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.
Webinar September 20, 2021
Lowering Admin Costs, Maximizing Operational Efficiency and Being Resilient to Change
Headquartered in Brooklyn, New York, Elderplan is a well-established, not-for-profit health plan. This webinar details how Elderplan leveraged auto-adjudicatio…
Blog Post September 16, 2021
Understanding the Intent Behind the No Surprises Act
We have an Interim Final Rule for the No Surprises Act, referred to as Part I. The comment period closed on September 7, 2021. This is the administrative pi…
Blog Post September 14, 2021
People, Process, Technology—A Cliché That Still Rings True
With a track record of selling core/claims administration technology to health plans for more than 30 years, I’ve heard all the reasons as to why health plans …
Blog Post September 08, 2021
Tri-Agencies FAQ: What Health Plans Need to Know
Tri Agencies published a Frequently Asked Questions (FAQ) document on August 20, 2021, addressing the Transparency in Coverage (TiC) Machine-Readable Files (MF…
Blog Post September 01, 2021
Value-Based Reimbursement: Collaboration Required to Lower Costs and Improve Care
Our recent consumer survey showed that 47% of the 3,000 respondents postponed care. And of that 47%, 55% delayed routine visits, 39% elective treatment, 32% es…
Video August 27, 2021
HealthRules Language
Learn more about the advantages of the HealthRules Language™ that powers the HealthRules Solution Suite.
Video August 27, 2021
Automation and Accuracy with HealthRules
Claims adjudication is one of the most crucial elements to a core administration processing solution, and its success depends on automation and accuracy. Learn…
Blog Post August 26, 2021
Breaking Down Silos for Improved Member Experience
EHRs, mobile devices, wearables, claims data, and population health analytics can provide enough healthcare insight to improve outcomes at lower costs. But as …
Blog Post August 23, 2021
Why Medicare Advantage Plans Have the Most Satisfied Members
While it may not have been a completely shocking revelation, I was excited to see one of the results of our recent survey of 3,000 consumers indicating that Me…
Podcast August 19, 2021
Breaking Health, Episode #146
John Kao is a seasoned entrepreneur and executive. After beginning his career at FHP International, he then started four other companies in succession: Secure …
Blog Post August 18, 2021
Promoting from Within: How Two Former Interns Climbed the HealthEdge Ladder
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Blog Post August 17, 2021
Finding New Ways to Deliver Care, While Controlling Costs
Existing fee-for-service payment models are not scalable. Across the industry, there is an increasing emphasis on finding ways to deliver quality care while co…