Case Study: Sutter Health Transforms Provider Data Management with HealthEdge®
Read More
GuidingCare
Explore additional content on the GuidingCare Solution Suite
-
-
See what 3,500 consumers say about their healthcare experiences
Read the report! -
Lowering Health Plan Costs Through Effective Care Management
How integrated HealthEdge® technology helps improve member outcomes, reduces spend, and delivers on the promise of coordinated care. Ask any care manager why they chose their profession, and the...
Read More
-
Data Sheet: Transforming Utilization Management with an AI-Powered Decision Intelligence Ecosystem
Read More
-
Data Sheet: Business and Technical Advisory Services for GuidingCare
Expertise to Strengthen Your Care Management Operations
Read More
-
Building Regulatory Compliance Agility: Lessons from Nascentia Health’s Success Story
Implementing new care management technology is about more than just meeting a go-live date. For Medicaid and Long-Term Services and Supports (LTSS) plans navigating evolving state mandates,...
Read More
-
Payer Financial Modernization Is Real; Integrate and Interoperate Now for the Seamless Payer/Provider Future
How feasible are seamless core administration and interoperable data at the point of care, given the current provider workflows, interoperability challenges, and siloed incentives?
Read More
-
Are you ready to transform compliance into a strategic advantage?
Read the paper! -
Care Management Software Implementation Best Practices
Watch Video
-
Data Sheet: Custom Code Services for HealthEdge GuidingCare®
Explore how the Global Professional Services team partners with health plans to build custom code solutions across four key service areas.
Read More
-
Case Study: From Bottleneck to Breakthrough: How Health Plans are Automating Prior Authorization with HealthEdge®
Learn about HealthEdge's Automated Prior Authorization solution, developed by the Global Professional Service team.
Read More
-
Case Study: How a Regional Health Plan Unified Care Management with HealthEdge
Read More
-
Regulatory & Compliance Q&A: How the OBBBA Could Impact Care Management & Member Engagement
On June 10, 2025, the One Big Beautiful Bill Act (OBBBA), also known as H.R.1, was signed into law, marking the beginning of one of the most sweeping healthcare reforms in recent memory. Given the...
Read More
-
Future-Proof Your Health Plan with HealthEdge GuidingCare® : FHIR-Driven Solutions Enable Compliance
HealthEdge’s GuidingCare® platform is at the forefront of enabling healthcare interoperability. By combining deep technical expertise with a visionary approach, GuidingCare equips health...
Read More
-
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...
Read More
-
Scaling AI Thoughtfully: Behind the Scenes of the HealthEdge® GuidingCare Notes Summarizer
By Alice Zhan, AI team Part 2: Technical Implementation This is part two of a two-part blog series on HealthEdge’s AI Summarizer feature; this post focuses specifically on the feature’s technical...
Read More
-
Leveraging AI to Summarize GuidingCare Notes and Empower Care Managers
In today’s healthcare environment, care managers are at the heart of improving outcomes for members with complex needs. Yet, the growing volume of documentation, assessments, and free-text notes...
Read More
-
Data Sheet: Five Steps to Achieving Regulatory Agility in Population Health Management
Read More
-
AI-Enabled Optical Character Recognition: Transform Manual Processes into Automated Workflows
Fax-based communication and the manual work required to process physical documents remain daily challenges for health plan care teams. Communications related to authorizations, appeals,...
Read More
-
Data Sheet: Automate Manual Workflows and Accelerate Care Decisions with AI-Enabled HealthEdge® GuidingCare OCR
Read More
-
Automate & Accelerate Health Plan Rules Deployment with HealthEdge GuidingCare®
The healthcare industry is in constant motion. Regulations change and care models evolve, while competitive pressures and member expectations grow more complex every year. For health plans, this...
Read More
-
Building Member Trust Using Responsible AI: How to Get It Right
Artificial intelligence (AI) is quickly becoming foundational to the future of healthcare. From automating claims reviews to powering proactive care management, AI has the potential to help health...
Read More
-
Loading More...
