HealthEdgeACAP Strategic Ally, Appeals & Grievances, Care Coordination / Management Technology Solutions, Core Administration Processing Solutions (CAPS), Core Administrative System Implementations, DSNP Launch, Integrated Care / Case Management IT Platforms, Interoperability, LTSS/Dual Eligible Clinical Services, Medical Management, Mobile Engagement Solutions, Payment Integrity Operations, Population Health, Population Health Management, Utilization Management
HealthEdge® strives to innovate a world where healthcare can focus on people, advancing a digital transformation in healthcare through transaction automation and enabling real-time business and clinical engagement among payers, providers, and members. HealthEdge pursues this mission through the delivery of the HealthEdge Digital Platform, consisting of the health insurance industry’s leading cloud-based SaaS applications for core administration (HealthRules® Payor), payment integrity (Source), care management (GuidingCare®), and digital health management and consumer engagement (Wellframe). Offered individually and as an integrated suite, HealthEdge Digital Platform applications provide modern, disruptive healthcare IT solutions that enable health insurers to leverage new business models, improve outcomes, drastically reduce administrative costs, and connect key stakeholders in the healthcare delivery cycle.
For more information:
11800 Sunrise Valley Drive, Suite 1100
Reston, VA 20191