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

"Scalability isn't just about whether your systems can handle more volume. It's about whether your operations team can handle more complexity." See how a single, integrated ecosystem helps payers achieve advantages in cost control, efficiency, and scale: spr.ly/6016BEGAKe

Scalability enables health plans to expand lines of business, reduce transaction latency, improve reliability, and provide the foundation for innovation and AI-powered operations. See how HealthEdge® solutions translate scalability to business value: spr.ly/6015BEGqTc

Managing fragmented vendors can cause costly delays, introduce errors, slow response times, and take up valuable staff capacity. See how the unified operational infrastructure from HealthEdge® can reduce PMPM administrative costs by up to 40% YOY: spr.ly/6012BEED5p

Testing shouldn't slow down your implementation. HealthEdge® Testing as a Service replaces traditional, consultant-led testing with intelligent testing purpose-built for HealthRules® Payer. See how it works: spr.ly/6018BDNYsw

HealthRules® Payer customers—get an inside look at new features and capabilities. Join our customer-only webinar on July 14th at 11am ET to hear from HealthEdge® product leaders & submit your questions in advance for a chance to have them answered live: spr.ly/6015BDN9oD

Is your health plan stuck in the cycle of retroactively managing CMS policy changes? On July 21, join HealthEdge® leaders as they share where traditional approaches to compliance fall short & a practical roadmap for audit-ready, transparent compliance: spr.ly/6014BDN9pq

Learn from healthcare industry experts, including the HealthEdge® VP of Product Management, how you can progress from AI experimentation to value realization. Register for the upcoming webinar from @HLTHEVENT and @SukiHQ: spr.ly/6017BDLOuz

Fragmented operations around your CAPS creates hidden costs, operational delays, and compliance risks. Discover how the AI-powered infrastructure from HealthEdge® can reduce administrative costs by 30–40% & deliver a positive ROI in 12–15 months: spr.ly/6013BDakGU

Struggling to meet rising demands for member engagement, care coordination, and better outcomes? See how Sage, a virtual nurse within GuidingCare®, helps health plans scale member outreach while freeing care teams to focus on complex, high-touch cases: healthedge.com/resources/blog…

HealthRules® Payer customers: Are you ready for an inside look at new features and capabilities? Join our customer-only webinar on July 14th at 11am ET, when HealthEdge® product leaders will cover integration updates, regulatory changes, and more: go.healthedge.com/hrp-26.2-relea…

Health plan data is spread across claims, enrollment, billing, care, and member-service systems—with no two teams working from the same numbers. But what if every decision drew from one shared view of real-time data? Download the infographic: spr.ly/6019BDmwrN

Relying on manual Rural Health Clinic (RHC) claims processing can drive up costs, create compliance risks, and introduce pricing uncertainty. Discover why RHC claims behave differently and how HealthEdge Source™ can reduce processing costs up to 75%: spr.ly/6017BDcLXv

Is your health plan getting bogged down by managing disparate vendors? HealthEdge® Vice President Sean Cattie explores this challenge, and how health plans can simplify operations, cut costs, and gain real-time visibility across business functions: spr.ly/6011BDcL3L

Regulatory shifts, member expectations, and rising costs are prompting health plans to reevaluate operations. But how can leaders determine when it’s time to modernize? See 5 key indicators that your health plan is reaching an operational tipping point: spr.ly/6013BDcdxx

Regulatory shifts, member expectations, and rising costs are prompting health plans to reevaluate operations. But how can leaders determine when it’s time to modernize? See 5 key indicators that your health plan is reaching an operational tipping point: spr.ly/6019BDdihW

CMS made a strategic shift in how it measures performance for Medicare and Medicare Advantage programs. The challenge is whether existing health plan operations deliver the real-time data & analytics required. See how HealthEdge® supports compliance: spr.ly/6013BDweb5

In the fast-moving healthcare industry, time is valuable—and health plans can't afford to get left behind. So how can you achieve ROI in less time with a shorter implementation cycle? See how your health plan can cut costs and complexity by 30-40% PMPM: spr.ly/6016BDPTqw

New solution implementation is one of the highest-risk stages of any technology investment. That's why HealthEdge® Delivery Services integrates AI-powered tools across the 4 key stages of solution implementation: spr.ly/6013BDP6eX

For health plans, a new operating model is emerging. In the Current Trends for Payers podcast, one HealthEdge® leader shares his experiences working with health plans to modernize operations and deliver savings of 30-40% PMPM: spr.ly/6019BDMAiD

Does your health plan have the flexibility and real-time data necessary to stay ahead in the industry? Take the readiness assessment to get personalized suggestions for automating data ingestion and validation with HealthEdge® Provider Data Management: spr.ly/6016BDJRqg