Health & Human Services Eligibility: Making Decisions Easier
Maintaining changes in health and human services benefits is a critical and challenging task for any state or local government health department. Officials are increasingly turning to technology to help ease the burden of constant and complex amendments. Over the past six years, The Commonwealth of Pennsylvania has used technology – specifically a business rules engine (BRE) – to transform productivity and improve business agility.
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Health & Human Services Eligibility: Making Decisions Easier
Maintaining changes in health and human services benefits is a critical and challenging task for any state or local government health department. Officials are increasingly turning to technology to help ease the burden of constant and complex amendments. Over the past six years, The Commonwealth of Pennsylvania has used technology – specifically a business rules engine (BRE) – to transform productivity and improve business agility.
Download this whitepaper to learn:
- How the Commonwealth of Pennsylvania met its goals of modernizing, reusing assets and implementing shared services
- The role technology can play in supporting Modified Adjusted Gross Income (MAGI) determinations and other Affordable Care Act (ACA) requirements
- The ways government agencies can improve access and ensure quality across services provided
Read more about how business and IT users are using the Progress® Corticon® Business Rules Engine to modernize existing systems to improve efficiency and productivity. Corticon reduces manual processing, provides greater transparency and traceability of the rules to legislation, and delivers better citizen service by determining eligibility faster.
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Selling Business Rules for SIs
System Integrators (SIs) often deal with complex logic and decision-making in mission critical systems that directly impact their client’s business. You’ll learn how business rules engines – like Progress® Corticon®, our leading BRMS – helps organizations keep pace with change, opens new revenue opportunities and improves efficiency and productivity.
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Selling Business Rules for SIs
System Integrators (SIs) often deal with complex logic and decision-making in mission critical systems that directly impact their client’s business. One way to ease managing the logic is through technology – like a business rules management system (BRMS). BRMS are particularly effective for complex processes like determining eligibility, compliance, claims processing and underwriting.
This paper will discuss:
- How a SI can “sell” clients on the value of a BRMS by focusing on the 3 key ways a BRMS delivers high Return on Investment (ROI)
- The power of a BRMS to generate business value, develop efficiency and reduce maintenance costs
- Ways to communicate the benefit of using a BRMS to your customers
You’ll also learn how business rules engines – like Progress® Corticon®, our leading BRMS – helps organizations keep pace with change, opens new revenue opportunities and improves efficiency and productivity.
>> Download this paper and learn how your organization can effectively sell business rules to your customers today!
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5 Reasons to Adopt Business Rules
Businesses are continuously seeking to speed up workflows and go-to-market plans, but weighing business factors against policies and regulations often gets in the way. With a Business Rules Engine, everyday decisions – guided by rules or regulations – can be made automatically.
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5 Reasons to Adopt Business Rules
Businesses are continuously seeking to speed up workflows and go-to-market plans, but weighing business factors against policies and regulations often gets in the way. With a Business Rules Engine, everyday decisions – guided by rules or regulations – can be made automatically.
Download this whitepaper to learn:
- Five powerful reasons you need a Business Rules Engine
- How a Business Rules Engine can speed change cycles by 90%, and effectively manage compliance with policies and regulations
You’ll also discover how Progress® Corticon® can help you and your users keep pace with change, open new revenue opportunities and improve efficiency and productivity across your business.
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Whitepaper: Flexibility and Control in Insurance Operations: Can You Master Both
Perhaps you have been in this situation: You are in your office, not bothering anybody, when the meeting invitation hits your mailbox “Strategic planning” is the subject, with the usual suspects on the attendee list. This meeting has happened before. Last time the discussion was about finally getting a claims system that created some true efficiency. Or was it that top-secret marketing project that was supposed to really shake up the market? Either way, it translated into impossible timelines, insufficient resources and another missed opportunity. The time before that the project made it through, but only because the new CIO was going to get a data warehouse no matter what.
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Whitepaper: Flexibility and Control in Insurance Operations: Can You Master Both
Perhaps you have been in this situation:
You are in your office, not bothering anybody, when the meeting invitation hits your mailbox “Strategic planning” is the subject, with the usual suspects on the attendee list. This meeting has happened before. Last time the discussion was about finally getting a claims system that created some true efficiency. Or was it that top-secret marketing project that was supposed to really shake up the market? Either way, it translated into impossible timelines, insufficient resources and another missed opportunity. The time before that the project made it through, but only because the new CIO was going to get a data warehouse no matter what.
