Health plans serving Medicaid members must provide high quality care and keep costs under control while ensuring compliance with changing state regulations.
HealthEdge’s HealthRules product suite enables health plans serving Medicaid markets to tackle critical imperatives including:
Medicaid businesses strive to achieve maximum efficiency while remaining compliant with each state’s specific regulations. These businesses recognize the importance of having the latest technology platform. HealthEdge Medicaid customers achieve greater levels of operational efficiency, lower costs, and deliver enhanced levels of transparency and customer service while delivering compliant and high quality care with the HealthRules product suite.
The HealthRules platform is the only modern, enterprise-class software suite for all types of health and specialty insurers. Regular software updates deliver new capabilities, ensuring continued compliance with industry standards, allowing health insurers to stay current and competitive with the latest market developments, and drastically reduce both IT and operational costs.