Brochures

Brochure: Smarter Risk Adjustment, Powered by Next-Gen AI

Unlock a new era of accuracy and efficiency with automation-first capabilities that drive audit-ready results with HealthEdge Risk Adjustment.

Brochure: Quality360™- The Next-Generation Integrated HEDIS® Engine & Analytics Platform

Transforming Healthcare with HealthEdge Quality

Brochure: Optimize Health Plan Performance with Stars Consulting Solutions

Achieving Excellence in a Complex Regulatory Landscape.

Brochure: HealthEdge Retrospective Risk Adjustment - The Next Generation

Transform retrospective strategy from a tactical requirement into a strategic competitive advantage.

Brochure: Managing Growth & Balancing Sustainability for Regional Plans

As national plans exit markets, regional plans are gaining thousands of members without adequate reserves or infrastructure to support them.

Brochure: The Role of a Data-Centric Ecosystem in Payer Operations

A connected ecosystem powered by consolidated data offers a transformative solution for health plans looking to streamline operations, reduce costs, and improve member experience.

Brochure: Five Signs You've Outgrown Your Legacy Admin Platform

Five signs your legacy platform is no longer serving you, and why a cloud-based solution might be exactly what you need.

Brochure: Next Generation HealthEdge Provider Data Management

Locating and validating information from siloed sources is like solving a giant crossword puzzle without clues. Separate systems and manual updates lead to pieces not fitting together...

Brochure: FAQ - Transition to Amazon Web Services (AWS) Cloud

Explore our AWS Cloud Migration FAQ. See how HealthEdge empowers health plans with scalable infrastructure, predictive AI, and seamless compliance.

Brochure: Legacy vs Next Gen CAPS

As the environment for health plans evolves rapidly, now is the time to modernize CAPS to enhance your ability to compete for members, improve efficiencies, and help maintain compliance.

Brochure: HealthEdge HealthRules® Payer - Next Generation Claims Administration

HealthEdge HealthRules® Payer delivers next-generation claims administration that transforms how modern health plans operate.

Brochure: A Health Plan on a Payment Integrity Journey

Brochure: Value-Based Care - Health Plans With Home & Host Capabilities Are Market Leaders

In our work with HealthRules® Payer clients, we have gained first-hand experience, supporting these plans with the technology they need to lead value-based care and healthcare transformation.

Brochure: Empowering Health Plans to Advance Care Management with GuidingCare

Discover how HealthEdge GuidingCare® uses AI, streamlined workflows, and seamless engagement to deliver personalized care while boosting efficiency and outcomes. Download the brochure to learn more.

Brochure: HealthEdge Company Overview

Brochure: GuidingCare Assessments Catalog

Brochure: GuidingCare API Catalog

Brochure: Prospective Payment Integrity