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.
Info Sheet May 19, 2022
Impacts of COVID-19 to the D-SNP Market and Why Modern Technology is the Partner You Need Now
Blog Post May 19, 2022
‘Gold Card’ Approach to Prior Authorization No Hurdle for HealthEdge
States have been passing legislation in recent years to address the complaints of providers that they are subject to too many prior authorization requirements …
Blog Post May 17, 2022
7 Critical Risks to Successful Implementation
A successful implementation of our products begins with a strong foundational relationship between our health plan customers and HealthEdge. Our goal is for cu…
Blog Post May 12, 2022
Trends of 2022: Business Process as a Service (BpaaS)
An Intro to Business Process as a Service (BpaaS) BpaaS is the delivery of business process outsourcing (BPO) services as a cloud-based subscription service…
Blog Post May 10, 2022
Impacts of COVID-19 on Care Management in the Dual-Eligible Population
COVID-19 has highlighted weaknesses in our healthcare system and shone a spotlight on fault lines, especially for the most clinically and socially vulnerable l…
Blog Post May 05, 2022
Why Using Modern Technology is Critical to Serving the D-SNP Population
As the dual eligible population grows, Dual Eligible Special Needs Plans (D-SNPs) are also experiencing tremendous growth across the country. CMS reports that …
White Paper May 04, 2022
Reducing Incorrect Payments Between Payers & Providers in a Claims Wasteland
Blog Post May 03, 2022
State of the D-SNP Market
Within Medicare Advantage (MA), there are Special Needs Plans (SNP) with specialty cohorts that provide coverage for members who qualify for both Medicare and …
Info Sheet May 02, 2022
Using Source to Tackle Payment Processing Challenges...and Win!
Blog Post April 28, 2022
Public Health Emergency Clock Ticks Forward to July
As expected, the Biden administration extended the mid-April expiration of the Public Health Emergency (PHE) another 90 days, so the countdown again restarts f…
Infographic April 27, 2022
314 Billion Reasons Good Data Means Good Business
Blog Post April 26, 2022
CMS Opens Portal for IDR Under No Surprises Act
In the ongoing struggle to achieve clarity around how Surprise Billing regulations will work, the Centers for Medicare and Medicaid (CMS) opened a Federal IDR …