Your Opportunities

Every health plan is impacted differently by market dynamics, including competing for new or retaining existing members, finding ways to provide delightful customer service, responding rapidly to regulatory changes or embracing the shift from fee-for-service to value-based care and reimbursement. These factors, combined with the imperative to identify and engage the most at-risk members and treat them in a timely and cost-effective manner, present a challenging set of issues for health plans to address. Health plans must also be proactive and forward-thinking, ready to create and take advantage of market opportunities rapidly and with relevant offerings. How health plans respond differentiates those who enjoy a leadership position from those mired in endless challenges without the proper resources to be successful.

Keys to Success for Payers with Andy Slavitt

Andy Slavitt, former Acting Administrator, Centers for Medicare and Medicaid Services explains how payers can be successful in today’s dynamic healthcare marketplace. In this video, Slavitt explains that payers must adopt a new perspective.

What Business Opportunities Are You Looking to Pursue?
Lower Admin Costs & Maximize Efficiency

Health plans must eliminate waste and costly manual processes while maximizing the use of available resources, both human and machine

Embrace Value-Based Reimbursement

Sharing risk, rewarding providers for improved outcomes and keeping individuals and populations healthy is essential

Maximize Revenues & Pursue New Business Opportunities

Capture new business opportunities in a competitive landscape

Lower Healthcare Costs

Effectively identifying and reaching the highest at-risk members is necessary to impact healthcare costs

Integrated Administrative & Clinical Insights

What if you could leverage administrative and care management insights together?

Configure Your Business With Ease

Today's dynamic healthcare market means a steady stream of changing stakeholder requirements

Achieve Real-Time Transparency

Accurate, real-time data transparency is a must in today's fast-moving healthcare system

Stay Compliant With Regulatory Changes

Government programs have unique requirements that mandate that health plans stay current with

Explore Our Solutions

Learn more about HealthEdge solutions for specific market segments

How Does HealthEdge Help Set You Apart?

HealthEdge helps transform health plans looking to grow, innovate and compete beyond any other core system today, making HealthEdge the market leading choice to help drive and facilitate change.

The HealthRules Advantage