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How Successful Health Plans are Transforming their Business
The health insurance industry is changing faster today than ever before. The constant introduction of new regulations, changing customer expectations, and the …
“What’s the culture like at HealthEdge?”
Having spent my career in Human Resources, this is a question candidates always ask me and I love the challenge of …
Participation rates of eligible providers for MIPS reporting and ACOs are above 90%, according to CMS in a blog post. It sounds good until one realizes that th…
Paying Your Tuition: Failure is the Tuition of Success
One of the most important life lessons my father taught me was that I would only succeed when I stopped fearing failure.
Quite simply failure is the tuitio…
You Can’t Lower Healthcare Costs or Improve Outcomes in a Siloed System
Everyone wants better outcomes and lower costs. It sounds good when people in the industry talk about achieving those ends, but the Triple Aim has been a goal …
Social Determinants of Health - What are Payers Doing?
Social Determinants of Health (SDOH) was a bleeding-edge concept 20 years ago but today, healthcare payers and providers are starting to incorporate SDOH facto…
Hundreds of health plan executives, sponsors and others assembled June 20 - 22 in in San Diego, CA to discuss and share with each other a wide variety of …
When it comes to agility and speed, a successful health plan must have it all to please its stakeholders. Gone are the days of the traditional, slow, steady in…
“The healthcare environment changes dramatically and very quickly,” according to Dave Mika, Director of Enterprise Core Systems Operations for non-profit insur…
To understand the priorities of leading health plans, HealthEdge Software, Inc., in partnership with Survata, an independent research firm, interviewed 73 heal…
Three Takeaways from the Medicare Advantage Leadership Innovations Conference
150 health plan executives, industry experts and vendors gathered in Phoenix, Arizona over two days April 10 and 11th to share experiences and ideas for succes…
How 3 Health Plans Took Unique Approaches to Lowering Administration Costs
Administration costs attributable to outdated technology and manual processes result in one of the biggest sunken costs in healthcare. For example, in 2016 the…
