Case Study: Modernizing with HealthEdge® to Drive Expansion

Case Study: Modernizing Care Management and Operations with HealthEdge® Solutions

The rapidly growing health plan’s strategy included expansion into a new line of business that would serve the Highly Integrated Dual Eligible (HIDE) and Fully Integrated Dual Eligible (FIDE)...

Case Study: Health Plan for Large Metropolitan Area Transforms Care and Operations with HealthEdge® Solutions

Case Study: Empowering Innovative Healthcare with Integrated HealthEdge® Solution

An innovative regional healthcare company had made numerous rapid business pivots that show remarkable agility.

Case Study: Digital Health Improves Care Transitions For Members With Multimorbidities

Demonstrating the value of digital health with a new methodology

A large Blues plan uses Wellframe Digital Health Management to Drive Care Management Capacity and Member Engagement

Report: Digital Care Management can help lower blood pressure by more than 9%

Report: Digital Care Management can help lower blood sugar by more than 25%

HealthEdge’s Provider Data Management

Optimize business operations by ensuring integrity of provider data used for upstream and downstream systems.

Infographic: 2024 HealthEdge Annual Payer Market Survey

Data Sheet: HealthRules® Payer Named “Best in KLAS®” Three Years in a Row

Infographic: The History of HealthEdge Source™ The Payment Accountability® Platform

Experts in managing complex CMS data for over 25 years. Partnering with top payers for 10+ years.

2024 HealthEdge Annual Payer Market Report

Access insights and strategies for healthcare payers in the evolving landscape with the 2024 HealthEdge Payer Market Report.

Infographic: A Member Journey After the No Surprises Act

The implementation of the No Surprises Act (NSA) has significantly transformed the healthcare landscape, particularly in how health plans manage regulatory mandates and ensure member satisfaction.

Data Sheet: Integrated Secondary Editing Solution Now Available to HealthRules® Payer Clients

Advanced secondary editing from HealthEdge Source™ helps reduce inappropriate claims before they are paid.

Data Sheet: Navigating the No Surprises Act - The Right Tools for Health Plan Success

The No Surprises Act (NSA) marks a significant regulatory milestone aimed at protecting consumers from surprise medical bills and enhancing transparency in healthcare.

Infographic: Future-Proof Claims Editing for Real Savings with Source Editing

EditingHealthEdge® listed as a Representative Vendor in the 2023 Gartner® How U.S. Healthcare Payer CIOs Can Future-Proof Claims Editing report.

Case Study: VillageCare