Insights

Search or filter the Insights library to gain access to a rich set of resources designed to provide insight into key topics impacting your business.
Blog Post January 12, 2021
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Opportunities, Collaboration and Innovation in 2021
The biggest issue facing payers today is that their business changes every year. The pressure to develop reimbursement methodologies with providers that accoun…
Blog Post January 07, 2021
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Healthcare is an Industry of Change, Are You Prepared?
Many people have said that there has been more change now than ever before within the healthcare industry. However, if one reviews history, healthcare has been…
Blog Post January 05, 2021
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How Health Plans Capture New Business in a Competitive Landscape
Successful health plans are focused on expanding membership, increasing revenues, and controlling administrative costs. However, administration costs attributa…
Blog Post December 30, 2020
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Patient or Member? How About Calling Them Customers?
What are individuals called in a health plan? Members. What are people called when they meet with a provider? Patients. What is an individual person referred t…
Blog Post December 22, 2020
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Building a Winning Culture
I joined HealthEdge seven years ago when, like most startup organizations, we were primarily focused on our mission, products, and exciting our customer base. …
Blog Post December 18, 2020
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2020 Recap: Key Factors Impacting Payers
Blog Post December 16, 2020
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A Possible Survival Guide for Regional Health Plan Expansion?
Regional health plans have generally flourished in the respective local markets that they have served. However, regional health plans only “extended” as far as…
Blog Post December 14, 2020
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Payment Integrity in 2020 and Beyond
Health plans with legacy systems, disjointed workflows, and paper-based anything struggled to handle the sheer volume and veracity of new care and pa…
Blog Post December 08, 2020
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In Today’s World, Health Plans Must Be Agile
Changes to the health insurance industry have been traditionally very slow. However, the global pandemic has forced health plans to move forward with decisions…
Infographic December 08, 2020
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Seize The Opportunity In Expanding Your Medicare Advantage Plan Business
Blog Post December 06, 2020
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Three Tips For Building Technology Training Programs
Earlier in my career, I handled implementations for a software vendor and noticed a common occurrence among customers that is still prevalent today. The first …
Blog Post December 02, 2020
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Regulatory Highlights that Health Plans Should Know
The Patient Access API and the Provider Directory API will be enforceable on July 1, 2021. HealthEdge is confident that we will have our standardized data requ…