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As a nurse, my passion and purpose have always been to make healthcare more accessible and improve the overall health of the communities I serve. And I know so…
Want to Transform? Start with People, Process and Technology
When it comes to business transformation, the biggest roadblock is often resistance to change.
In a former role, prior to working at HealthEdge, I was…
HealthEdge, in partnership with independent market research firm Upwave, recently conducted a survey of more than 220 health plan executives across t…
How Core Configuration Can Reduce a Health Plans PMPM
How many resources does it take to run the core configuration of your enterprise? What type of custom external tools are required to build and maint…
Regulatory Actions & Compliance Highlights Health Plans Need to Know
We had three very significant Final Rules in play at the end of last year. The first one, the CMS Interoperability Final Rules, was back in May. The Transparen…
To Remain Competitive, Health Plans Must Support Value-Based Care
I recently participated in an AHIP webinar, "Growth and Innovation with a Consumer-First Future," with HealthEdge customer Sal Gentile, CEO and Co-Founder of F…
Ten years ago, did you expect to see health plans processing claims in the cloud? It’s a significant shift the industry has experienced over the past decade.
…
Health Plan Executives Focused on Aligning IT and the Business
A recent survey of more than 220 health plan executives—conducted by HealthEdge in partnership with independent market research firm Upwave—revealed that …
A health plan’s internal culture can make or break an implementation.
As a business consultant, I have worked on several different implementations thr…
Realizing Investment Return Through Business Transformation Prioritization
A key variable in optimizing IT investment is the willingness and capacity to transform complex business processes and organizational structure. In short, the …
10 Ways for Payers to Keep Up with Healthcare’s Digital Disruption
The healthcare industry is striving to successfully leverage digital technologies to create more intelligent and responsive products and services, improve expe…
Professional Development: Emerging Leaders at HealthEdge
Nearly 125 employees have participated in HealthEdge's professional development program, now referred to as Emerging Leaders. Emerging Leaders is an experience…
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