HealthEdge’s HealthRules Payor® Ranked #1 in CAPS and named ‘Best in KLAS’
HealthEdge Software, provider of the industry’s leading next-gen integrated solution suite for health insurers, said today its HealthRules Payor® solution has …
Improving member health with predictive risk modeling
Smokers, on average, die 10 years younger than nonsmokers. But that’s just one data point. What happens when you consider all the data that composes the fabric…
The Balance Billing Protections of the No Surprises Act, passed in late 2021, went into effect on January 1, 2022. This law provides federal protection to cons…
HealthEdge will host IMPACT Spring 2022 on Thursday, March 31, from 1 p.m. to 4 p.m. ET. This virtual event is your opportunity to check out new and ongoing up…
As our healthcare system struggles toward a model in which consumers are at the center of the equation, technology is playing a rapidly increasing role in smoo…
Innovation at HealthEdge: Making Waves in Healthcare Payer Technology
The journey of transforming healthcare starts with innovation. We recently sat down with Sanjeev Sawai, Chief Innovation Officer at HealthEdge, to understand h…
Care management for D-SNP populations: The key to compliance and member satisfaction
Dual Eligible Special Needs Plans (D-SNP) are a special kind of Medicare Advantage Plan for people who qualify for both Medicare and Medicaid. This program tak…
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