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.
The HealthRules Payor® allows health plans to swiftly configure and launch new contract arrangements and benefit plans including value-based arrangements
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, knowing that HealthEdge guarantees any custom code written or certified by HealthEdge will continue to function as documented with the latest versions of HealthRules Payor and HealthRules Connector.
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.
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 enables health plans to confidently react to the latest regulatory shifts, competitive pressures, opportunities for expansion and more to be successful