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Gartner cited HealthEdge as a Sample Vendor for its next-generation core administration system in its July 2019 Hype Cycle for U.S. Healthcare Payers Report, 2019 for the 9th consecutive year.*

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Peter Brown, Executive Director, Product Management & Development, Aetna

"Technology is what enables the entire architecture. It allows us to meet the needs of our primary constituents."

Peter Brown
Executive Director, Product Management & Development, Aetna
Featured Business Opportunity
Embrace Value-Based Reimbursement

The move to value-based care and value-based reimbursement is gaining momentum in healthcare and will only increase over time. Is your organization equipped to succeed in this new world?

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Value-Based Reimbursement: How we got here, what’s working, and who’s doing it well

Payers, providers, the U.S. government, and other entities have made initial investments in value-based reimbursement. And while these initial investments have, in some cases, made great strides in the march toward quality-based care, costs are still increasing, payers and providers are no closer to a trust-based relationship, and fee-for-service is still a large part of reimbursement.

Value-Based Reimbursement
White Paper
Medicare Lines of Business and the Challenges Payers Face

There are significant market forces impacting Medicare, both today and in the future. The rise of value-based reimbursement models along with innovative pilot demos is forcing a different awareness for providers and a changed reality for payers. Read how regulatory reform continues to provide a layer of uncertainty that directly impacts the ability for payers to plan ahead.

*Gartner Disclaimer: Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.


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Tufts-Harvard Pilgrim combo portends increased use of IT
VentureBeat August 13, 2019
HealthEdge’s Market Leading Solutions Propel Payer Success in 2019
Advisory Board August 08, 2019
MA enrollment is growing—and insurers are expanding their MA businesses to keep up


Conference May 12, 2020
Be the Change 2020