Find Your Integration Edge

Integration Edge

Goes beyond software to provide a risk-free implementation of an integrated operating environment, connecting technology, workflows, and domain expertise. It reduces complexity across the payer ecosystem and accelerates measurable performance improvement without requiring full operational support.

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The EPaaS Model That Preserves Operational Ownership

Some health plans want to run the technology themselves. Integration Edge (EPaaS) gives you a single, cloud-native platform to operate on your terms, while HealthEdge manages hosting, integration, and continuous updates — replacing brittle point-to-point connections and heavy IT lift with governed, always-current infrastructure.

  1. 1

    Platform Control

    Your teams run the platform and own operations, with full configurability.

  2. 2

    Seamless Integration

    HealthEdge manages secure connections across your providers, partners, and systems.

  3. 3

    Continuous Updates

    Always-current releases and regulatory updates arrive automatically — no upgrade projects.

PLATFORM MODERNIZATION

Built for Modernization With Cloud-Native Connectivity

Continuous platform evolution improves your outcomes over time.

Integrate

Connect & Configure

HealthEdge configures and connects its enterprise-grade technology ecosystem to support and simplify your operations and reduce complexity.

Run

Operate on Your Terms

Your teams run day-to-day operations with full control and configurability.

Evolve

Continuous Updates

Current releases and regulatory updates are delivered automatically.

SOFTWARE SOLUTIONS

HealthRules® Edge

HealthRules Edge is the core admin system that anchors solutions across the payer ecosysem — payment, risk, care, and provider data.

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Payment Accuracy Edge

Prospective payment integrity that helps health plans pay accurately in real time.

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Revenue Align Edge

Real-time risk adjustment that captures accurate risk across the enterprise.

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Clinical Edge

The nation’s most widely adopted care management platform for whole-person care.

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Provider Altas Edge

Clean provider data, less friction, and stronger compliance across the enterprise.

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The Third Path to Health Plan Transformation

Systems modernization has forced health plans into a false choice: incremental change or inaction — both of which expose them to growing risk.

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INTERACTIVE TOOL

Find your
Integration Edge

Discover how much your organization can save with Integration Edge by answering our short questionnaire.

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By the numbers bg

By the numbers

Proven to perform for health plans

Members Served 110M+
Operational Cost Savings 25-40%
Providers Supported 7000+
CHOOSE YOUR DELIVERY MODEL

Not sure which delivery model
is right for you?

BPaaS

Business Process as a Service

Enduring Edge is the full realization of HealthEdge’s BPaaS offering, delivering sustained, compounding financial performance for payers over time.

  • Send to back icon Managed operations + technology
  • Target icon Outcome-based SLAs
  • Combine icon Fastest path to value
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EPaaS

Enterprise Platform as a Service

Goes beyond software to provide a risk-free implementation of an integrated operating environment, connecting technology, workflows, and domain expertise.

  • Send to back icon You run the platform
  • Target icon Cloud-native and configurable
  • Combine icon HealthEdge manages hosting, integration, & upgrades
  • Download file icon Exportable audit reports
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Frequently
Asked Questions

Integration Edge is HealthEdge’s Enterprise Platform as a Service (EPaaS) delivery model. The AI-powered platform connects cloud-native technology, integrations, data, and workflows while health plans retain operational ownership.

Integration Edge (EPaaS model) provides the technology ecosystem while the health plan runs operations. Enduring Edge (BPaaS model) combines the platform with managed operational delivery and accountability for financial outcomes.

HealthEdge manages hosting, integration, and continuous updates, so your IT team avoids the overhead of brittle point-to-point connections.

Yes. Integration Edge gives your teams full control and configurability while HealthEdge keeps the platform current and connected.

Current releases and regulatory updates are delivered automatically — no upgrade projects required.

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