Burlington, MA, December 5, 2020 – HealthEdge Software, Inc.® (“HealthEdge”), provider of the industry’s leading integrated financial, administrative and clinical platform for health insurers, HealthRules Payor®, today announced that it has been identified as a Sample Vendor for the Next-Generation Core Administrative Systems category in the Gartner “Hype Cycle for U.S. Healthcare Payers, 2020” report[i] for the 10th consecutive year.
As a next-generation core administrative processing solutions (CAPS), Gartner’s citation recognizes HealthEdge’s ability to enable payers to manage their enrollment, premium billing, claims processing and payment operations more nimbly and flexibly than with legacy applications. According to the Gartner Hype Cycle for U.S. Healthcare Payers, “solutions must meet the following criteria: support cloud delivery models; allow clients to configure policies and processing rules without IT intervention; decouple modular business functions and support third-party module integrations; enable value-based payment; and provide preconfigured and configurable interfaces.”
“Sustained recognition by Gartner spotlights our dedication to customer value. As we’ve seen in the past 10 years, modern architecture supporting real-time data and transaction processing, enables business models to adapt to new payer models, capitalize on cloud technology economies of scale and security, and improve integration with third-party APIs,” said Steve Krupa, CEO of HealthEdge. “Our goal is to assist customers with technology that allows them to reinvest in their members and communities, by helping them administer benefits, configure plans, manage providers and enroll products offering greater flexibility, for the increasingly complex and data-rich healthcare environment.”
Similarly, The Burgess Group, acquired by HealthEdge, was named a Sample Vendor in the same report for the Prospective Payment Integrity Solutions category.
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HealthEdge provides modern, disruptive healthcare IT solutions that health insurers use to leverage new business models, improve outcomes, drastically reduce administrative costs, and connect everyone in the healthcare delivery cycle. Its next-generation enterprise solution suite, HealthRules, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or onsite deployment. In 2020, HealthEdge was acquired by Blackstone, becoming the first healthcare and second transaction for Blackstone Growth (BXG). HealthEdge’s portfolio includes HealthRules Payor®, HealthRules CareManager®, and Burgess Source®. Follow HealthEdge, on Twitter @HealthEdge or on LinkedIn.
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[i] Gartner, Hype Cycle for U.S. Healthcare Payers, 2020, Analyst(s): Bryan Cole, Jeff Cribbs, Mandi Bishop, Published: 5 August 2020 ID: G00444809.