HealthEdge® Launches Haven, an AI-Powered Nurse Assistant for Health Plans, Embedded in HealthEdge GuidingCare
New Capability Reduces Call Prep Time for Care Managers from 8 Minutes to Under 60 Seconds and Enables 23% More Member Interactions Per Shift to Improve Outcomes
BOSTON, Mass. — [June 2, 2026] — HealthEdge®, the technology and services company powering health plans' most important value streams, today announced the launch of Haven, a generative AI-powered nurse assistant embedded natively within HealthEdge GuidingCare®. Designed for health plans managing complex populations across Medicaid, Medicare, LTSS, MLTC, and Dual-Eligible programs, Haven helps reduce administrative burden, improve care manager efficiency, and strengthen the quality of member interactions.
What is Haven?
Haven is an AI nurse assistant built directly into GuidingCare, HealthEdge’s market-leading care management platform used by health plans nationwide. Haven synthesizes member history, answers clinical questions in natural language and automates documentation before, during and after every member interaction — without requiring care managers to leave their existing workflow. Haven reduces call prep time from 8 minutes to under 60 seconds and enables care managers to handle 23% more member interactions per shift.
What can Haven do?
Haven delivers four core capabilities for care management teams, right inside GuidingCare:
Member Q&A Chatbot: Instant answers on member demographics, conditions, medications, care plans and claims — with source citations.
Preset Workflow Prompts: One-click prompts like “Prep me for this call” deliver full member briefings in seconds, reducing prep time and cognitive load before every interaction.
Ambient Intelligence: Real-time transcription, auto-populated forms and auto-generated visit notes handled during and after the call, powered by Suki’s ambient clinical intelligence.
Skillful Automation: Member records updated, visit notes generated and next actions queued automatically, so clinicians can focus on care, not administrative tasks.
How is haven different from other AI tools for care management?
Health plans evaluating AI for care management face a consistent set of challenges. Most solutions require toggling between platforms, are trained on generic clinical data and introduce data governance risk by passing member information to third-party AI layers. Haven was designed to address each of these challenges:
Workflow continuity: Haven lives inside GuidingCare — Q&A, summaries and documentation happen without leaving the platform.
Data depth: Haven is trained on GuidingCare’s native data model, including clinical conditions, medications, care plans, claims and assessments in one unified context.
Implementation simplicity: With no custom API work, no IT project, no downtime, Haven can be activated instantly.
Data governance: Member data stays within the GuidingCare environment, governed by NIST AI RMF and CHAI™ frameworks.
“Health plans don’t need more AI tools to manage — they need AI that works within the systems their teams already rely on,” said Bobby Sherwood, VP of Product Management at HealthEdge. “Haven is a fundamentally different approach. Because it’s built directly into GuidingCare, care managers get the full power of generative AI without the complexity, the switching costs, or the data governance concerns that come with bolted-on solutions. That’s a meaningful differentiator in this market, and it’s one we built with intention.”
Why does AI for care management matter now?
Administrative burden on care managers has reached a critical level. Clinicians lose an average of 28 hours per week to administrative tasks1, 77% of healthcare professionals report losing time due to incomplete or inaccessible data2, and 97% of payers view AI as a viable solution to ease that burden3.
For health plans, the cost is measurable: administrative overload is a leading driver of care manager attrition. Replacing one experienced care manager costs thousands of dollars in recruiting, onboarding and lost institutional knowledge. Haven directly addresses that friction, enabling care managers to handle more member interactions per shift, enter every call fully prepared, and spend more time on meaningful member engagement.
The organizations that will win in this environment won’t be the ones deploying the most AI. They’ll be the ones using it to remove friction and let care teams do what only humans can do.
How does Haven support health plan data governance and AI compliance?
Member data processed through Haven stays within the GuidingCare environment. Haven is governed by the NIST AI Risk Management Framework (NIST AI RMF) and the Coalition for Health AI (CHAI™) framework — two of the most recognized standards for responsible AI in healthcare. Unlike AI add-ons that extract and pass data to third-party layers, Haven keeps payer-specific data where it belongs.
How can GuidingCare customers access Haven?
Current GuidingCare customers can join Haven’s Early Adopter Program now. Participants receive:
First access to Haven’s full ambient intelligence and Q&A capabilities
Comprehensive guided onboarding for clinical staff
Direct input into use-case prioritization with the Haven product team
Feedback sessions that shape the general availability roadmap
What Is Next for Haven?
HealthEdge plans to extend Haven’s capabilities beyond intelligent assistance into agentic AI, enabling Haven to take actions and complete workflows on behalf of care managers, not just inform them. Through the introduction of “skills,” Haven will be able to execute tasks autonomously within GuidingCare. This next phase reflects HealthEdge’s broader commitment to building AI that removes operational friction at every layer of the care management workflow, not just at the surface.
About HealthEdge
HealthEdge® is trusted to provide the technology and services that power health plans’ most important value streams. With an integrated platform of solutions spanning claims administration, quality improvement, prospective payment accuracy, provider network management, care management, member engagement and risk adjustment, HealthEdge enables health plans to converge their data so they can harness automation and the promise of AI. Combining this next-gen technology with services and expertise gives health plans unmatched capabilities to deliver a future of frictionless and cost-effective healthcare experiences. For more information, visit HealthEdge.com.
2 Chief Healthcare Executive: AI in Health Care — 26 Leaders Offer Predictions for 2026, 2026
