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HealthEdge CAPS Solution Chosen By Legato Health Technologies As It Enters BPaaS Space Serving Health Plans

(Burlington, Mass., Dec. 1, 2021) – HealthEdge said today it has formed a strategic partnership with Legato Health Technologies, providing multiple HealthEdge products for Legato’s entry into the BPaaS market supporting health plans.

“As Legato enters the BPaaS market, they have identified our solutions as best in breed due to  proven modern technology and market success,” said Steve Krupa, HealthEdge Chief Executive Officer. “We are honored that they have selected our capabilities over multiple platforms. Their vote of confidence ultimately translates to advantages for their health plan clients, including speed to market.”

The Legato BPaaS ecosystem will include the HealthEdge solution HealthRules Payor® (HRP) as its exclusive core administrative processing (CAPS) solution. HRP is the leading next-generation CAPS system providing transformational capabilities to health plans through operational efficiency and lower administrative costs. HRP is unlike any other CAPS solution because of its revolutionary approach to configuration, claims processing and transparency of information.

In addition to HRP, Legato will access the capabilities of two other HealthEdge solutions that are market leaders. Legato’s ecosystem will include the GuidingCare® product for care management and the Source® product for integrated pricing, claims editing and analytics. 

Legato is a Managed Service Provider that specializes in providing technology and business processes services to U.S. health plans. With the sole focus on the U.S. payer industry, Legato has been instrumental in delivering numerous innovative solutions across the payer value chain and in driving digital transformation that is reshaping the industry.

“Our partnership with HealthEdge to launch our BPaaS product holds a special promise for the healthcare services industry,” noted Rajat Puri, President of Legato Health Technologies. “This BPaaS product will offer health plans a cutting-edge platform through HealthEdge and Legato’s depth and breadth of expertise – a winning combination that will reduce cost of operations and improve MLR for health plans operating on legacy platforms today.”


About Legato

Founded in 2017 as a fully owned subsidiary of Anthem Inc., Legato Health Technologies is committed to transforming healthcare through operational excellence, innovation and digital transformation. With over 23,000 associates worldwide and growing quickly, Legato has the scale to effectively implement global operating models and drive digital transformations that help Health Insurers reduce cost and improve service delivery. Legato has a global footprint, with offices in Bangalore and Hyderabad in India, in Limerick, Ireland, Metro Manila and Iloilo in the Philippines. Follow Legato Health Technologies on LinkedIn.

About HealthEdge 
HealthEdge® offers the health insurance industry’s leading next-gen solution suite providing automation and seamless connectivity between all parts of a payer’s administrative and clinical systems. 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. Its next-generation enterprise solution suite is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or onsite deployment. In 2020, funds managed by Blackstone became the majority owner. HealthEdge and its portfolio of mission-critical technology assets for payers, including HealthRules Payor®, Source® and GuidingCare®, are collectively driving a digital transformation in healthcare. Follow HealthEdge on Twitter or LinkedIn.