vendor
HealthEdge
ACAP Strategic Ally, AI Automation / Tech Enablement / Machine Learning, Appeals & Grievances, Care Coordination / Management Technology Solutions, Care for High Risk Members, Care Gap Closure Programs, Caregiver Engagement, Claims, Clinical Operations, Core Administration Processing Solutions (CAPS), Cost Containment & Care Management Solutions, Digital Engagement Technology, Disease Management, DSNP Launch, Electronic Payments, HEDIS - Gaps in Care / Quality / Compliance / Reporting, Integrated Care / Case Management IT Platforms, Interoperability, Medical Management, Member Assessments, Member Engagement, Modernization: Operations and Systems, Payment Integrity Operations, Population Health Management, Provider - Network Adequacy / Development / Data, Social Determinants of Health, Software Vendor, User Engagement Platforms, Utilization Management, Value-Based Care Consulting-Contract Design-Reporting and Performance
HealthEdge® is trusted to provide the technology and services that power health plans’ most important value streams. With an integrated platform of solutions spanning claims administration, quality improvement, prospective payment accuracy, provider network management, care management, member engagement and risk adjustment, HealthEdge enables health plans to converge their data so they can harness automation and the promise of AI. Combining this next-gen technology with services and expertise gives health plans unmatched capabilities to deliver a future of frictionless and cost-effective healthcare experiences. For more information, visit HealthEdge.com.
– HealthEdge Company Brochure
– Brochure: Empowering Health Plans to Advance Care Management with GuidingCare
– Explore additional content on the GuidingCare Solution Suite
– Watch this video to learn how Nascentia Health, a mission-driven LTSS organization, modernized its operations with HealthEdge’s GuidingCare platform
– Discover how one regional, provider-owned health plan addressed the challenges of outdated care management software systems. Learn more.
For more information:
Kevin M. Healy
Senior Vice President
Kevin.healy@healthedge.com
480.229.1914
470 Atlantic Avenue, 8th Floor
Boston MA 02210