Nothing about this process seems to relate to anything “strategic,” nor does it feel like “planning ” When it comes to the insurance industry, change represents risk, which is the best way to stop a viable but unproven idea in its tracks.
To help reduce risk, let's focus on three key areas to better understand the control and flexibility challenges facing insurance companies: underwriting, compliance and customer service.
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Case Study -- Skyward Soars Higher with myDistrict360
As an industry leader in education management focused on helping school districts achieve success, Skyward, Inc., along with Progress, developed myDistrict360—a learning analytics solution to aid teaching and manage district efficiencies, based on Progress® OpenEdge® Analytics360™.
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Case Study -- Skyward Soars Higher with myDistrict360
As an industry leader in education management focused on helping school districts achieve success, Skyward, Inc., along with Progress, developed myDistrict360—a learning analytics solution to aid teaching and manage district efficiencies, based on Progress® OpenEdge® Analytics360™.
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Achieving Business Agility
Fundamental to business agility is the ability to make the right business decisions at the right time. Of course, data drives decisions—therefore, business agility actually starts with corporate IT and extends throughout the enterprise. This is where Progress® Corticon® comes in. Corticon is a market-leading business rules engine that delivers high-quality, high-fidelity and high-performance automated business decisions.
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Achieving Business Agility
Fundamental to business agility is the ability to make the right business decisions at the right time. Of course, data drives decisions—therefore, business agility actually starts with corporate IT and extends throughout the enterprise. This is where Progress® Corticon® comes in. Corticon is a market-leading business rules engine that delivers high-quality, high-fidelity and high-performance automated business decisions.
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Modernizing Healthcare Systems: The Impact of Change
Over the past few years, the Affordable Care Act (ACA) has altered the way people apply for and receive benefits. As a result, states are finding their existing eligibility systems are no longer sufficient to deliver services to beneficiaries. Progress® Corticon® Business Rules Engine can reduce development time and change cycles by 90%
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Modernizing Healthcare Systems: The Impact of Change
Improving benefits eligibility systems to comply with the Affordable Care Act
Changes in policy and regulation happen on a constant basis. Over the past few years, the Affordable Care Act (ACA) has altered the way people apply for and receive benefits. As a result, states are finding their existing eligibility systems are no longer sufficient to deliver services to beneficiaries.
Read this whitepaper to learn:
- The three lessons Medicaid and Children’s Health Insurance Program (CHIP) learned as it helped states modernize their current systems to meet ACA requirements
- The powerful role Business Rules Engines play in determining eligibility for government organizations
- How the Progress® Corticon® Business Rules Engine can reduce development time and change cycles by 90%
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OpenEdge Pro2 Data Replication Overview
Progress® OpenEdge® Pro2TM Data Replication (Pro2) is the easiest and most cost effective approach for replicating Progress OpenEdge data to Microsoft SQL Server or to the Oracle RDBMS.
OpenEdge Pro2 Data Replication Overview
Progress® OpenEdge® Pro2TM Data Replication (Pro2) is the easiest and most cost effective approach for replicating Progress OpenEdge data to Microsoft SQL Server or to the Oracle RDBMS.
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Data Connectivity Solutions -- How Do They Measure Up?
This data connectivity comparison gives you a clear picture of the differences between free and high-quality database drivers. See how drivers compare in performance, reliability, interoperability, enterprise-class features, technical support and more.
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Data Connectivity Solutions -- How Do They Measure Up?
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Progress Corticon 5.5 rethinks how business rules are authored and managed
If you’ve been contemplating how a business rules engine (BRE) can help your business, you’ll want to read The 451 Group research, “Progress Corticon 5.5 rethinks how business rules are authored and managed.”
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Progress Corticon 5.5 rethinks how business rules are authored and managed
If you’ve been contemplating how a business rules engine (BRE) can help your business, you’ll want to read The 451 Group research, “
Progress Corticon 5.5 rethinks how business rules are authored and managed.”
