HealthEdge AI

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

Rob Duffy: The Automation-First Mindset in Healthcare: Key Considerations for the AI Era

Rob Duffy: Treating AI Adoption as a Change Management Activity

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...

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,...

Enhance Health Plan Payment Integrity with Integrated AI Tools

Operating within the U.S. healthcare industry can be challenging. Decades of layered regulations, siloed processes, and a sprawling network of stakeholders have created an environment where...

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...

AI Adoption Across HealthEdge: An Inside Look at the Marketing Team’s AI Adoption Journey 

I recently had the opportunity to sit down with the HealthEdge Marketing team to understand how they’ve been adopting AI and how that evolution reflects the broader organizational shift toward...

From Vision to Value: Scaling AI at HealthEdge 

At HealthEdge, our AI Team was created with a clear mission: to accelerate the innovation and adoption of AI technologies that deliver real value for both our customers and our internal teams....

HealthEdge and UST HealthProof Merge, Creating Disruptive AI-Powered, Healthcare Payer Technology and Services Leader Under Bain Capital

Combination creates a leading, next generation claims operating system for payers, with end-to-end AI capabilities for claims, payments, care & utilization management, payment integrity, and member en

‘All In on AI’: A Conversation with the HealthEdge® Vice President of Product Management 

As artificial intelligence (AI) rapidly transforms healthcare, many leaders are asking what it really means to go all in. For HealthEdge®, it means embedding practical, responsible, and...

The AI Conversation CTOs are Having Behind Closed Doors with Robert Duffy, CTO at HealthEdge

How Health Plans Can Scale Engagement with AI (and Why It Matters) 

Healthcare consumers are raising the bar for what they expect from their health plans. Members want experiences that are personalized, convenient, and responsive. Meeting these expectations across...

Enterprise AI for Health Plans: A Fireside Chat with HealthEdge® CTO Rob Duffy

AI is changing business operations across industries. See how HealthEdge® is integrating AI to automate workflows & improve business outcomes. Artificial intelligence (AI) is reshaping how...