HealthEdge AI

AI in 2026: Are Health Plans and Members Aligned on the Future? 

Health plans are racing ahead with artificial intelligence (AI). Members are moving more cautiously. In 2026, the question is no longer whether AI will shape healthcare. It’s whether payers and...

HealthEdge GuidingCare Launches Decision Intelligence Ecosystem with Anterior, Latitude Health and Case Health AI

Integrations with leading clinical AI solutions give health plans access to best-in-class decision-making capabilities to transform utilization management

How AI-Powered Document Processing Transforms Provider Data Management

At HealthEdge®, our team understands that efficient provider data management is fundamental to delivering quality healthcare. Yet, the reality for many health plans is that maintaining accurate...

Unlocking the Future of Healthcare Technology: Interoperability, Transparency, and AI

At a recent executive roundtable, HealthEdge® brought together health plan leaders from across the U.S. to share their experiences and see how other organizations are addressing key challenges....

Turning Unstructured Healthcare Data into Answers with Retrieval Augmented Generation

Care teams, product managers, and operations leaders across healthcare live inside documents: contracts, benefit summaries, clinical policies, internal runbooks, and email threads. These artifacts...

HealthEdge® and Suki Introduce Ambient Clinical Intelligence for Care Management

HealthEdge®, the technology and services company powering health plans’ most important value streams, and Suki, a leading provider of artificial intelligence (AI) technology for healthcare, today anno

From Simple Tools to Smart Orchestration: How AI Agents Are Transforming Work 

Imagine this scenario: A critical exception fires in your company’s observability tool. Someone needs to check the logs, categorize the severity, and create a defect in the systems’ project...

The Manual Entry Bottleneck: How AI-Powered Document Processing Transforms Provider Data Management

At HealthEdge®, we understand that efficient provider data management is fundamental to delivering quality healthcare. Yet, the reality for many health plans is that maintaining accurate provider...

Spec-Driven Development: How AI Tools Turned a 2-Week Project into a 4-Hour Sprint

AI is reshaping how software gets built—enabling faster delivery, real-time iteration, and deeper collaboration between technical and business teams. At HealthEdge®, we’re exploring how AI-driven...

Driving AI Transformation Through Strategic Learning: HealthEdge’s Multi-Channel Approach 

At HealthEdge, we know that deploying AI tools is just one piece of the puzzle. True transformation happens when people across the organization not only understand what AI can do but also begin to...

Reimagining Work at HealthEdge: How AI is Transforming the Way We Build, Support, and Deliver 

At HealthEdge, AI is becoming a foundational capability that’s changing how we operate from the inside out. In this fireside chat, I had the opportunity to sit down with @Andrew Witkowski, who...

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...

Modern Healthcare: Bain rollup combines two payer-focused AI companies

Fierce Healthcare: Bain Capital rolls up HealthEdge and UST HealthProof to combine payer-focused AI tech