Enduring Edge
Integrates technology, software solutions, and managed operations to unlock enduring financial performance for payers. By combining our AI-powered platform with operational execution, we deliver sustained performance improvements: reducing costs, managing risk, and strengthening margins over time. This is a true performance partnership, designed to guarantee long-term financial resilience and a durable competitive edge for payers.
The only BPaaS model that guarantees your financial edge
Most health plans run their operations across legacy systems, disconnected vendors, and manual processes, driving up costs and worsening outcomes.
Enduring Edge replaces that complexity with a single, fully managed delivery model that pairs HealthEdge's AI-powered technology platform with best-in-class operational expertise. We configure it, deploy it, and run it, so your team can focus on execution.
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Guaranteed financial outcomes
Contractually guaranteed PMPM savings, predictable costs, and accountability for measurable results.
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Risk-free transformation
HealthEdge takes full ownership from implementation through optimization, so your team unlocks outcomes, not risk.
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Built to scale
One platform, multiple lines of business, and flexible deployment models that grow and adapt with your business.
Continuous Performance
Across the Lifecycle
A continuous lifecycle that strengthens performance, improves outcomes, and delivers greater value over time.
Configure & Deploy
We configure and deploy the platform to your plan, fast and with minimal disruption.
Run & Manage
HealthEdge runs and manages day-to-day operations against outcome-based SLAs.
Measure & Improve
We continuously measure and improve performance to compound your financial edge.
HealthRules® Edge
The industry-leading core administrative processing system, delivering 90–97% first-pass auto-adjudication.
Payment Accuracy Edge
Prospective payment integrity that helps health plans pay accurately in real time.
Revenue Align Edge
Real-time risk adjustment that captures accurate risk across the enterprise.
Clinical Edge
The nation’s most widely adopted care management platform for whole-person care.
Provider Atlas Edge
Clean provider data, less friction, and stronger compliance across the enterprise.
A Third Path to Payer Transformation
Systems modernization has forced health plans into a false choice: incremental change or inaction — both increases operational risk over time.
Enduring Edge offers a third path: uniting an AI-powered platform with proven, end-to-end operations to deliver an enduring financial edge.
Find your
Enduring Edge
Discover how much your organization can save with Enduring Edge by answering our short questionnaire.
By the numbers
Proven to perform for health plans
Not sure which delivery model
is right for you?
Business Process as a Service
Enduring Edge is the full realization of HealthEdge’s BPaaS offering, delivering sustained, compounding financial performance for payers over time.
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Managed Operations & Technology
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Outcome-Based SLAs
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Fastest Path to Value
Enterprise Platform as a Service
Goes beyond software to provide a risk-free implementation of an integrated operating environment, connecting technology, workflows, and domain expertise.
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You Run the Platform
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Cloud-Native and Configurable
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HealthEdge Manages Hosting & Integration
Frequently
Asked Questions
Enduring Edge is HealthEdge’s Business Process as a Service (BPaaS) delivery model — HealthEdge runs your core operations on our AI-powered platform and guarantees the financial outcomes.
Integration Edge (EPaaS model) provides the technology ecosystem while the health plan runs operations. Enduring Edge (BPaaS model) combines the platform with managed operational delivery and accountability for financial outcomes.
Yes. Enduring Edge is built around outcome-based SLAs, so accuracy, savings, and service levels are contractually committed.
No. HealthEdge configures, deploys, and runs the model so your team can focus on execution rather than transformation risk.
Enduring Edge is the fastest path to value — HealthEdge handles implementation through optimization so outcomes arrive sooner.