Discover more about the HealthRules Solution Suite
Healthcare payers experience consistent pressure to update and modernize their technology systems to meet evolving industry demands. From regulatory compliance to meeting member expectations and...
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The healthcare industry is evolving at a rapid pace. Regulatory demands, shifting consumer expectations, and the need for data-driven decision-making are placing unprecedented pressure on health...
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The complex landscape of state and federal healthcare regulations continues to evolve, requiring payers to invest in technologies that support their compliance efforts. Next-generation Core...
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Health plan executives are pursuing integrated platform solutions that provide better access to data, leading to better member outcomes.
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To streamline its administrative systems, Medica partners with HealthEdge through the use of HRP and GuidingCare
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Leveraging our modern, web-based platform, the new web UI enhances usability, and aligns with industry standards for cloud-based healthcare systems.
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Health plans today are under increasing pressure to modernize their technology and processes to adapt to the complexities of modern healthcare and take advantage of market growth opportunities....
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Many health plans continue to rely on legacy Core Administrative Processing Systems (CAPS) as the backbone for managing critical operations such as claims processing, benefit configuration, and...
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Faced with growing administrative and medical cost pressures, Medica needed a solution to streamline its claims processing and improve efficiency across its operations.
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As the environment for health plans evolves rapidly, now is the time to modernize CAPS to enhance your ability to compete for members, improve effciencies, and maintain compliance.
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In the rapidly evolving landscape of healthcare technology, staying ahead of competitors requires organizational commitment to modernization. Investing in a modern healthcare core administrative...
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HealthRules® Payer is a next-generation core administrative processing system (CAPS) designed to revolutionize the operations of health plans of all sizes and types.
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The ever-changing healthcare landscape requires health plans to have access to the insights and agility necessary to control costs, embrace change, and move quickly to take advantage of new...
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A strategy to comply with the final rule issued by the U.S. Centers for Medicare & Medicaid Services suggests that payers should unify systems around their core claims and care management platforms...
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Healthcare is experiencing a significant digital transformation, and the HealthRules® Payer Machine Readable Files (MRF) Suite is at the forefront of this revolution. This innovative software...
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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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The HealthRules Machine Readable Files Suite 3.x is a cloud-deployed SaaS application that improves health plans’ processes for publishing Machine-Readable Files (MRF).
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The new HealthEdge Help Center is an online platform that provides a centralized, user-friendly experience that maximizes your organization’s adoption of HealthEdge products to get results.
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