HealthEdge helps transform health plans looking to grow, innovate and compete beyond any other core system today, making HealthEdge the market leading choice to help drive and facilitate change.
HealthRules enables health plans to confidently react to the latest regulatory shifts, competitive pressures, and opportunities for expansion and more to be successful.
The HealthRules® Payor core administration processing solution drives new levels of automation, speed and accuracy, enabling customers to reach unparalleled levels of operational efficiency in the face of shifting market dynamics.
HealthRules Payor® allows health plans to swiftly configure and launch new contract arrangements and benefit plans including value-based arrangements
Health plans need systems with built-in flexibility to quickly roll out new benefit plans and do so at a low cost. Legacy systems require time-consuming and costly customizations, which are difficult, if not impossible, to maintain.
HealthRules allows data exchange in real-time and easily integrates with all the systems in the IT ecosystem and infrastructure. HealthRules is vendor-agnostic and compatible with best-of-breed solutions.
To successfully compete in today’s market, health plans need next-generation technology and access to real-time analytics. Health plans need a reliable core administration system that is easy to maintain and provides operational data to make critical business decisions.
HealthEdge’s reimagined upgrade process provides customers with peace of mind. Take advantage of the latest innovations and technology with ease, incorporating standard new functionality frequently.
Because of the advantages of the HealthRules Language, the HealthRules Solutions Suite delivers health plans of all types and sizes the ability to quickly offer the innovative products the market demands, while simultaneously reducing administrative costs and increasing operational efficiencies.