Riverside Health selects HealthEdge to Deliver a New Model of Medicaid Managed Care

Burlington, MA, June 21, 2012HealthEdge®, provider of the only modern, enterprise-class software platform for healthcare payors, today announced that Riverside Health, a Medicaid managed care organization based in Baltimore, has selected the HealthRules software platform to provide a new model of managed care to the Maryland area. Riverside Health will provide a myriad of products and services, while carefully controlling medical costs, using the HealthRules next-generation software platform.

“Riverside saw a need in the Medicaid managed care market for a progressive, forward-thinking organization that could provide agility, innovation, and transparency to its members while managing and controlling medical costs,” said José Vazquez, Vice President of Solutions for Riverside Health. “With HealthRules, we will be able to deliver a variety of innovative products and services and quickly adapt to any future market changes, all while operating in a very cost-effective way.”

HealthRules provides Riverside Health with state-of-the-art claims and benefit administration, business intelligence, and portal solutions that were designed to help them become one of tomorrow’s healthcare leaders. Using the HealthRules product suite, Riverside Health will be in a unique position to capitalize on the unprecedented growth opportunities presented by healthcare reform.

“Riverside Health is dedicated to offering a new approach to the Medicaid managed care market that will control administrative costs while providing a superior experience for its members,” said HealthEdge CEO Rob Gillette. “By choosing HealthRules, Riverside can realize its goal of market innovation, and position the company to take a leadership role in the new healthcare economy. We are excited that Riverside chose HealthRules as the cornerstone of its technology platform.”

Riverside Health is developing a progressive business model targeted at strong, local doctor-patient relationships through supportive care management strategies, innovative technologies, and attractive reimbursement models. By implementing HealthRules as their main operating platform, and with an adaptive and responsive attitude toward changing State policies and budgetary environments, Riverside looks to sit at the forefront of healthcare reform and the expansion of Medicaid services as they apply to payor organizations.

About Riverside Health

Riverside Health is a Medicaid managed care start-up with a team of seasoned healthcare executives having expertise in every discipline of the managed healthcare business. Riverside Health is agile, transparent, and responsive to all of its stakeholders. Through clinical innovation and unique collaborative relationships, Riverside Health strives to improve the healthcare delivery system for all. For more information, visit www.myriversidehealth.com.

About HealthEdge

HealthEdge® provides the only modern, enterprise-class software platform for healthcare payors. Using the patented HealthRules® software suite, health plans, health insurance companies, and other payors can finally respond to new business opportunities and market changes in hours, not months or years, while drastically reducing both IT and operational costs. Leveraging an investment of over $125 million, HealthRules is the most modern, scalable, and cost-effective technology in the industry. HealthEdge is the only choice for payors to survive and thrive in the emerging healthcare economy. For more information, visit www.healthedge.com.