The 'Edge Report

Get the latest perspectives on healthcare issues from a panel of contributors from both inside and outside HealthEdge. Visit often or subscribe to stay up to date.

Blog Post October 13, 2021
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Improving Care with Proven Methods of Member Engagement
Social Determinants of Health (SDOH) have a significant impact on a person’s overall health. Payers and providers are coming to realize that they can manage ri…
Blog Post October 11, 2021
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Supporting our Customers from Implementation and Beyond
Difficult implementations have led to the demise of many care management solution vendors. Sometimes success can be a vendor’s worst enemy. If they pick up too…
Blog Post October 06, 2021
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The 5 Big Fails of DIY Software: #2: Letting Your Legacy System Hang On
At HealthEdge, we frequently hear from health plan executives struggling with homegrown legacy solutions that have become obsolete. Their users have developed …
Blog Post October 05, 2021
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Customers Influence Significant Development in Digital Health Technology
Much of the GuidingCare product roadmap has been influenced by our customer’s experience. We have something called ride alongs, where we go with our client…
Blog Post September 29, 2021
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The 5 Big Fails of DIY Software: #1 Getting Out of Your Lane
More than ever, health plan executives see their IT and business strategies as deeply intertwined: According to Accenture Research Global Survey 2021, …
Blog Post September 22, 2021
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How Successful Health Plans Transform Their Business
The health insurance industry is constantly evolving with the introduction of new regulations, the need to adopt value-based reimbursement (VBR) models, and ch…
Blog Post September 20, 2021
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Enabling the Why
We speak early and often about why we do what we do. We want to help people live the best lives they can, no matter their circumstances. We help care managemen…
Blog Post September 16, 2021
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Understanding the Intent Behind the No Surprises Act
We have an Interim Final Rule for the No Surprises Act, referred to as Part I. The comment period closed on September 7, 2021. This is the administrative pi…
Blog Post September 14, 2021
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People, Process, Technology—A Cliché That Still Rings True
With a track record of selling core/claims administration technology to health plans for more than 30 years, I’ve heard all the reasons as to why health plans …
Blog Post September 08, 2021
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Tri-Agencies FAQ: What Health Plans Need to Know
Tri Agencies published a Frequently Asked Questions (FAQ) document on August 20, 2021, addressing the Transparency in Coverage (TiC) Machine-Readable Files (MF…
Blog Post September 01, 2021
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Value-Based Reimbursement: Collaboration Required to Lower Costs and Improve Care
Our recent consumer survey showed that 47% of the 3,000 respondents postponed care. And of that 47%, 55% delayed routine visits, 39% elective treatment, 32% es…
Blog Post August 26, 2021
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Breaking Down Silos for Improved Member Experience
EHRs, mobile devices, wearables, claims data, and population health analytics can provide enough healthcare insight to improve outcomes at lower costs. But as …