A Highmark WholeCare Success Story: Revolutionizing Medicaid Operations with HealthEdge

Discover how Highmark WholeCare transformed Medicaid operations with digital health technology and advanced payer solutions. This case study highlights their strategy for improving member outcomes and operational efficiency in a challenging Medicaid environment. Highmark WholeCare, a combination of Highmark Able Care and Highmark Health Options of Delaware, showcases how adopting a digital health plan enables more flexible service delivery for members and providers alike. The video explores their innovative health experience strategy and the importance of agility in meeting federal and state regulations. Key Outcomes: Increased auto-adjudication rates Lower transaction costs and improved payment accuracy Faster configuration for regulatory compliance Enhanced integration for authorization matching Learn how HealthEdge’s payer platform supported Highmark WholeCare’s growth strategy, delivering faster execution, better provider experiences, and streamlined operations. This success story provides valuable insights for health plans looking to navigate Medicaid challenges with digital transformation. Explore more at https://healthedge.com/ and discover payer solutions built for today’s healthcare landscape.