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 07, 2021
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
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
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
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
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
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
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
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 …
Blog Post June 02, 2021
Purpose-Driven Business Transformation
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…
Blog Post May 26, 2021
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…
Blog Post May 20, 2021
Increasing Membership is Top of Mind for Payers
HealthEdge, in partnership with independent market research firm Upwave, recently conducted a survey of more than 220 health plan executives across t…
Blog Post May 18, 2021
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…