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 14, 2020
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Keeping Information Secure Remains Top Of Mind For Health Plans
Security incidents that involve customer or member data are completely debilitating for a health plan’s business. On average, a data breach costs hea…
Blog Post October 12, 2020
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Challenge The Inefficient Status Quo In Claims Administration
Today, many health plans use homegrown or legacy systems that assume manual work as part of the process. With limited automation and integration, organizations…
Blog Post October 08, 2020
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Systems That Easily Integrate Necessary For Improving Claims Accuracy Rates
Once a health plan finalizes a claim, they do not want to go back and fix it retroactively. Claims accuracy rates improve productivity, reduce errors, and are …
Blog Post October 06, 2020
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Regulatory Compliance For A Competitive Advantage
So many regulations are intertwined; health plans cannot ignore the ones that may seem insignificant. Every year these smaller regulation changes get bigger. …
Blog Post September 30, 2020
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Is Your Organization Open To Change?
If an organization is open to change, it will always result in a successful, smoother implementation of new technology. For those who are reluctant to chang…
Blog Post September 28, 2020
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An MVP Approach to Member-Centricity
As health plans continue to compete for membership, I have seen a shift in the market toward a focus on member-centricity. Health plans competing to aggressive…
Blog Post September 24, 2020
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Measuring IT Investment From A Risk Mitigation Approach (Rather Than ROI)
Most buyers of healthcare/health insurance IT are, by nature, risk-averse. There are very legitimate reasons for concern: IT infrastructure is expensive, compl…
Blog Post September 21, 2020
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The Ongoing Search to Reduce Costs, Increase Quality
Those working in health plan operations are always in the fury of the moment. They are focused on what is the next emergency. How many people is that going to …
Blog Post September 16, 2020
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Value-Based Care Requires Payer-Provider Collaboration
Payers are increasingly incorporating social determinants of health (SDoH)— biology and genetics, individual behavior, social environment, physical environment…
Blog Post September 14, 2020
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Leveraging Real-Time Data for a Meaningful Customer Experience
Health plans know that better member engagement can lead to improved health behaviors as well as enhanced customer satisfaction. That is why they are investing…
Blog Post September 10, 2020
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Medicare Advantage Plans – Keys to Success
There are several critical considerations for payers looking to build top quality, high-performing and competitive Medicare Advantage plans. Communication i…
Blog Post September 08, 2020
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Analytical Insights Critical for Smart Business Decisions
For health plans with limited resources, cost pressures continue to weigh heavy. Outdated technology and siloed systems can adversely impact operational effici…