This analyst report makes the case that Progress Corticon, Rules without Limits, may be your best choice in a BRE. It highlights new features of the latest Corticon release:
- The flexibility to share rules across applications, business lines and companies
- Helps authors build, develop, test and deploy rules according to changing business rules
When it comes to handling complex rules, policies or regulations, Progress Corticon is a smart decision for case management, complicated pricing structures, insurance and claims processing, pension administration, ERP, banking and government benefits eligibility.
Download the research today! >>
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Progress Corticon for OpenEdge
Progress® Corticon® Rules for Progress® OpenEdge® is a combination of two industry leading technologies used to automate decision making logic with agility and business control, helping organizations make better, smarter and faster decisions. The rules engine is used to separate business logic from application code in order to accommodate faster, and business driven, change.
Progress Corticon for OpenEdge
Progress® Corticon® Rules for Progress® OpenEdge® is a combination of two industry leading technologies used to automate decision making logic with agility and business control, helping organizations make better, smarter and faster decisions. The rules engine is used to separate business logic from application code in order to accommodate faster, and business driven, change.
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Top Five Ways to Accelerate Your Business
Discover 5 strategic ways to accelerate your business and improve customer satisfaction with Progress DataDirect Connect and Progress DataDirect Cloud, delivering the breadth of depth of data connectivity you need.
Top Five Ways to Accelerate Your Business
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Evaluate the financial impact of the OpenEdge Platform
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Evaluate the financial impact of the OpenEdge Platform
https://www.progress.com/docs/default-source/default-document-library/Progress/Documents/Papers/Forrester-TotalEconomicImpact-OpenEdge-061813.pdf
Power Your Business with Progress: Applications that Drive Growth and Profitability
A WINNING COMBINATION: CREATING THE WORD’S LEADING BUSINESS APPLICATIONS
Your company requires innovative software that fits the needs of your business today and has the flexibility to adapt to changes tomorrow. Progress Software is meeting those same requirements for thousands of companies and millions of users around the world.
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Power Your Business with Progress: Applications that Drive Growth and Profitability
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Managed Database Administration
Get secure, reliable and experienced database management from Progress Services.
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Managed Database Administration
Get secure, reliable and experienced database management from Progress Services.
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Top 10 Reasons to Buy DataDirect Connectivity
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Anatomy of a Progress DataDirect Driver Flyer
Get detailed information about the individual Progress DataDirect components that enable our high-performance ODBC and JDBC data connectivity solutions.
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Anatomy of a Progress DataDirect Driver Flyer
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Whitepaper: State of IoT 2015 Global Developer Survey
The Internet of Things (IoT) is among the hottest topics today. Every business wants to coin the term. But what do developers, the nurturers of IoT projects now and in the future, think of it? We talked to 675 developers to find out what they are experiencing in the IoT space; are they commercializing apps and seeing future opportunities? Are they well equipped with the right technologies to deal with IoT demand? Here is what we found out.
Whitepaper: State of IoT 2015 Global Developer Survey
http://forms.progress.com/iot-developer-survey-rollbase?elqCampaignId=8542
Pensions and Eligibility: Managing Employee Retirement and Compliance in Turbulent Times
Pension administrators are at the center of a storm. Learn how technology – like a business rules engine – can help IT and business users implement new reporting standards for operational efficiently – while separating business processes from rules to ensure compliance.
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Pensions and Eligibility: Managing Employee Retirement and Compliance in Turbulent Times
To ensure pension sustainability, nearly every U.S. state has made changes to benefit levels and/or contribution rate structures. Last year alone, 29 states introduced 166 new pension bills. Adding to the complexity, administrators must satisfy new reporting standards.
Learn how technology – like a business rules engine – can help IT and business users implement new reporting standards for operational efficiently – while separating business processes from rules to ensure compliance.
Download this Whitepaper to learn how:
- A business rules management systems (BRMS) – driven by business rules engine – can help governments stay in compliance
- To keep pace with dynamically changing pension and eligibility benefits processes
Find out how to weather the storm. Download the White Paper today! >>
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Solution Brief: Progress DataDirect OpenAccess for OpenEdge
When it comes to reporting, business intelligence (BI), and SaaS integration, you need to ensure you have the right plan and tools to deliver an optimal solution to your market. For your Progress OpenEdge applications, read this solution brief to find out why Progress DataDirect OpenAccess is the best solution to securely integrate your applications with virtually all your reporting tools and BI analytics.
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Solution Brief: Progress DataDirect OpenAccess for OpenEdge
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