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 July 11, 2022
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Health Plans Must Modernize Technology to Succeed
Case Study July 11, 2022
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Case Study: McLaren Health Plan
Info Sheet July 11, 2022
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HealthEdge Differentiatiors: Operational Efficiency
Blog Post July 07, 2022
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First Inklings of Inflation Reach 2023 Health Cost Calculations
Anticipating inflationary pressures around healthcare costs, the IRS has spiked limits for 2023 on Health Savings Accounts (HSA) by 5.5 percent, much higher th…
Video July 06, 2022
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Friday Health Plans Talks Scalability with HealthRules Payor
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Blog Post July 05, 2022
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The Future of Clinical Interoperability
Interoperability Challenges and Recommendations  Introduction The U.S. Department of Health and Human Services (HHS) aims to have an interoperable h…
Blog Post June 30, 2022
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5 Tips for Developing Empathy in the Workplace
The Importance of Leading & Living with Empathy  When people feel cared for, valued, and supported, they tend to: Perform better Have stro…
Infographic June 30, 2022
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The Importance of Open and Flexible Care Management Systems
Blog Post June 23, 2022
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ACA and Medicaid Membership Cliffs Loom for Fall and Year-End
There’s likely to be movement among Medicaid and Affordable Care Act (ACA) membership as the nation seems to be inching toward the end of the pandemic, at leas…
Blog Post June 21, 2022
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Guide to RFP Evaluation: Payment Integrity Vendors for Health Plans
Step 2: Evaluating Vendor RFPs “Improper claims payment and fraud contribute more than $200 billion to the annual cost of U.S. healthcare…”.1 Here’s what he…
Blog Post June 16, 2022
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How to Achieve Claims Automation for Health Plans
Step 1: Objectively Measure Impact of “Stacking” vs Prospective Payment Integrity With complementary access to Gartner® research, Adopt Prospective Payment …
Video June 14, 2022
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Why Better Data Wins: The Importance of Good Data in Claims Payment Processing
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