Resources

Search or filter the Resources library to gain access to a rich set of content designed to provide insight into key topics impacting your business.
Infographic May 20, 2022
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SummaCare Case Study Infographic
Info Sheet May 19, 2022
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Impacts of COVID-19 to the D-SNP Market and Why Modern Technology is the Partner You Need Now
Blog Post May 19, 2022
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‘Gold Card’ Approach to Prior Authorization No Hurdle for HealthEdge
States have been passing legislation in recent years to address the complaints of providers that they are subject to too many prior authorization requirements …
Blog Post May 17, 2022
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7 Critical Risks to Successful Implementation
A successful implementation of our products begins with a strong foundational relationship between our health plan customers and HealthEdge. Our goal is for cu…
Blog Post May 12, 2022
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Trends of 2022: Business Process as a Service (BpaaS)
An Intro to Business Process as a Service (BpaaS) BpaaS is the delivery of business process outsourcing (BPO) services as a cloud-based subscription service…
Blog Post May 10, 2022
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Impacts of COVID-19 on Care Management in the Dual-Eligible Population
COVID-19 has highlighted weaknesses in our healthcare system and shone a spotlight on fault lines, especially for the most clinically and socially vulnerable l…
White Paper May 04, 2022
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Reducing Incorrect Payments Between Payers & Providers in a Claims Wasteland
Blog Post May 03, 2022
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State of the D-SNP Market
Within Medicare Advantage (MA), there are Special Needs Plans (SNP) with specialty cohorts that provide coverage for members who qualify for both Medicare and …
Info Sheet May 02, 2022
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Using Source to Tackle Payment Processing Challenges...and Win!
Blog Post May 02, 2022
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Why Using Modern Technology is Critical to Serving the D-SNP Population
As the dual eligible population grows, Dual Eligible Special Needs Plans (D-SNPs) are also experiencing tremendous growth across the country. CMS reports that …
Blog Post April 28, 2022
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Public Health Emergency Clock Ticks Forward to July
As expected, the Biden administration extended the mid-April expiration of the Public Health Emergency (PHE) another 90 days, so the countdown again restarts f…
Infographic April 27, 2022
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314 Billion Reasons Good Data Means Good Business