Payers Getting Health Care Exchange Ready with HighRoads SaaS Solution Enabling Accurate, Concise Plan Details

Second Year of SBC Regulation Shows More Payers Choosing HighRoads Benefits Plan Management System. 20 Million Consumers Benefit from HighRoads Plan Communication.

Business Wire


More than ever before, clear, accurate, health plan communication is critical, with the barrage of information being pushed to consumers due to the Affordable Care Act (ACA). For the second year, HighRoads’ Benefits Plan Management System is helping payers comply with the ACA by creating and publishing compliance documents, notably the Summary of Benefits and Coverage (SBC) consumers receive. As millions of Americans look at making decisions during open enrollment, and in the coming 2014 exchange marketplace, accurate, timely SBCs are essential to compliance and consumer goodwill.

“SBC regulations created a new set of obstacles for payers and we are meeting the challenge with our Benefits Plan Management System,” said HighRoads CEO Michael Byers. “We are proud to say that HighRoads is now the payers’ chosen platform for communicating SBCs to 20 million consumers.”

With exchanges gearing up, national health care payers are relying on HighRoads’ Benefits Plan Management System to be “marketplace ready,” by establishing a system of record for their current and future products. HighRoads offers payers the industry’s only means of establishing ‘one data point of truth’ across all plan data and documents - giving plan participants an accurate, manageable look at their plan coverage.

“Payers and employers are realizing that manual approaches to health care reform compliance fail due to the complexity and bulk of the regulations taking effect. They are choosing our Benefits Plan Management System which gives them complete governance over managing data, ensures accuracy and replaces manual tasks that are error-prone,” explained Byers.

Brendan Miller, Vice President, Business Development, America’s Health Insurance Plans, notes that “Exchanges present significant challenges and opportunities to payers who not only have to create new products for customers but also communicate these choices in a timely, consistent and accurate manner. AHIP welcomes solution providers such as HighRoads, who offer advanced technology that fulfills both compliance and communication needs.”

HighRoads’ SaaS-based, payer solution, The SourceTM :

  • Eliminates manual processes
  • Enables payers to manage data holistically – rather than managing individual documents.
  • Provides for efficiency and accuracy of data: data is entered only once and populated throughout all plan, account and compliance documents.
  • Allows payers to easily generate benefits documents, apps and websites based on their unique business rules.
  • Helps payers thrive in a consumer-centric environment by enabling them to adapt quickly to changing requirements and policies.

About HighRoads

For over 14 years, HighRoads has been an industry leader in benefits plan management and health care compliance. Our patented SaaS-based technology, The SourceTM streamlines dynamic data management, optimizes workflow across the enterprise, and ensures regulatory compliance. The privately-held company is headquartered in Woburn, MA. For more information, visit, become a fan on Facebook, follow us on Twitter (@HighRoadsHR), or read our HR Compliance Connection Blog


HighRoads Company Contact:
Petra Marino. 781-503-4031
HighRoads Media Contact:
Erin Jones, 704-664-2170


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