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.
Blog Post June 24, 2021
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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
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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
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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
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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 …
eBook June 10, 2021
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Next-Generation Technology Solutions for Health Plans Serving Government Lines of Business
Blog Post June 09, 2021
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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…
eBook June 07, 2021
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The Next Generation of Payment Integrity
Info Sheet June 07, 2021
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Medicaid: The Payment Accuracy Challenge
Blog Post June 07, 2021
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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
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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
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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…
Podcast May 25, 2021
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Breaking Health, Episode #143
As a former Partner at Deloitte, Rajeev Ronanki established and led Deloitte's Life Sciences and Healthcare Advanced Analytics, Artificial Intelligence, and In…