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.
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 provides an integrated ecosystem that brings accuracy upstream in the payment process. The process is fully automated and interoperable, creating a workflow that incorporates real-time data and up-to-date analytics for accurate guidance before payment.
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 provides an integrated ecosystem that brings accuracy upstream in the payment process. The process is fully automated and interoperable, creating a workflow that incorporates real-time data and up-to-date analytics for accurate guidance before payment.
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.