Data Sheet: HealthEdge Source™ - Medi-Cal Reimbursement
A prospective payment integrity solution that manages accurate and compliant pricing data, so health plans don’t have to.
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California
How HealthEdge Supports California Health Plans
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Navigating Capitation in California: A Digital Health Plan Imperative
In the dynamic California landscape of health care, capitation is gaining popularity as a reimbursement model. Capitation is the practice of paying care providers a fixed amount for each patient....
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How to Navigate Complex Healthcare Regulations in California and Beyond
Navigating the labyrinth of healthcare regulations is no small feat. This is especially true for health plans operating in California. The state has the largest population in the U.S., with varied...
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Webinar: Proactively Addressing Regulatory Complexities in California and Beyond
Payers continue to invest time and energy into keeping up to date and remaining flexible amidst the constantly evolving regulatory landscape.
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California Duals: Curating Competitive D-SNP Offerings with GuidingCare Care Management Software
The healthcare landscape in California is undergoing a significant transformation as part of the California Advancing and Innovating Medi-Cal (CalAIM) initiative. A pivotal change involves the...
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CalAIM ECM: Everything You Need to Know
CalAIM Introduction California Advancing and Innovating Medi-Cal, also known as CalAIM, is a multi-year plan to transform California’s Medi-Cal program and make it integrate more seamlessly with...
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Is your care management platform compliant with CalAIM?
California Advancing & Innovation Medi-Cal Enhanced Care Management (CalAIM) is designed to improve the level of whole person care that is given to the population. This is especially true for...
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