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 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…
eBook December 01, 2020
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Value-Based Care Reimbursement- How we got here, what’s working, and who’s doing it well
Blog Post November 30, 2020
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The Path to Point-of-Service Payment Success
Imagine an expectant mother has high blood pressure and sees a specialist. After the visit, the provider submits the claim to her insurance plan, and from ther…
Infographic November 25, 2020
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Is Your Health Plan Adapting To Value-Based Care Reimbursement?