Plans With Home and
Host Capabilities
Host Capabilities
We understand the unique needs of community-focused health plans, including the complexities of home and host capabilities and the demands of seamless inter-plan operations. That's why we designed solutions that streamline processes and enhance collaboration across networks while maintaining a strong focus on member satisfaction.
Hear from other health plans offering home and host capabilities:
How HealthEdge®
Can Help
HealthRules® Payer
Gain the ability to expand into new markets and quickly stand up and grow all lines of business. Our next-generation core administrative platform provides industry-leading flexibility for contract configurations so you can reduce IT and administrative overhead and improve operational efficiencies.
HealthEdge SourceTM
Transform your business with the market-leading prospective payment accuracy and integrity solution designed specifically to enable health plans to pay claims accurately, quickly and comprehensively the first time, while radically reducing contract maintenance by 90%.
GuidingCare®
Turn to the nation's largest and most widely adopted solution for care management and population health to address care coordination, medical management workflow, and regulatory compliance to serve all members.
WellframeTM
Gain insights between clinical encounters and provide more consistent support. Wellframe Digital Care Management extends the reach of your staff to engage more fully with high-risk members.
Provider Data Management
Streamline data ingestion and enrichment using a Generitive AI-powered framework that enables real-time accurate provider data to flow across the HealthEdge solution suite and the broader heath plan ecosystem.
HealthEdge SourceTM
Transform your business with the market-leading prospective payment accuracy and integrity solution designed specifically to enable health plans to pay claims accurately, quickly and comprehensively the first time, while radically reducing contract maintenance by 90%.
GuidingCare®
Turn to the nation's largest and most widely adopted solution for care management and population health to address care coordination, medical management workflow, and regulatory compliance to serve all members.
WellframeTM
Gain insights between clinical encounters and provide more consistent support. Wellframe Digital Care Management extends the reach of your staff to engage more fully with high-risk members.
Provider Data Management
Streamline data ingestion and enrichment using a Generitive AI-powered framework that enables real-time accurate provider data to flow across the HealthEdge solution suite and the broader heath plan ecosystem.
HealthRules® Payer
Gain the ability to expand into new markets and quickly stand up and grow all lines of business. Our next-generation core administrative platform provides industry-leading flexibility for contract configurations so you can reduce IT and administrative overhead and improve operational efficiencies.