Gartner Reports Next-Gen CAPS Technology Will Be Standard By 2024
Unlike legacy systems, Next-Gen CAPS like those offered by HealthEdge integrate seamlessly with third-party applications, offering more interoperable data and …
Why Prospective Payment Integrity Solutions Are Must-Have Tech for Health Plans
What are Prospective Payment Integrity (PPI) solutions anyway?
PPI solutions enable health plans to proactively avoid paying claims improperly. T…
Advancing Care Management Through Digital Transformation
Stuart Myer, Chief Information Officer, VillageCare, a community-based, not-for-profit organization in New York, recently joined HealthEdge leaders Christine D…
5 Steps to E-Board Technology Investment Buy-In For Safety Net Health Plans
Leveraging his experiences as the Chief Information Officer at VillageCare, Stuart Myer discusses successfully attaining executive board buy-in for long-term t…
In 2022, HealthEdge once again commissioned an independent survey of health insurance executives to capture and monitor perspectives regarding current challeng…
Contract Modeling: The Key to Fostering a Positive Health Plan-Provider Relationship
The ‘pay and chase’ model of reimbursement is prevalent in the health care industry. This means many health plans know and accept the fact that payments to pro…
We all get the emails – mid-year check-in, annual reviews. These performance reviews are designed to help us continuously grow and develop throughout our caree…
Big Changes in the Biggest Challenge Facing Health Plans Today
Managing costs and improving operational efficiencies jump to the top of the list in 2022 Health Plan Market Survey
Every year, we conduct a survey of hund…
Digital Transformation: Research Reveals It’s a Top Priority for Health Plan CEOs and CIOs This Year
Each year, HealthEdge surveys hundreds of health plan leaders to better understand the market’s top priorities and business challenges. This year’s study captu…
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