HealthEdge Press Releases

HealthEdge® Partners with Ellipsis Health to Scale Care Management Through AI-Powered Virtual Nursing

Partnership brings autonomous, voice-based member outreach to health plans, to improve efficiency, member engagement and population health outcomes

HealthRules Payer Works with AWS to Set a New Scalability Benchmark, Expanding to Support Health Plans with More Than 40 Million Members

A single instance of HealthRules Payer has been proven to handle the claims volume of a plan with more than 40 million members while also reducing latencies for key transactions by more than 50%

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

HealthEdge Achieves HITRUST Risk-based, 2-year Certification to Manage Risk, Improve Security Posture, and Meet Compliance Requirements

HealthEdge today announced that it has achieved HITRUST r2 certification for demonstrating the highest level of cybersecurity and information assurance.

HealthEdge Awarded ‘Best in KLAS’ Designation for Pre-Payment Integrity

HealthEdge® announced its cloud-based payment integrity solution, HealthEdge Source™, has earned Best in KLAS recognition. Ranked as the market leader in the 2026 Best in KLAS Awards...

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

HealthEdge® Achieves NCQA Health Appraisal and Self-Management Tool Certifications for Digital Member Engagement Solution

HealthEdge® Achieves NCQA Health Appraisal and Self-Management Tool Certifications for HealthEdge Wellframe™ Digital Member Engagement Solution

Intensifying Regulatory Pressures Force Seismic Shift in Health Plan Concerns for 2026 According to HealthEdge Research

HealthEdge’s 2025 survey of 550 health plan executives reveals a major shift in payer priorities, with regulatory pressures and cost management topping the list. The report highlights strategies like

HealthEdge Awarded on TIME’s List of the World’s Top HealthTech Companies 2025

“Health plans are looking for new ways to handle rising costs and regulatory demands while meeting what their members expect,” said Kevin Adams, CEO of HealthEdge.

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

HealthEdge® and United Way of Hyderabad Expand School Transformation Initiative in India

HealthEdge®, through its Corporate Social Responsibility (CSR) initiative, in continued partnership with United Way of Hyderabad, has announced the successful transformation of the GHPS

HealthEdge Recognized as a Sample Vendor in 2025 Gartner® Hype Cycle™ for Provider Data Management and AI-Enabled Fraud Detection

HealthEdge®, a leading provider of next-generation core administrative processing systems, payment integrity, and care management solutions, has been recognized as a Sample Vendor in two categories of

Consumers Split on Health Insurance as ‘Partner’ or ‘Payer’ According to HealthEdge Research

HealthEdge Surveys of 4,500+ Consumers Measures Public Perception of Health Insurance and Reveals Gaps and Opportunities for AI to Transform Member Experience

HealthEdge Sets Course to Become an AI-Native Enterprise with Enterprise-Wide Migration to AWS

HealthEdge and Gynisus Bring AI-Powered Clinical Precision to Payment Integrity

Proven Agentic AI Model Powered by Gynisus Adds Speed and Accuracy to Adjudicating Claims for Coding Errors, Clinical Integrity and Medical Necessity

HealthEdge Launches AI-Driven Provider Data Management Solution to the Market

HealthEdge and ECHO Health Partner to Simplify the Healthcare Payment Process

BURLINGTON, MA AND WESTLAKE, OH, FEBRUARY 12, 2025 HealthEdge® and ECHO Health (ECHO®) have partnered to simplify and streamline the end-to-end payment process through the integration of...

Converging Healthcare: HealthEdge and Unite Us Partner to Deliver More Streamlined Whole-Person Care at Scale

Burlington, MA – [Feb. 4, 2025] – HealthEdge®, a leading provider of next-generation core administrative processing systems (CAPS) and care management solutions, and Unite Us, the nation’s leading...

HealthEdge® Achieves NCQA HEDIS® Allowable Adjustment Certification, Setting New Standard for Quality in Health Plan Care Management

Burlington, MA – [Jan. 22, 2025] – HealthEdge®, a leader in next-generation health management solutions, achieved its 5th consecutive NCQA HEDIS® Allowable Adjustment (AA) certification for a...