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 September 01, 2021
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Value-Based Reimbursement: Collaboration Required to Lower Costs and Improve Care
Our recent consumer survey showed that 47% of the 3,000 respondents postponed care. And of that 47%, 55% delayed routine visits, 39% elective treatment, 32% es…
Video August 27, 2021
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HealthRules Language
Learn more about the advantages of the HealthRules Language™ that powers the HealthRules Solution Suite.
Video August 27, 2021
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Automation and Accuracy with HealthRules
Claims adjudication is one of the most crucial elements to a core administration processing solution, and its success depends on automation and accuracy. Learn…
Blog Post August 26, 2021
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Breaking Down Silos for Improved Member Experience
EHRs, mobile devices, wearables, claims data, and population health analytics can provide enough healthcare insight to improve outcomes at lower costs. But as …
Blog Post August 23, 2021
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Why Medicare Advantage Plans Have the Most Satisfied Members
While it may not have been a completely shocking revelation, I was excited to see one of the results of our recent survey of 3,000 consumers indicating that Me…
Podcast August 19, 2021
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Breaking Health, Episode #146
John Kao is a seasoned entrepreneur and executive. After beginning his career at FHP International, he then started four other companies in succession: Secure …
Blog Post August 18, 2021
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Promoting from Within: How Two Former Interns Climbed the HealthEdge Ladder
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Blog Post August 17, 2021
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Finding New Ways to Deliver Care, While Controlling Costs
Existing fee-for-service payment models are not scalable. Across the industry, there is an increasing emphasis on finding ways to deliver quality care while co…
Blog Post August 12, 2021
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Looking for an Internship? Three Steps You Can Take to Stand Out
People can work remotely from nearly anywhere in the world today, creating a broad market for internships and giving businesses a large, diverse pool of young …
Infographic August 10, 2021
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GuidingCare® Authorization Portal Smooth Out Processes and Strengthen Relationships
Blog Post August 10, 2021
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Understanding the Complexity of Healthcare Costs
In a recent survey of 222 health plan executives, when asked, “how do you think COVID-19 will impact health insurance premiums?” 29% said lower, and 25% s…
Infographic August 06, 2021
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Prospective Payment Integrity Improves Provider Relationships