Plans With Home and
Host Capabilities

As a health plan with home and host capabilities, you have an opportunity to transform your business to be more agile and flexible than ever before. The right technology can help support inter-plan operations and streamline claims processing, payment integrity, care management, and the member experience.

Hear from our Home & Host customers
Image shows a group of diverse healthcare professionals having a discussion about HealthEdge’s® health plan with home and host capabilities.

How HealthEdge®
Can Help

HealthRules® Payer

Health plans with home and host capabilities count on HealthRules Payer to remain resilient, competitive and focused on delivering outstanding service to providers, members and groups nationwide.

Source

Source delivers Reimbursement, Payment Integrity, and Enterprise Transformation to health plans offering home and host capabilities. We partner with 13 home and host plans, including three multi-state plans and one national plan. Our consultative approach honors the uniqueness of each health plan while delivering consistent accuracy, transparency, and interoperability through thoughtful technology solutions.

GuidingCare®

Health plans with home and host capabilities require support for their innovative plans and evolving value-based care models in order to meet regulations across state lines. GuidingCare is highly configurable and can seamlessly serve multi-state and integrated organizations with coordinated care and improved member satisfaction.

Wellframe

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 your high-risk members.

Source

Source delivers Reimbursement, Payment Integrity, and Enterprise Transformation to health plans offering home and host capabilities. We partner with 13 home and host plans, including three multi-state plans and one national plan. Our consultative approach honors the uniqueness of each health plan while delivering consistent accuracy, transparency, and interoperability through thoughtful technology solutions.

GuidingCare®

Health plans with home and host capabilities require support for their innovative plans and evolving value-based care models in order to meet regulations across state lines. GuidingCare is highly configurable and can seamlessly serve multi-state and integrated organizations with coordinated care and improved member satisfaction.

Wellframe

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 your high-risk members.

HealthRules® Payer

Health plans with home and host capabilities count on HealthRules Payer to remain resilient, competitive and focused on delivering outstanding service to providers, members and groups nationwide.