Data Sheet: EDGEcelerate™ - Optimize Your HealthEdge Solutions with Flexibility
Today’s health plans are navigating rapid change—evolving regulations, competitive pressures, product launches, and growing member and provider expectations.
Health plans today must navigate evolving regulations, competitive pressures, and increasing member expectations. To stay ahead, technology must evolve alongside the business. EDGEcelerate® is a flexible, subscription-based professional service designed to help health plans optimize their HealthEdge solutions, specifically HealthRules® Payer and GuidingCare®.
This service provides a dedicated allocation of Global Professional Services (GPS) support hours, allowing organizations to adapt and innovate faster without managing multiple contracts. By shifting from reactive projects to a proactive optimization strategy, EDGEcelerate helps maximize your technology investment.
Key Benefits of EDGEcelerate:
- Optimization-Focused: Move from one-off projects to a strategic approach that maximizes your technology investment.
- Flexibility: Use allocated hours across a wide range of initiatives with a single, subscription-based contract.
- Predictability: Gain faster access to expert resources and maintain greater control over your budget.
- Dedicated Expertise: Partner with a consistent team of HealthEdge product and industry experts who understand your business model and strategic goals.
Each engagement begins with an optimization assessment to evaluate current system configurations, workflows, and user engagement. This assessment forms the basis of a strategic roadmap to enhance system performance, streamline operations, and reduce costs.
Real-World Optimization Projects:
GuidingCare® Projects:
- Automate member and provider matching to accelerate approvals.
- Optimize case manager workflows to increase caseload capacity.
- Improve turnaround times on appeals and grievances to meet regulatory deadlines.
HealthRules® Payer Projects:
- Increase auto-adjudication rates to improve processing speed.
- Enhance payment and procedural accuracy to minimize errors.
- Improve authorization-to-claim matching to streamline operations.
By partnering with HealthEdge, you can transform challenges into opportunities, ensuring your organization remains agile, efficient, and positioned for scalable growth. Contact your HealthEdge Customer Success Executive to learn how EDGEcelerate can help you unlock the full potential of your HealthEdge solutions.
