Data without silos.
For healthcare
that embraces automation.
that gets payment right.
that emphasizes better care.
with deeper insights.
without limits.
HealthEdge® solutions – deployed as standalone next-generation SaaS or together as an integrated platform – break down the boundaries that prevent health plans from harnessing the power of their data.
HealthEdge Annual Payer Market Planning Report 2025
HealthEdge surveyed over 450 health plan leaders to explore their challenges, key priorities, and investment strategies for the upcoming year
GET THE INSIGHTSCompliance with Prior Authorization Mandates Is a Strategic Opportunity for Payers
Embrace modern, integrated technology to ensure compliance and create a foundation for long-term operational success.
Read the paperThe Digital Payer Journey to Achieve a Coherent Individual Healthcare Experience
The individual healthcare experience has three dimensions. Each dimension requires deep application focus and an integrated approach to applications and data.
READ MORE2024 Consumer Survey: Key Trends in Healthcare Member Expectations and Satisfaction
This report examines the findings and offers practical guidance on how health plans can improve member satisfaction and boost operational efficiencies
READ MOREWhat can HealthEdge
do for you?
Our integrated platform of solutions connects to hundreds of third-party systems, giving health plans greater access to the data they need. By eliminating data silos, plans can embrace automation to spur greater collaboration, improve payment accuracy, make more informed decisions and enhance member service and care.
See our solutionsEvolving from payers to
true partners in care
Expectations for health plans have changed. Members, providers and the government are looking at health plans to evolve from paying for healthcare to collaborating on a more efficient, transparent and accessible future for healthcare. HealthEdge seeks to enable plans to achieve these goals through four transformational pillars.
The four transformational pillars
Touchless transaction processing
Prospective payment accuracy
Care integrity
AI-driven business intelligence
HealthEdge
HealthRules Payer
CoreAdministration
Source
ProspectivePayment Integrity
Wellframe
MemberExperience
GuidingCare
CareManagement