The transition to value-based care and reimbursement is reshaping the healthcare landscape. Read HealthEdge's insights on value-based care.
Industry pressures like regulatory complexity and the shift toward value-based care demand that health plans take an integrated, strategic approach to care management. Whether payers are...
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See how over 450 health plan leaders are preparing for 2025!
Learn MoreRegulations are getting tougher, value-based care is expanding, and members now expect fast, seamless experiences. In this demanding landscape, achieving payment accuracy is more than just...
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Implementing value-based care has become crucial for many payers looking to enhance patient outcomes while managing costs. HealthEdge Source™ makes it easier for health plans to understand the...
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At HealthEdge®, when we think about value-based care, we think about it in two main parts: provider pricing and contracting, and member care delivery. It’s critical that your Core Administrative...
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Health plans are facing unprecedented challenges in accurately pricing claims due to a growing number of value-based payments and government regulatory requirements. As providers’ expectations for...
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“Healthcare organizations face increasing complexity in reimbursing care with value-based payments, self-funded business and more; however, claims-pricing software remains largely stagnant. U.S....
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From rapidly changing regulatory requirements and new competitive forces to changing payment models and rising consumer expectations, 2024 is shaping up to be another challenging year for health...
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For all the talk about value-based care models, few payers have actually discovered the secret to successfully deploying these types of arrangements with a significant portion of their provider...
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Recently, I had the privilege to catch Martin Makary, MD, a surgical oncologist, chief of the Johns Hopkins Islet Transplant Center, and author of The Price We Pay: What Broke American Health Care...
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In an era where healthcare costs continue to rise, the concept of value-based care has emerged as a game-changer in the health insurance industry. Value-based care focuses on achieving better...
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In the realm of healthcare, the transition to value-based care has become a crucial goal for both payers and providers. Value-based care focuses on improving patient outcomes while reducing costs,...
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The Evolution of Value-Based Care While the term “value-based care” has gained popularity, its widespread adoption has been slower than anticipated. It essentially represents different contracting...
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In our work with HealthRules® Payer clients, we have gained first-hand experience, supporting these plans with the technology they need to lead value-based care and healthcare transformation.
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In a recent webinar titled “Navigating Value-Based Care Through Technology and Automation,” Dr. Sandhya Gardner, MD, Chief Medical Officer at HealthEdge Clinical Solutions, and Mr. Jeff Rivkin,...
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This session dives into the critical elements shaping the future of healthcare, particularly the transition to value-based care and how technology can facilitate this shift.
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Discover how HealthEdge’s cutting-edge technology transforms health plans to optimize clinical workflows, improve member outcomes, and reduce costs through automation and data-driven insights. Join In
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Discover how HealthEdge’s cutting-edge technology transforms health plans to optimize clinical workflows, improve member outcomes, and reduce costs through automation and data-driven insights. Join In
Watch Video
As more contracts and policies shift toward value-based care and billing requirements, evolve, the opportunities for inaccurate payments increase...
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The days when fee-for-service was the only method of reimbursement are long gone. Health plans are adopting many variations of paying for value — known as value-based care...
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Founder & CEO Lucienne Ide of Rimidi Has a Vision for Value-Based Care That Truly Empowers Patients and Physicians To Achieve Continuous Care
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