Webinar: From Payers of Claims to Partners in Care - Insights from the 2025 Healthcare Consumer Survey
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Explore additional content on the GuidingCare Solution Suite
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See what 3,500 consumers say about their healthcare experiences
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HealthEdge Recognized as a Sample Vendor in 2025 Gartner® Hype Cycle™ for Provider Data Management and AI-Enabled Fraud Detection
HealthEdge®, a leading provider of next-generation core administrative processing systems, payment integrity, and care management solutions, has been recognized as a Sample Vendor in two categories of
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ICHRA: The Consumer-Driven Shift Health Plans Can’t Ignore
Healthcare consumers are increasingly demanding choice and control, and health plans are under growing pressure to adapt. In the 2025 HealthEdge® Healthcare Consumer Study, 60% of individuals with...
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Disjointed to Dynamic: How Nascentia Health Modernized Care with HealthEdge GuidingCare®
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How One Regional, Provider-Owned Health Plan Streamlined Care Management Reporting for Better Regulatory Compliance
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HealthEdge GuidingCare® for CalAIM: Your Partner on the Health Equity Journey
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Are you ready to transform compliance into a strategic advantage?
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Advancing Health Equity: A Leadership Roundtable with HealthEdge
Discover practical insights and innovative strategies shared during our exclusive roundtable, where health plan leaders collaborated on advancing health equity through technology and partnership. This
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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.
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Data Sheet: GuidingCare - Care Management Software Benefits
GuidingCare® offers health plans and providers easy-to-use, next-generation data integration and workflow management tools.
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Case Study: Denver Health Medical Plan Customer Spotlight
Member populations have escalating needs. Meanwhile, digital healthcare and care management solutions have created an opportunity for big returns on care management dollars.
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Why Advanced Care Management is Crucial for Better Member Engagement and Outcomes
Modernizing technology solutions and adjusting digital strategies are key priorities for health plan executives. Advancements in integrated care management solutions are enabling payers to...
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Improve Care Coordination and Delivery with AI & HealthEdge GuidingCare®
Healthcare is undergoing a transformation, and artificial intelligence (AI) is a major part of this evolution. From improving diagnostic accuracy to transforming care coordination workflows, AI...
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Data Sheet: HealthEdge® Care-Wellframe - An Integrated Care Management Experience
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EBook: Advancing Health Equity
Strategies for Health Plans Navigating Change, Compliance and Innovation
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8 Ways GuidingCare® Helps Health Plans Support Communities with Diverse and Complex Care Needs
Health plans today face multifaceted challenges, particularly when managing care for individuals navigating significant barriers to health equity. These populations, including dual-eligible...
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Case Study: VillageCareMAX Transforms Operations and Reporting with GuidingCare
VillageCareMAX transformed its operations, improved care coordination, & enhanced reporting efficiency by implementing HealthEdge’s GuidingCare, unifying workflows & driving better member outcomes.
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Data Sheet: GuidingCare Letters
GuidingCare Letters is an integrated feature within GuidingCare that streamlines the creation of personalized, compliant member communications, including real-time and batch correspondence.
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How to Use Digital Engagement to Improve Care Management Utilization
Effective care management begins with getting members onboarded. For health plans, the onboarding process sets the tone for the member’s experience while also building the foundation for long-term...
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Case Study: How One Regional, Provider-Owned Health Plan Streamlined Care Management Reporting for Better Regulatory Compliance
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Unite Us and GuidingCare® SDOH Integration: Enabling Health Plans to Adapt to Medicaid Whole-Person Care Initiatives
Medicaid programs nationwide are increasingly requiring and incentivizing health plans to incorporate whole-person care and the social determinants of health (SDOH) into their service models....
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