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About HealthEdge HealthEdge

WEBHealthEdge® was founded in 2005 to deliver a next-generation Core Administrative Processing System – one that would not only increase accuracy and efficiency but also …

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URL: https://healthedge.com/about-us/

Payer Solutions HealthEdge

WEBCare-Payer Integration. HealthRules® Payer is even more powerful when combined with GuidingCare®. Our unique Care-Payer Data Exchange solution provides the API-based …

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Altruista Health and Healthwise Power Up Clinical Tools to Serve …

WEBIntegrated best-in-class platforms deliver clinical information for proactive member management (RESTON, Va. – Feb. 9, 2021) – Altruista Health, a Health Edge …

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Healthcare SaaS To Accelerate Digital Transformation HealthEdge

WEBHealthEdge® solutions – deployed as standalone next-generation SaaS or together as an integrated platform – help payers accelerate their digital transformation and position …

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Value-Based Care in 2024: Navigating Trends, and Challenges

WEBHealthEdge Horizons: Value-Based Care in 2024. February 27, 2024. Alan Stein. From rapidly changing regulatory requirements and new competitive forces to …

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Digital Care Management: A Complete Platform

WEBDigital Care Management. Our comprehensive Digital Care Management platform offers proven, scalable solutions for engaging your highest-risk members through digital care …

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GuidingCare Care Management Platform HealthEdge

WEBThe GuidingCare® solution suite provides easy-to-use, next-generation data integration and workflow management tools that help you operationalize an evidence-based, person …

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HealthRules Payor

WEB4 | HealthRules Payor Opportunities for expansion > With HealthRules, customers enjoy flexible structures for accounts, benefits, providers, networks, and value-based …

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Better Member Engagement Through Digital Care Management

WEBMember Experience. Wellframe Digital Care Management and Digital Customer Service solutions extend the reach of your staff to engage more fully with members and better …

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End-to-End Integration in Health Insurance: The Path to Efficiency

WEBToday, health insurers are revisiting the concept of integration, but in a different way. Integrated end-to-end solutions are gaining traction, offering the best of …

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HealthEdge In The News

WEBCare Management Workflow Solutions . GuidingCare®, our Care Management Workflow solutions, starts with the nation’s most widely adopted care management platform – and …

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HealthEdge Completes Acquisition of Altruista Health

WEBBurlington, MA, and Reston, VA, December 29, 2020 – HealthEdge Software, Inc.® (“HealthEdge”), provider of the industry’s leading integrated financial, …

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Understand Regulatory Compliance for Health Plans in 2023

WEBIn 2023, NCQA’s health plan ratings include commercial, Medicare, and Medicaid health plans. The rating is a weighted average of a plan’s HEDIS® and …

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Healthcare Payers & Providers: 2024 Wins, Losses & Trends

WEB2023-2024 Wins, Losses & Future Trends in the Health Payer-Provider Relationship. October 19, 2023. Sophia Moran. The complex relationship between …

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Dental Plan Administration Solution HealthEdge

WEBUnder that business model, high throughput, accuracy and efficiency are essential to keeping costs down – and ensuring your success. Equally important is the ability to …

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US Offices HealthEdge

WEBUS Benefits. We invest in our employees and listen to their feedback to provide benefits that truly matter to support their physical, emotional, and financial health. On behalf of …

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HealthEdge Completes Acquisition of Wellframe

WEBWellframe represents the third strategic acquisition by HealthEdge over the past 20 months. Ram Jagannath, Global Head of Healthcare for Blackstone, said, “The …

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Payer Solutions Software: 6 Must-Haves in Modern Healthcare

WEBImprove payment accuracy. Payer solutions software must be able to help health plans increase efficiencies within their claims payment operations to not only …

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UST HealthProof and HealthEdge Announce Multiyear Strategic …

WEBPartnership will Reduce Costs, Lead to Greater Innovation, and Improve Customer Satisfaction. Aliso Viejo, CA – March 10, 2021 – UST HealthProof, a UST …

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