Streamlining Care, Strengthening Outcomes: The New HealthEdge GuidingCare® FHIR Integration with FindHelp 

HealthEdge® continues to deliver leading technology solutions that empower care teams, reduce administrative burden, and support whole-person care.

Solving Healthcare’s Hidden Data Disconnect

It can be difficult for payers to maintain care coordination while relying on disparate technology solutions and data sources. Platforms may use slightly different language formatting: “Date of Birth” instead of “DOB,” or month-day-year formatting instead of day-month-year. Multiply these small inconsistencies across vendors, applications, and state systems, and health plans are losing valuable time, turning to costly custom development, and experiencing preventable delays in care delivery.

These minor variations can create major friction—slowing data integrations and delaying response times for care teams to address members’ care needs. That’s why the future of connected care depends on technology solutions speaking the same digital language.

FHIR: The Foundation for True Interoperability

Fast Healthcare Interoperability Resources (FHIR) is helping pave the way to that future. This modern, Application Programming Interface (API)-based data standard acts as a shared language that enables electronic health records (EHRs), care management platforms, and third-party applications to exchange data securely and seamlessly—without added confusion or crossed wires.

And that’s just the beginning. Beyond simplifying how systems communicate, FHIR helps lay the groundwork for faster integrations, improved compliance, and more agile responses to the evolving needs of health plans and the populations they serve.

Five key benefits of leveraging FHIR in digital platforms like HealthEdge GuidingCare® include:

• Standardized data formats across systems: FHIR enables consistent naming conventions and formatting, eliminating confusion and saving time.
• Faster integrations that reduce development time by up to 50%: What took months with traditional methods can now be completed in weeks, allowing health plans to adapt more quickly to shifting regulatory or operational needs.
• Improved compliance readiness, especially for Medicaid and Medicare plans: FHIR’s consistency helps simplify reporting, documentation, and data sharing, helping plans stay ahead of evolving reporting guidelines from the Centers for Medicare & Medicaid Services (CMS) and other agencies.
• Scalability to onboard new vendors without starting from scratch: FHIR provides a flexible, standardized framework for integrating with partners like FindHelp.
• Secure, real-time data exchange that supports coordinated care delivery: FHIR enables bi-directional sharing of up-to-date member information, giving care teams the insights they need to make timely, informed care decisions.

FHIR isn’t just a future-forward concept—it’s becoming a necessity to compete in the healthcare market. As CMS and state governments push for greater data transparency and interoperability, platforms built according to FHIR standards will lead its peer solutions in adaptability, efficiency, and outcome-driven care.

Putting FHIR into Action: GuidingCare & FindHelp

Our commitment to data transparency interoperability is demonstrated by the latest advancement within the HealthEdge solution suite: an embedded FHIR integration between GuidingCare platform and FindHelp. FindHelp is a leading referral network that connects members to resources related to social or environmental drivers of health like housing, food access, and transportation.

With this integration, FindHelp is fully accessible within the GuidingCare platform. Health plan administrators no longer have to toggle between systems, re-enter member data, or miss opportunities to provide timely support.

Benefits of the HealthEdge and FindHelp Integration for Health Plans

• Embedded workflow: Care managers can launch the full FindHelp application directly within GuidingCare, maintaining full member context for a faster, more intuitive experience.
• Bidirectional data exchange: Referrals created in FindHelp are automatically logged in GuidingCare platform, which helps simplify tracking and reporting while creating a more complete picture of the resources offered to members throughout their care journeys.
• Advanced search capabilities: Embedding the full FindHelp experience means care teams can leverage robust search tools and filters—without duplicate logins or vendor-specific workarounds.

Powering Medicaid’s Shift Toward Whole-Person Care

This release comes at a pivotal moment. The One Big Beautiful Bill Act (OBBBA) is redefining Medicaid’s funding and oversight landscape. Health plans must now:

• Engage members in meaningful, measurable ways
• Reduce medical loss ratio
• Address the full scope of population health, including non-clinical factors
• Stay compliant with evolving state-by-state requirements

In many states, integration with platforms like FindHelp is no longer optional—it’s mandatory. GuidingCare’s FHIR-enabled architecture ensures health plans can meet these new requirements while enhancing operational efficiency and proactively managing the health of the most vulnerable members across all lines of business.

Built with Security and Compliance at the Core

Data security and regulatory alignment remain top priorities in healthcare technology. GuidingCare’s Smart on FHIR integration reflects this by supporting:

• Single sign-on (SSO): Users stay authenticated through existing credentials
• Session monitoring and reauthentication: Ensures protected access at all times
• Audit-ready reporting: Automatically documents referral activity for compliance and oversight

Whether health plans are preparing for state audits or optimizing internal workflows, this integration reduces administrative burden while strengthening data accuracy.

A Platform Designed to Grow with You

HealthEdge’s investment in FHIR is about more than meeting today’s challenges—it’s about building an infrastructure that supports future innovation.

As an active participant in national initiatives like the Da Vinci Project—a multi-stakeholder collaboration advancing FHIR standards for value-based care—HealthEdge is helping shape the future of data interoperability. By adopting Smart on FHIR now, health plans position themselves to more easily integrate future vendors, adapt to changing regulations, and scale their care strategies with far less friction.

This is more than an enhancement. It’s a long-term strategy for transformation.

Delivering Real Results for Health Plans and People

Ultimately, every system, integration, and standard should enable one thing: better care.

When technology enables, rather than hinders care, teams can focus on what matters most—helping members access the right support at the right time. Whether it’s connecting someone to stable housing or ensuring they have transportation to a follow-up appointment, seamless integration makes action both possible and trackable.

That’s what the new GuidingCare and the new FHIR FindHelp integration delivers: faster workflows, cleaner data, and the ability to transform how health plans support real people in real time.

Want to see it in action? Request a demo today to explore how this integration can help your clinical teams streamline care and drive better outcomes.