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   * Configure Your Business With Ease
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HealthRules® Payor, named “Best in KLAS” by KLAS Research for claims
administrative processing system (CAPS).

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Gartner named HealthEdge as a Sample Vendor for its next-generation core
administrative system in its July 2021 Hype Cycle for U.S. Healthcare Payers
Report, 2021 for the 11th consecutive year.*

Learn More

Important Customer Update

The international COVID-19 outbreak has introduced unforeseen changes and
uncertainty to all parts of our lives. During this time, HealthEdge wants you to
know that we are here for you and committed to helping you continue running your
business as you work with your providers and members. 

Read More

Featured Business Opportunity
Embrace Value-Based Reimbursement

The move to value-based care and value-based reimbursement is gaining momentum
in healthcare and will only increase over time. Is your organization equipped to
succeed in this new world?

Learn More

EBOOK
Value-Based Reimbursement: How we got here, what’s working, and who’s doing it
well

Payers, providers, the U.S. government, and other entities have made initial
investments in value-based reimbursement. And while these initial investments
have, in some cases, made great strides in the march toward quality-based care,
costs are still increasing, payers and providers are no closer to a trust-based
relationship, and fee-for-service is still a large part of reimbursement.

Download the eBook

White Paper
Medicare Lines of Business and the Challenges Payers Face

There are significant market forces impacting Medicare, both today and in the
future. The rise of value-based reimbursement models along with innovative pilot
demos is forcing a different awareness for providers and a changed reality for
payers. Read how regulatory reform continues to provide a layer of uncertainty
that directly impacts the ability for payers to plan ahead.

Download the White Paper


*Gartner, Hype Cycle for U.S. Healthcare Payers, 2021, Bryan Cole, Jeff Cribbs,
Mandi Bishop, 13 July 2021

Gartner and Hype Cycle are registered trademarks of Gartner, Inc. and/or its
affiliates in the U.S. and internationally and is used herein with permission.
All rights reserved. Gartner does not endorse any vendor, product, or service
depicted in its research publications and does not advise technology users to
select only those vendors within the highest ratings or other designation.
Gartner's research publications consist of the opinions of Gartner's research
organization and should not be construed as statements of fact. Gartner
disclaims all warranties, expressed or implied, with respect to this research,
including any warranties of merchantability or fitness for a particular purpose.


PRESS RELEASES

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August 18, 2022
View
HealthEdge Named a Sample Vendor for Next-Gen Core Administrative Processing and
Prospective Payment Integrity Solutions in the Gartner® Hype Cycle™ for U.S.
Healthcare Payers, 2022
August 09, 2022
View
HealthEdge Survey Highlights Growth Opportunities and Challenges for Health Plan
Leaders
August 04, 2022
View
Industry Veteran Alan Stein Joins HealthEdge as Chief Commercial Officer


NEWS

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Digital Health Wire August 24, 2022
View
Health Plan Challenges: HealthEdge’s Voice of the Market Survey
Healthleaders Media August 21, 2022
View
Slowing Economy, Inflation Could Challenge Payers
Healthcare Finance August 18, 2022
View
Managing costs, operational efficiencies top challenges for payers


EVENTS

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@HEALTHEDGE


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Empathetic leadership improves production! What research reveals about this
important trait in the workplace. Read our blog:
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11 Jul 2022
2mo

We’re hiring a Senior Data Integrations Analyst. This position plays a key role
in the design, enablement, enhancement, and management of data integration and
data quality. Learn more about this open role in our Hyderabad location.
http://ow.ly/lcAY50JP1hs


2mo

We’re hiring! Apply here for our .Net Developer position.
http://ow.ly/th0Z50JP15h


2mo

James Sharp is a Marketing Operations Intern at HealthEdge from Ridgefield CT.
He attends Syracuse University where he studies Marketing and Entrepreneurship
in Emerging Enterprises. James is thrilled by the opportunities he will gain at
HealthEdge, especially in terms of certifications. He has already been assigned
to work on getting a Demand Base certification and believes that the
opportunities that he will experience at HealthEdge will make him a more
well-rounded candidate for any job that he applies for. Some fun facts about
James are that he has visited over 5 national parks across the country, one of
his favorite shows is Breaking Bad and he is an Eagle Scout.


2mo

Meet our summer interns! Omotara Dairo comes from South New Jersey and is a
student at Rider University studying English with a concentration in Writing. As
a Technical Communication Intern this summer, Omotara hopes to use their writing
skills as a basis for creativity in the real world. Omotara is grateful for the
work-life balance at HealthEdge and the culture that nurtures its employees.
Some fun facts to note: Omotara is 6’ 1”, they are the youngest of 4 siblings,
and their favorite show is Fairfax on Amazon Prime!


2mo

ACA and Medicaid membership cliffs loom for fall and year-end, with potential
for market disruption. Read our blog:
http://ow.ly/r7VP50JQUOW
#medicaid #aca #healthplans


2mo

Industry-leading payers are looking for ways to improve member satisfaction,
provider relationships and expand markets. Modern tech can pave the way to
meeting competitive pressures. View our infographic:
http://ow.ly/UZzn50JJWTE
#digitaltransformation #payers #healthplans




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Engage your users on social media with a Juicer.io feed on your website or blog
for free.
2mo

The U.S. Department of Health and Human Services aims to have an interoperable
health IT ecosystem by 2024. Will your health plan be ready? Read our blog:
http://ow.ly/GMsz50JQVgB
#interoperability #HHS #healthITecosystem


2mo

HealthEdge is hiring! We’re seeking a candidate to fill the role of Tableau
Developer. Learn more about this open role here! http://ow.ly/CleV50JP2RH


2mo

We’re hiring a Technical Writer II in the US. Apply now and help us drive a
digital revolution in healthcare! http://ow.ly/iH6U50JORQ4



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