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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…
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…
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 …
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…
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, …
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…
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…
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…
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 …
Tri Agencies published a Frequently Asked Questions (FAQ) document on August 20, 2021, addressing the Transparency in Coverage (TiC) Machine-Readable Files (MF…
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…
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 …
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