vendor
HealthEdge
ACAP Strategic Ally, Appeals & Grievances, Artificial Intelligence, Care Coordination / Management Technology Solutions, Care for High Risk Members, Care for High Risk Populations, Care Gap Closure Programs, Care Management, Caregiver Engagement, Claims, Clinical Operations, Core Administration Processing Solutions (CAPS), Core Claim Administration Software for all Lines of Business, Digital Engagement, Digital Engagement Platforms, Disease Management, DSNP Launch, Electronic Payments, HEDIS, HEDIS / Gaps in Care, HEDIS / Quality, HEDIS Compliance and Reporting, Integrated Care, Integrated Care / Case Management IT Platforms, Interoperability, Interoperability Compliance, Medical Management, Member Assessments, Member Engagement, Mobile Engagement, Modernization: Operations and Systems, Patient Engagement, Payment Automation, Payment Integrity Operations, Population Health, Population Health Management, Provider Data Curation & Management, 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.
Transform Care Management with Digital Member Engagement
Empowering Health Plans to Advance Care Management with GuidingCare®
GuidingCare – Care Management Software Benefits
Company Overview – Coverage without Limits
HealthEdge® Care-Wellframe – An Integrated Care Management Experience
Case Study: How a Regional Health Plan Unified Care Management with HealthEdge
Operating on multiple care management platforms forced this multi-line health plan to duplicate workflows, reporting, and compliance processes. With guidance from HealthEdge Global Professional Services, they successfully consolidated operations onto a single GuidingCare® instance, thus streamlining processes, improving staff efficiency, reducing costs, and simplifying compliance reporting.
For more information:
Kevin M. Healy
Senior Vice President
Kevin.healy@healthedge.com
480.229.1914
470 Atlantic Avenue, 8th Floor
Boston MA 02210