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Data Sheet: What Sets Us Apart - Reimagined Upgrades

A health plan’s core administrative system sits at the center of its ecosystem and is vital to creating a competitive advantage.

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Embrace the Future with Health Plan Core System Upgrades

In an era where the healthcare payer market is rapidly evolving, HealthEdge is leading the charge with its innovative approach to core administrative software upgrades. Our flagship platform, HealthRules® Payer, stands out by minimizing the operational challenges and external costs associated with regular upgrades. Our SaaS Included Upgrade program leverages documented best practices to significantly reduce labor hours, lower risk, and expedite timelines—ensuring customers benefit from the latest innovations without incurring additional HealthEdge Professional Services fees.

Gain a Competitive Edge with Robust Systems

A health plan’s core system is central to creating a competitive edge. HealthRules Payer not only simplifies and optimizes upgrade processes but also ensures the latest features are readily accessible. This is vital in a fast-changing market where adaptation is crucial for success. The HealthRules Solution Suite, powered by the intuitive HealthRules Language™, allows for the seamless expression of complex health plans, transforming organizations and positioning them competitively.

HealthRules Payer also offers Upgrade Assurance, which guarantees that custom code—whether authored or certified by HealthEdge—remains functional post-upgrade at no extra charge. This service addresses the traditional risks and costs of maintaining custom code, making upgrades more frequent and less cumbersome. By integrating custom code into our Continuous Integration practice, HealthEdge ensures real-time maintenance and compatibility with new HealthRules Payer releases.

Upgrade Assurance: Secure and Cost-Effective

With automatic updates and real-time code remediation, our hosted customers benefit from reduced financial burdens and enhanced innovation. Self-hosted customers or those with externally built custom code can also take advantage of Upgrade Assurance by meeting specified requirements, further driving down costs and enabling quicker access to new features.

Join us in revolutionizing the healthcare payer landscape with HealthEdge’s reimagined approach to health plan core system upgrades. Our approach not only saves up to $600,000 annually in upgrade costs but also delivers high-quality custom code, faster upgrade timelines, and continuous improvement—all while empowering health plans to maintain a competitive advantage.

Experience the future of healthcare IT with HealthEdge and stay ahead in the competitive landscape by leveraging our advanced solutions. Learn more about how HealthEdge can transform your organization and sign up for our programs today.