payers administering government programs can modernize through data sharing by and between plans, providers and patients. Together, we deliver data, wherever and whenever it's needed, to support clinical decisions and outcomes and meet our customers' needs."

About Edifecs
Edifecs develops innovative, cost-cutting information technology solutions to transform the global healthcare marketplace. Since 1996, Edifecs technology has helped healthcare providers, insurers, pharmacy benefit management companies and other trading partners trim waste, reduce costs and increase revenues. More than 350 healthcare customers today use Edifecs solutions to simplify and unify financial and clinical transactions. In addition, Edifecs develops transaction interoperability and standards compliance solutions for worldwide customers in non-healthcare industry segments. Edifecs is based in Bellevue, WA, with operations internationally. For more information, please visit www.edifecs.com.

About SS&C Technologies
SS&C is a global provider of services and software for the financial services and healthcare industries. Founded in 1986, SS&C is headquartered in Windsor, Connecticut, and has offices around the world. Some 18,000 financial services and healthcare organizations, from the world's largest companies to small and mid-market firms, rely on SS&C for expertise, scale and technology.

SOURCE: SS&C

Additional information about SS&C (Nasdaq: SSNC) is available at www.ssctech.com.

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