CareGuide Selects HealthEdge™ for Next Generation Integrated Health Management Solution
Burlington, MA, April 9, 2007 — HealthEdge, a pioneering healthcare software company, today announced that CareGuide, a leading innovator in population health management services, has purchased HealthRules™. HealthRules is HealthEdge’s revolutionary platform for health payors designed to deliver unprecedented levels of flexibility, scalability and ease-of-use in lowering costs while delivering better-quality, more-personalized healthcare.
CareGuide will use the entire HealthRules suite, including HealthRules Payor™ and HealthRules CareManager™, powered by Click4Care. CareManager is an intuitive medical management application that supports the entire care continuum by providing care managers with a patient-centric data repository to help them manage member populations more efficiently.
“CareGuide is directly focused on building a model for health management that will allow our customers to provide for their members the kind of smart, integrated and personalized care they deserve, and set the standard for the next generation of disease and care management services,” said Chris E. Paterson, president and chief executive officer of CareGuide. “HealthEdge shares our vision for bringing 21st century technology and business practices to a healthcare system that is, in many ways, bogged down in decades-old approaches to managing care. Together, we will demonstrate that the future has already arrived for health plans that are ready to seize the initiative and start providing the kind of services that will be tomorrow’s norm.”
CareGuide will implement HealthRules enterprise-wide on an application service provider (ASP) basis and will deploy the complete HealthRules suite, supporting a wide range of critical functions, including claims processing, care management, business intelligence, benefit design and provider contract management.
“At HealthEdge, our mission is to bring an innovative, best-of-breed approach to care and benefit management and help payors deliver better quality care while effectively reducing costs,” said Rob Gillette, chief executive officer of HealthEdge. “The CareGuide relationship is exciting for us because we share a common vision and are eager to work together to bring innovation to the forefront of the healthcare system. Using HealthRules, CareGuide will be able to operate with a level of agility and flexibility the industry has never seen, allowing it to continue to raise the bar for care and disease management.”
HealthRules is a multi-module platform designed to allow flexible and scalable administration of health plan operations, from care management to analytics to contract and claims management. Based on a service-oriented architecture (SOA) that provides unprecedented levels of automation and seamless transactions between payors and their provider and member constituencies, HealthRules is the result of a six-year, $100 million state-of-the-art development effort. The platform offers a unique combination of enterprise-class scalability and reliability with the flexibility and functionality to support payors of all sizes as they deploy new business models in the increasingly consumer-driven healthcare industry. The system fully integrates care and disease management, benefit and provider contract design, and claims processing, enabling payors to meet the widest range of market requirements.
Headquartered in Coral Springs, Florida, CareGuide is a national disease and care management company serving the health and benefit plans of managed care organizations, employers, unions, third party administrators and government customers. Understanding that health status is dynamic and encompasses physical, mental and social qualities, CareGuide focuses on total population health management. The Company employs a unique scientific approach to identify members of its clients’ populations who are at risk for medical destabilization, loss of productivity and high claims expense. Through flexible, evidence-based and member-centric interventions that are matched to the individual’s holistic health needs, hospital admissions are prevented and quality of life is enhanced. CareGuide distinguishes itself by combining high human touch with technology to assist chronically ill members in self-managing their health. Visit www.careguide.com for more information.
HealthEdge Software, Inc. is an agile and innovative software company serving payor organizations and benefit administrators seeking to innovate in a rapidly changing industry. Health plans, TPAs, PPOs, insurance companies and employer groups improve business performance and beat their competitors to market with new business models using HealthEdge products. HealthEdge provides HealthRules, the only health plan administration software in the market today built to address the challenges of the consumer-driven healthcare industry using the best in modern enterprise technology. For more information, visit our website at www.healthedge.com.
Click4Care provides innovative medical management software that dramatically improves healthcare for payors, providers and patients. Its award-winning ThinkHealth product suite drives enterprise-wide changes in the processes and business models of healthcare delivery, which enables providers to reduce costs and improve the quality of care patients receive. Some of the world’s most progressive health insurance providers rely on ThinkHealth for a more consumer-driven approach to medical management. Today, millions of Americans are benefiting from ThinkHealth’s best-of-breed technology and medical management content. For more information, visit www.click4care.com.