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 December 22, 2020
Building a Winning Culture
I joined HealthEdge seven years ago when, like most startup organizations, we were primarily focused on our mission, products, and exciting our customer base. …
Blog Post December 18, 2020
2020 Recap: Key Factors Impacting Payers
Blog Post December 16, 2020
A Possible Survival Guide for Regional Health Plan Expansion?
Regional health plans have generally flourished in the respective local markets that they have served. However, regional health plans only “extended” as far as…
Blog Post December 14, 2020
Payment Integrity in 2020 and Beyond
Health plans with legacy systems, disjointed workflows, and paper-based anything struggled to handle the sheer volume and veracity of new care and pa…
Blog Post December 08, 2020
In Today’s World, Health Plans Must Be Agile
Changes to the health insurance industry have been traditionally very slow. However, the global pandemic has forced health plans to move forward with decisions…
Blog Post December 06, 2020
Three Tips For Building Technology Training Programs
Earlier in my career, I handled implementations for a software vendor and noticed a common occurrence among customers that is still prevalent today. The first …
Blog Post December 02, 2020
Regulatory Highlights that Health Plans Should Know
The Patient Access API and the Provider Directory API will be enforceable on July 1, 2021. HealthEdge is confident that we will have our standardized data requ…
Blog Post November 30, 2020
The Path to Point-of-Service Payment Success
Imagine an expectant mother has high blood pressure and sees a specialist. After the visit, the provider submits the claim to her insurance plan, and from ther…
Blog Post November 23, 2020
Health Plans Bring Innovation to The Forefront In Strategic Planning
With the rise of telehealth and virtual care, innovative ideas are getting a big push forward in 2020.  I recently moderated a webinar with HealthEdge …
Blog Post November 19, 2020
Provider Satisfaction: A Consistent Pain Point for Health Plans
Just about every health plan that I have talked to in my career is currently experiencing, or has had experienced, problems keeping their provider population a…
Blog Post November 17, 2020
As Medicare Advantage Grows in Popularity, Health Plans Must Meet Market Demands
According to Medpac, the country's baby-boom generation (born between mid-1946 and 1964) began aging into Medicare in 2011 at a rate of about 10,000 peopl…
Blog Post November 12, 2020
IT Leaders Agree: For Successful Investments, Align Tech and Business Goals
Technology, especially next-generation technology, plays a massive role in allowing health plans to embrace change, innovate, and remain competitive. However, …