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Healthcare SaaS To Accelerate Digital Transformation HealthEdge

WebHealthEdge® solutions – deployed as standalone next-generation SaaS or together as an integrated platform – help payers accelerate their digital transformation and position …

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About HealthEdge HealthEdge

WebHealthEdge® was founded in 2005 to deliver a next-generation Core Administrative Processing System – one that would not only increase accuracy and efficiency but also …

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Payer Solutions HealthEdge

WebCare-Payer Integration. HealthRules® Payer is even more powerful when combined with GuidingCare®. Our unique Care-Payer Data Exchange solution provides the API-based …

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Medicare Software Solutions HealthEdge

WebThe Medicare market is highly competitive for health plans as overall enrollment grows and Medicare Advantage plans capture a greater share of the market. In this dynamic …

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Value-Based Care in 2024: Navigating Trends, and Challenges

WebHealthEdge Horizons: Value-Based Care in 2024. February 27, 2024. Alan Stein. From rapidly changing regulatory requirements and new competitive forces to …

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End-to-End Integration in Health Insurance: The Path to Efficiency

WebToday, health insurers are revisiting the concept of integration, but in a different way. Integrated end-to-end solutions are gaining traction, offering the best of …

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Healthcare Payers & Providers: 2024 Wins, Losses & Trends

Web2023-2024 Wins, Losses & Future Trends in the Health Payer-Provider Relationship. October 19, 2023. Sophia Moran. The complex relationship between …

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Better Member Engagement Through Digital Care Management

WebMember Experience. Wellframe Digital Care Management and Digital Customer Service solutions extend the reach of your staff to engage more fully with members and better …

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The Core System’s Role in Value-Based Care

WebHumana is not alone. In September of 2020, CareFirst BlueCross BlueShield and MedStar Health announced a value-based care initiative they project could save …

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Payer Solutions Software: 6 Must-Haves in Modern Healthcare

WebImprove payment accuracy. Payer solutions software must be able to help health plans increase efficiencies within their claims payment operations to not only …

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US Offices HealthEdge

WebUS Benefits. We invest in our employees and listen to their feedback to provide benefits that truly matter to support their physical, emotional, and financial health. On behalf of …

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HealthEdge Careers HealthEdge

WebHealthEdge® is on a mission to drive a digital revolution in healthcare. We’re connecting health plans, providers and patients with end-to-end digital technology solutions to …

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How Population Health Software Solutions Benefit Payers: 7 Key …

WebWhen leveraging modern population health solutions, payers can expect the following seven business advantages: 1. Improved Data Management and Analysis: One …

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HealthEdge Completes Acquisition of Altruista Health

WebBurlington, MA, and Reston, VA, December 29, 2020 – HealthEdge Software, Inc.® (“HealthEdge”), provider of the industry’s leading integrated financial, …

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HealthEdge Completes Acquisition of Wellframe

WebWellframe represents the third strategic acquisition by HealthEdge over the past 20 months. Ram Jagannath, Global Head of Healthcare for Blackstone, said, “The …

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UST HealthProof and HealthEdge Announce Multiyear Strategic …

WebPartnership will Reduce Costs, Lead to Greater Innovation, and Improve Customer Satisfaction. Aliso Viejo, CA – March 10, 2021 – UST HealthProof, a UST …

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Health Plan Market Expansion 2024: Navigate the Shift with Tech

WebThe Changing Face of Healthcare Engagement in 2024. The landscape of health insurance has experienced a significant transformation in the past decade, with …

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Understand Regulatory Compliance for Health Plans in 2023

WebIn 2023, NCQA’s health plan ratings include commercial, Medicare, and Medicaid health plans. The rating is a weighted average of a plan’s HEDIS® and …

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500 Shoppable Services'

WebPayers will be required to publish prices for covered services in a consumer-usable online format for 500 shoppable services by Jan. 1, 2023. The remainder of …

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