Medicare

Navigate the Competitive Medicare Market with HealthEdge Software Solutions

The Medicare market is highly competitive for health plans as overall enrollment grows and Medicare Advantage plans capture a greater share of the market. In this dynamic environment, HealthEdge® healthcare Medicare plans software gives you the power to provide high-quality care, navigate the shift to value-based care, comply with government regulations and lower costs.

Medicare overview

How HealthEdge
Can Help

HealthRules® Payer

With HealthRules Payer, plans with Medicare and Medicare Advantage lines of business can reduce costs, achieve greater levels of operational efficiency, and deliver enhanced levels of transparency and customer service while providing compliant and high-quality care.

Source

Medicare undergoes major quarterly updates, policy adjustments and retroactive changes with fee schedules requiring constant maintenance, research and manual updates. Source automates these processes with cloud-based delivery and gives you the flexibility to customize contracts and focus on innovation, growth and customer satisfaction.

GuidingCare®

With GuidingCare, you can increase collaboration among all stakeholders for maximum coordination and member engagement, leading to improved STAR ratings, better health outcomes and increased member satisfaction.

Wellframe

Gain insights between clinical encounters and provide more consistent support to people on your Medicare plan. Wellframe Digital Care Management extends the reach of your staff to engage more fully with your high-risk members.

Source

Medicare undergoes major quarterly updates, policy adjustments and retroactive changes with fee schedules requiring constant maintenance, research and manual updates. Source automates these processes with cloud-based delivery and gives you the flexibility to customize contracts and focus on innovation, growth and customer satisfaction.

GuidingCare®

With GuidingCare, you can increase collaboration among all stakeholders for maximum coordination and member engagement, leading to improved STAR ratings, better health outcomes and increased member satisfaction.

Wellframe

Gain insights between clinical encounters and provide more consistent support to people on your Medicare plan. Wellframe Digital Care Management extends the reach of your staff to engage more fully with your high-risk members.

HealthRules® Payer

With HealthRules Payer, plans with Medicare and Medicare Advantage lines of business can reduce costs, achieve greater levels of operational efficiency, and deliver enhanced levels of transparency and customer service while providing compliant and high-quality care.