BURLINGTON, Mass.—June 16, 2020 —HealthEdge®, provider of the industry’s leading integrated financial, administrative and clinical platform for health insurers, announces Avera Health Plans has selected the company’s HealthRules® Payor solution to streamline current business operational processes, allowing the health plan to stay current and competitive with the latest market developments.
“Avera Health Plans was seeking a more sophisticated core claims solution, bringing flexibility to change, automate processes and improve efficiencies to better serve our members. We look forward to being able to support new alternative provider payment contracts that we haven’t previously captured,” said Lisa Carlson, Chief Operating Officer, Avera Health Plans.
Avera Health Plans, founded in 1999, is dedicated to helping the 122,000 members it serves in the communities of South Dakota, Nebraska, and northwestern Iowa by providing cost-effective, innovative health plans including Medicare beneficiaries, and federal marketplace members.
“Avera Health Plan’s selection of HealthRules was a true team effort by everyone involved and demonstrates a dedication to providing Avera Health Plans with both ease of integration within its current ecosystem and the opportunity to expand functionality to meet administrative needs both now and in the future,” said Steve Krupa, HealthEdge’s Chief Executive Officer. “We are thrilled Avera Health Plans has joined the HealthEdge community and look forward to helping it better serve its members through leading technology that positions them for continued success in the future.”
HealthEdge® provides modern, disruptive healthcare IT solutions that health insurers use to leverage new business models, improve outcomes, drastically reduce administrative costs, and connect everyone in the healthcare delivery cycle. Our next-generation enterprise solution suite, HealthRules®, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or onsite deployment. An award-winning company, HealthEdge empowers health insurers to capitalize on the innovations, challenges and opportunities that await in the new healthcare economy. For more information, visit http://www.healthedge.com.
Gail Winslow, HealthEdge