HealthEdge

HealthEdge® is excited to announce its merger with UST HealthProof combining best-in-class core payer technology with seamless integration capabilities.  Learn more about our shared vision for the future: ow.ly/V5Oy50WQwbZ

Adopting a new Core Administrative Processing System (CAPS) is a significant undertaking—but many legacy systems weren't built to keep up with demands for integration & automation. See 5 signs your health plan has outgrown your current CAPS: healthedge.com/resources/bpaa…

Discover how HealthEdge® solutions help health plans optimize MLR and ALR performance to help ensure payers plan can remain competitive, meet regulatory obligations, and invest in better care for members. Download the brochure: spr.ly/6019BBQYMZ

To grow its government business & streamline operations, a national health plan turned to HealthEdge Source™ for prospective payment integrity. See how HealthEdge Source contributed to increased accuracy & millions of dollars in annual savings: spr.ly/6017BBvmZz

To keep up with ongoing regulatory shifts and customer demands, health plans need an operating model that can scale with them. Most payers choose between BPO, TPA, or BPaaS. But which one is best for your health plan? Read the executive summary: spr.ly/6017BBQyZ7

Last chance to register! Join our webinar with @safetynetplans and HealthEdge® Senior VP of Risk Adjustment & Quality as she shares how payers are using integrated AI tools to streamline coding & reduce administrative waste without sacrificing quality: spr.ly/6013BBmmId

Last chance to register! Is your health plan ready for CMS-0057? Join our webinar with @safetynetplans TODAY at 12pm ET to hear from HealthEdge® Vice President of Product Development & Senior Director of Regulatory, Accreditation, and Compliance: spr.ly/6011BBScgc

What do the proposed 2027 rule changes to Medicare Advantage mean for payers? See how to capitalize on new opportunities and achieve measurable improvements in care gap closure, member engagement, and care team productivity: spr.ly/6012BBmmMs

Cut costs and complexity by 30-40% per member per month (PMPM) with the HealthEdge® integrated ecosystem. See what you can gain from partnering with HealthEdge: spr.ly/6010BBmQpE

Just Released: New Webinar with HealthEdge® Chief Technology Officer Rob Duffy See how AI-enabled automation is transforming health plan operations, from cost control to enhancing member engagement. Watch the webinar: spr.ly/6015BBlq2N

For health plans, multiple data sources and disparate solutions make provider data management more complicated than it has to be. But how do you know where to start when it comes to selecting and implementing a new solution? Take the assessment: spr.ly/6019BBgolL

#IMPACTSpring26 starts tomorrow! HealthEdge® customers, don't miss your chance to join us for this exclusive webinar series. Leaders from across the organization will be sharing new product capabilities and answering audience questions. Save your seat: spr.ly/6017BBjU1L

One week away! Join our webinar with @safetynetplans to hear directly from HealthEdge® Senior VP of Risk Adjustment & Quality how payers are leveraging AI to: -Improve operational efficiency -Control costs -Maintain quality standards Save your seat now: spr.ly/6015BBjovx

One week away! Is your health plan ready for the CMS Prior Authorization Burden Reduction Final Rule (CMS-0057)? Join our webinar with @safetynetplans May 11 to learn more. Save your seat now: spr.ly/6010BBrtmM

Business Process Outsourcing (BPO) & Business Process as a Service (BPaaS) are two common choices for operating models. But how do you know which is the right one for your health plan? Learn more about both models: spr.ly/6018BBrtew

Relying on disconnected legacy solutions leaves health plans open to significant inefficiencies. See how payers are leveraging integrated operating models to achieve up to a 40% reduction in administrative cost per member per month (PMPM): spr.ly/6014BBTe8o

How can health plans build trust in Large Language Models (LLMs) and Artificial intelligence (AI)-powered solutions? Get an inside look at how the HealthEdge® AI Engineering Team built a robust evaluation plan with 4 key components: spr.ly/6019BBrIuc

Traditionally, payment integrity operations relied on fragmented, siloed processes with multiple levels of reviews and audits. See how your plan can save up to $100M in recovery fee and vendor savings with HealthEdge Source™ Platform Access: spr.ly/6010BBRoXI

Raising a glass to our employees who celebrated a work anniversary in April - we are so thrilled you are here! Cheers! #workanniversary #workiversary #workatHealthEdge #yearsofservice

#IMPACTSpring26 is one week away! This annual customer-only webinar gives HealthEdge® users the opportunity to see new features, hear from HealthEdge product leaders, and get an inside look at our product roadmap. Learn more about the event and register: spr.ly/6014BBGiW2

In the newest episode of the Current Trends for Payers podcast, HealthEdge® Regional Vice President of Sales asks a critical question: When does maintaining the current model become more expensive than changing it? Listen to the full episode: spr.ly/6018BBOwJY