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 July 27, 2021
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Payer-Provider Collaboration in an Uncertain Environment
There is a lot of uncertainty in healthcare today. Health plans like to know what the risk is and manage the risk. And when that risk is uncertain, it is …
Blog Post July 21, 2021
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Cloud-Based Solutions Improve Efficiency
Industry consolidation is one of the biggest trends in the payer space right now. National health plans might acquire other regional plans or enter a new line …
Blog Post July 14, 2021
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And the Health Plan IT Survey Says!
A recent study of 245 IT executives at leading health insurance companies revealed that larger health plans are interested in consolidating core syst…
Blog Post July 11, 2021
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Partnerships that Drive Quality Care and Improve Patient Outcomes
Like any other organization, communication is crucial for health plans to serve their mission: deliver the best care for their members and improve health …
Blog Post July 07, 2021
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In a Digital World, Lessons Healthcare Can Take from the Financial Industry
One of the biggest problems the healthcare industry must overcome is learning to communicate in a digital world. Our systems all speak in different languages, …
Blog Post July 01, 2021
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How Can Medicare Advantage Plans Gain Members in a Competitive Market?
11,000+ baby boomers turning 65 every day and become eligible for Medicare. The Centers for Medicare and Medicaid Services (CMS) predicts that Medicare enrollm…
Blog Post June 24, 2021
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Payment Integrity: Can We Get It Right?
Payers are investing in Payment Integrity practices more than ever before, but inaccuracies continue to plague the healthcare system—contributing to the estima…
Blog Post June 22, 2021
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Improve Transactions, Enhance Member and Provider Relationships
Every day, the limitations of legacy systems cause health plans to waste money and time fixing improper payments, leading to strained budgets and relationships…
Blog Post June 17, 2021
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Regulation: Innovation Springboard Rather Than Compliance Checkbox
The industry traditionally has addressed compliance requirements by solving for the Rule and waiting for specifics to come out of CMS, or other agencies, befor…
Blog Post June 15, 2021
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Business Process as a Service, Redefining the Future Health Plan Operations Model
An uptick in the market trending over the past three years is the Business Process as a Service (BPaaS) model, where health plans outsource their platform and …
Blog Post June 09, 2021
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Voice of the Customer Drives Innovation
I've worked in the healthcare industry for over 30 years and with Burgess for a little over ten years. At Burgess, we strive to anticipate the clients' needs b…
Blog Post June 07, 2021
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Doing Well by Doing Good
HealthEdge CEO Steve Krupa and I both graduated from The Wharton School at the University of Pennsylvania. Benjamin Franklin, who founded the institution that …