Lines of Business
Transformational Solutions for Every Line of Business
HealthEdge® delivers a comprehensive healthcare ecosystem designed to meet the diverse needs of all health plan lines of business and empower organizations to tackle complex challenges with confidence. By integrating advanced technology with forward-looking capabilities, HealthEdge helps health plans optimize operations, enhance member experiences, and stay prepared.
Commercial
HealthEdge offers a scalable, flexible solution suite tailored for commercial lines of business. Our platform enables swift adaptation to market changes, supports innovative products, reduces costs, and boosts efficiency. By delivering exceptional member experiences, HealthEdge helps maintain strong enrollment and drive sustainable growth.
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Government
HealthEdge provides advanced solutions for government health plans, empowering organizations to excel in Medicare, Medicaid, and dual eligibles lines of business. Our solutions equips you to deliver high-quality care, control costs, ensure regulatory compliance, and transition seamlessly to value-based care models. With HealthEdge, you have the tools to achieve your goals and drive meaningful outcomes in the evolving healthcare landscape.
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Plans With Home and Host Capabilities
Health plans with home and host capabilities have special needs. HealthEdge solutions enable you to transform your business while supporting inter-plan operations and streamlining claims processing and reimbursement.
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Dental
HealthEdge solutions provide dental plans with the high throughput, accuracy and efficiency essential to keeping costs down – and ensuring success.
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Consultants
HealthEdge can be a powerful ally in consultants’ efforts to deliver value to their clients and support their digital transformation.
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