Case Studies

Case Study: Public Employees Health Program - Provider Data Management Enhances Value of Data and Employees Alike

Scaling Smartly: How HealthEdge Helped Curative Health Plan Power Growth and Achieve Operational Efficiencies

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.

Case Study: How One Regional, Provider-Owned Health Plan Streamlined Care Management Reporting for Better Regulatory Compliance

Case Study: Highmark Wholecare, Delaware Health Options, West Virginia Health Options

Case Study: How To Build A Digital Adoption Ecosystem And Deliver Greater Value To Members

Discover how one Blue Cross Blue Shield plan built a digital adoption ecosystem that improved member enrollment and increased member touchpoints.

Case Study: How One Regional Health Plan Created a Member-Centric Digital Ecosystem

Health plan executives are pursuing integrated platform solutions that provide better access to data, leading to better member outcomes.

Case Study: SummaCare's Secret to Payment Integrity Success

Learn about SummaCare's journey to streamlined operations, improved payment accuracy, and enhanced provider transparency.

Case Study:Transforming Payment Accuracy and Operational Efficiency at a Large National Health Plan

Discover how one health plan enhanced efficiency, accuracy, and transparency through with HealthEdge Source.

Case Study: Medica Partners With HealthEdge To Improve Member Lives In The Moments That Matter

To streamline its administrative systems, Medica partners with HealthEdge through the use of HRP and GuidingCare

How HealthEdge HealthRules® Payer Helped Medica Transform Claims Operations through Strategic Automation

Faced with growing administrative and medical cost pressures, Medica needed a solution to streamline its claims processing and improve efficiency across its operations.

Case Study: Modernizing with HealthEdge® to Drive Expansion

Case Study: Modernizing Care Management and Operations with HealthEdge® Solutions

The rapidly growing health plan’s strategy included expansion into a new line of business that would serve the Highly Integrated Dual Eligible (HIDE) and Fully Integrated Dual Eligible (FIDE)...

Case Study: Health Plan for Large Metropolitan Area Transforms Care and Operations with HealthEdge® Solutions

Case Study: Empowering Innovative Healthcare with Integrated HealthEdge® Solution

An innovative regional healthcare company had made numerous rapid business pivots that show remarkable agility.

Case Study: Digital Health Improves Care Transitions For Members With Multimorbidities

Demonstrating the value of digital health with a new methodology

Driving Care Management Capacity and Engagement with Wellframe Digital Health

Report: Digital Care Management can help lower blood pressure by more than 9%