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New Post 6/20/2013 8:31 PM
User is offline JSmith
1 posts
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Health plans prepare edge servers for HIX 

Hello,

I just jooined an Insurance Company as a Business System Analyst. I am new in the field so I seek an advice from experts here. Most of you will be aware that health plans have to set up edge servers for data sharing with the Centers for Medicare & Medicaid Services. I have been given the responsibility to gather requirements, prepare BRD and FRD for this project. As this is my first project as a Business Analyst, I am very confused on how to start on this. Please help me.....

JSmith

 
New Post 6/21/2013 5:13 AM
User is offline Tony Markos
493 posts
5th Level Poster


Re: Health plans prepare edge servers for HIX 

So what does an edge server have to do with Business Analysis?     My suggestion:  Don't fall into the very common trap of analyzing how things are done vs what, from a business persepective, is done.  After all, you are charged with developing a BRD.

Try to, in as top down, up front fashion as possible scope out the extent of your project:  Research Context Diagrams.    Note:  In order to create a Context Diagram, you probably need to create some lower level diagrams first and then abstract from them a Context Diagram.

Move fast; don't spend time drawing pretty pictures on a computer.  Quickly pencil up some rough flow charts of what you think is happending - from a business perspective.  Then meet  with the end-user community, and have them point out your errors in understanding.    Then quickly do another iteration.

 

 

 

 
New Post 6/2/2023 4:18 AM
User is offline devinmarco
1 posts
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Re: Health plans prepare edge servers for HIX 
Modified By Chris Adams  on 6/9/2023 9:35:46 AM)

Health plans are preparing edge servers for HIX, or Health Insurance Exchanges, in order to comply with the Affordable Care Act's (ACA) risk adjustment and reinsurance programs. These programs are designed to help stabilize the health insurance market by transferring funds from lower-risk to higher-risk plans. To participate in these programs, health plans must submit claims and enrollment information to the Centers for Medicare & Medicaid Services (CMS). This data is used by CMS to calculate risk scores for each plan, which are then used to determine how much money will be transferred between plans.

Edge servers are a type of server that is located near the edge of a network. This means that they are closer to the end users, such as patients and doctors, than they are to the central data center. Edge servers can be used to process data and applications closer to the end users, which can improve performance and reduce latency.

Health plans are using edge servers to comply with the ACA's risk adjustment and reinsurance programs for several reasons. First, edge servers can help to protect patient privacy. By processing data closer to the end users, edge servers can reduce the amount of data that needs to be transmitted over the network. This can help to protect patient privacy, as less data is exposed to potential hackers.

Second, edge servers can help to improve performance. By processing data closer to the end users, edge servers can reduce the latency of applications. This can improve the user experience, as applications will respond more quickly.

Third, edge servers can help to reduce costs. By processing data closer to the end users, edge servers can reduce the amount of bandwidth that is needed. This can help to reduce costs, as health plans will not need to pay for as much bandwidth.

Health plans are still in the early stages of deploying edge servers for HIX. However, as the ACA's risk adjustment and reinsurance programs become more complex, edge servers are likely to become more common.

Here are some of the benefits of using edge servers for HIX:

  • Improved performance: Edge servers can help to improve the performance of HIX applications by processing data closer to the end users. This can reduce latency and improve the user experience.
  • Reduced costs: Edge servers can help to reduce the costs of HIX by reducing the amount of bandwidth that is needed. This can be achieved by processing data closer to the end users and reducing the amount of data that needs to be transmitted over the network.
  • Improved security: Edge servers can help to improve the security of HIX by reducing the amount of data that needs to be transmitted over the network. This can be achieved by processing data closer to the end users and encrypting data that is transmitted over the network.

Overall, edge servers can be a valuable tool for health plans that are looking to improve the performance, security, and cost-effectiveness of their HIX systems.

 
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