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Data Sheet: Latest Innovations for Your HealthEdge Solutions - What’s New in 2023?

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As your world is constantly evolving, so are our solutions here at HealthEdge as we strive to help your organization meet the challenges of today - and tomorrow.

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At HealthEdge, our commitment to driving innovation is central to helping our health plan partners excel in a dynamic healthcare landscape. The second quarter of 2023 was a period of significant advancement across our core solutions, all designed to improve efficiency, reduce administrative costs, and elevate the member and provider experience.

HealthEdge Source is engineered to alleviate the complexities of claims processing for healthcare payers. By automating crucial steps, providing biweekly Medicare pricing updates, and offering first-pass pricing and editing, the solution enhances payment integrity. A KLAS survey of 8 individuals from 7 unique organizations reveals high overall satisfaction with the Source product.

  • 100% of interviewed customers are either "Highly satisfied" or "Satisfied."
  • 88% of customers would buy the product again.
  • 100% of customers consider the solution part of their long-term plans.

Key strengths highlighted by customers include:

  • Biweekly Medicare Pricing Updates: All customers noted the value of biweekly updates to the Medicare fee schedule, a significant improvement from previous annual updates.
  • Real-Time Processing: The ability to process claims in real-time was a major benefit.
  • Responsive Vendor: HealthEdge is recognized for listening to customer needs and demonstrating a willingness to adapt and invest in necessary changes.

Key Outcomes and Product Functionality

Customers have achieved significant outcomes with the HealthEdge Source solution. The platform's advanced technology and functionality are central to the innovation at HealthEdge.

Time to See Outcomes:

    • 50% of users saw outcomes within 6 months.
    • 43% saw outcomes immediately.

Achieved Outcomes:

    • Automated workflows and real-time processing were successfully achieved by 50% and 43% of respondents, respectively.
    • A single source of truth for editing was another key achieved outcome.

Key Functionality Adoption:

    • 100% of interviewed organizations use the biweekly update cycle.
    • The platform’s hierarchical design for contract configuration and its parallel processing capabilities are also core features.

Strategic Value and Future Outlook

The long-term viability of the Source solution is considered strong, largely due to HealthEdge's cooperative partnership model. The company's commitment to evolving its solutions based on customer feedback reinforces its position as a leader in healthcare technology innovation.

Opportunities for improvement were noted, including better implementation quality, more proactive service, and optimized Medicaid configurations. However, the overall sentiment remains positive, with customers viewing HealthEdge as a strategic partner dedicated to their success. By centralizing claims operations and providing transparent data, HealthEdge Source empowers payers to improve accuracy, increase end-to-end automation, and reduce administrative costs.