Experience, Intelligence, Operations, and Foundation replace the stack of disconnected applications health plans run today.
SANTA MONICA, CA, UNITED STATES, September 10, 2026 /EINPresswire.com/ — HealthAxis today brought its Enterprise Healthcare Operating System™ (EHOS) to market on a new digital platform, built on a four-layer architecture designed to run the whole of health plan administration as one system rather than a stack of separately purchased applications. A full set of Experiences powered by the four-layer architecture is live on the platform today, spanning member and provider workspaces, including Member Enrollment Platform.
The premise is that the industry’s core problem is structural. A health plan today typically operates a core administration system, a care management system, a provider data system, a payments system, an analytics layer and a service platform — each with its own data model, its own integration debt and its own view of the same member. Every stakeholder pays for that fragmentation: members repeat themselves across channels, enrollment, service and authorization each arrive through a different door and get reconciled afterwards, providers absorb friction in credentialing and authorization, plans carry administrative costs they cannot see into, and regulators receive inconsistent data from siloed systems.
“The problem isn’t a missing application. It’s a missing operating system,” said Par Chadha, Chairman, HealthAxis. “We believe that every member deserves a seamless experience and every provider deserves an enhanced method for delivering care. Intelligence should be embedded directly into every workflow, rather than isolated within individual applications. Trust, security, and compliance form the foundation of every interaction. Ultimately, health plans should operate as a single, coordinated enterprise that functions in real time and continuously improves.”
EHOS is organized into four layers, each with a defined role:
01 — Experience. This is the layer where the platform meets people. AI PASS™ is the intelligence underneath, and NOVA™ is how that intelligence shows up in the work. NOVA™ anticipates what comes next, moves work forward without friction, and makes every handoff seamless, whether between channels, between workspaces, or between the platform and the person. Analytics and insight-driven dashboards come out of the work itself, so performance is always visible without a separate reporting exercise. What people experience is continuity: smooth transitions, nothing repeated, nothing dropped.
02 — Intelligence — AI PASS™. The intelligence layer, and the engine at the heart of the operating system. AI PASS™ observes, understands, predicts, recommends, and learns across the entire enterprise in real time. It draws on member, provider, claims and encounter, pharmacy, financial and operational, and external and social data, and combines natural language processing, predictive analytics, decision intelligence, generative AI and automation, and a healthcare knowledge graph. Its outputs are directed at five ends: better member experience, better care outcomes, higher operational efficiency, lower cost to administer, and stronger compliance and trust. In enrollment, that means validation clearing before a transaction is built, so errors surface early rather than at CMS, and straight-through processing wherever the rules allow.
03 — Operations — CAPS. The trusted transaction engine, which automates, validates, secures and monitors the administrative work of the plan — member lifecycle and enrollment, claims intake and adjudication, appeals and grievances, provider credentialing, contracting and network management, prior authorization and utilization review, payment integrity, provider and member payments, pharmacy, and regulatory reporting.
04 — Foundation. A secure, scalable, interoperable base: data fabric, integration fabric, security and trust, cloud-native infrastructure, and governance and compliance.
Above the stack sit the six constituencies the platform is built to serve — members, providers, employers, pharmacies, hospitals, and regulators.
Because the four layers share one data foundation rather than a nightly extract, EHOS presents each part of the business with a real-time, role-based view. Eight dashboards ship with the platform: Command Center, Member 360, Provider 360, Care Intelligence, Payment Intelligence, Population Health, Unified Experience, and the AI and Technology Platform view. An executive copilot answers operational questions in natural language across all of them. Because enrollment writes to the same foundation, Member 360 and Unified Experience reflect a member’s status as it changes rather than as it stood at the last extract.
HealthAxis offers EHOS both ways: the company operates plan administration end to end as a service for clients who want the work run, and licenses the platform to plans, third-party administrators and government programs running their own operations.
Governance sits in the Foundation layer by design rather than as an add-on. HealthAxis publishes the decision types within EHOS that require a qualified human in the loop, and the audit trail the platform produces for automated decisions, so that plans can evidence how a determination was reached. Member-facing assistants such as NOVA™ explain and guide; they do not make protected determinations.
EHOS serves health plans, provider organizations, government health programs, third-party administrators, and employers and brokers, across Medicare Advantage, Medicaid managed care, commercial and government lines of business. The platform is cloud-native and API-first, with certifications actually held: SOC 2 Type II, ISO 27001, NIST CSF, FedRAMP Ready.
One platform. Four layers. Limitless impact. EHOS and AI PASS™ are available now at healthaxis.com
Experience-layer offerings, including the Member Enrollment Platform, are available on the platform today.
About HealthAxis:
HealthAxis provides an AI-native platform and administrative services for organizations that pay for and administer healthcare in the United States. Its Enterprise Healthcare Operating System™ runs health plan administration across four layers — Experience, Intelligence, Operations and Foundation — with AI PASS™ as its intelligence engine. HealthAxis both operates plan administration as a service and licenses the platform to plans, third-party administrators and government programs. The company is an HandsOn Global Management company and is headquartered in Santa Monica, CA
Vandit Bhatt
Chief Marketing & Product Officer, HealthAxis
vandit.bhatt@healthaxis.com
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