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Submitted URL: https://www.healthedge.com//??utm_source=marketo&utm_medium=email&utm_campaign=Regionals_Clinical&utm_term=infographic&utm_...
Effective URL: https://www.healthedge.com/??utm_source=marketo&utm_medium=email&utm_campaign=Regionals_Clinical&utm_term=infographic&utm_c...
Submission: On September 15 via api from US — Scanned from DE
Effective URL: https://www.healthedge.com/??utm_source=marketo&utm_medium=email&utm_campaign=Regionals_Clinical&utm_term=infographic&utm_c...
Submission: On September 15 via api from US — Scanned from DE
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Text Content
Skip to main content * Customer Portal * 1 (781) 285-1300 * Search * Contact Us MAIN NAVIGATION * Your Opportunities * Lower Administrative Costs & Maximize Efficiency * Embrace Value-Based Reimbursement * Maximize Revenues & Pursue New Business Opportunities * Lower Healthcare Costs * Integrated Administrative & Clinical Insights * Configure Your Business With Ease * Achieve Real-Time Transparency * Stay Compliant With Regulatory Changes * Our Solutions * Commercial * Consultants * Dental * Dual-Eligibles * Individual * Medicare * Medicaid * Regional Health Plans * Plans with Home and Host Capabilities * TPA * Products & Services * HealthRules Payor * Source * GuidingCare * Wellframe * HealthRules Language * HealthRules Answers * HealthRules Connector * HealthRules Portal Integration Kit * Account Management * Implementation Services * Education Services * Resources * Blog * About Us * Leadership Team * Partners * News & Events * Careers * Job Openings(link is external) Search Request a Demo MAIN NAVIGATION * Your Opportunities * Lower Administrative Costs & Maximize Efficiency * Embrace Value-Based Reimbursement * Maximize Revenues & Pursue New Business Opportunities * Lower Healthcare Costs * Integrated Administrative & Clinical Insights * Configure Your Business With Ease * Achieve Real-Time Transparency * Stay Compliant With Regulatory Changes * Our Solutions * Commercial * Consultants * Dental * Dual-Eligibles * Individual * Medicare * Medicaid * Regional Health Plans * Plans with Home and Host Capabilities * TPA * Products & Services * HealthRules Payor * Source * GuidingCare * Wellframe * HealthRules Language * HealthRules Answers * HealthRules Connector * HealthRules Portal Integration Kit * Account Management * Implementation Services * Education Services * Resources * Blog * About Us * Leadership Team * Partners * News & Events * Careers * Job Openings(link is external) Customer Portal YOU ARE HERE * Home * Home ARE YOU RESILIENT TO CHANGE? FUTURE-PROOF YOUR BUSINESS WITH NEXT-GENERATION CORE ADMINISTRATION AND CARE COORDINATION FOR TRANSFORMATIVE HEALTH PLANS. HOW CAN WE HELP YOUR BUSINESS? Browse by Business Opportunity Lower Administrative Costs & Maximize Efficiency Embrace Value-Based Reimbursement Maximize Revenues & Pursue New Business Opportunities Lower Healthcare Costs Integrated Administrative & Clinical Insights Configure Your Business With Ease Achieve Real-Time Transparency Stay Compliant With Regulatory Changes OR Browse by Solution Commercial Consultants Dental Dual-Eligibles Individual Medicare Medicaid Regional Health Plans Plans with Home and Host Capabilities TPA Play Video Pause Mute Current Time 0:04 / Duration Time 0:14 Loaded: 0% Progress: 0% Stream TypeLIVE Remaining Time -0:09 Playback Rate 1 * Chapters Chapters * descriptions off, selected Descriptions * subtitles off, selected Subtitles * captions settings, opens captions settings dialog * captions off, selected Captions Audio Track Fullscreen This is a modal window. Caption Settings Dialog Beginning of dialog window. Escape will cancel and close the window. TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaque Font Size50%75%100%125%150%175%200%300%400% Text Edge StyleNoneRaisedDepressedUniformDropshadow Font FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall Caps DefaultsDone HealthRules® Payor, named “Best in KLAS” by KLAS Research for claims administrative processing system (CAPS). Read More 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 See All 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 See All 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 See All @HEALTHEDGE POWERED BY JUICER.IO HealthEdge @HealthEdge Twitter Logo Empathetic leadership improves production! What research reveals about this important trait in the workplace. Read our blog: ow.ly/Mf9y50JQW0g #empathy #leadership #greatplacetowork * Reply * Retweet * Like 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 JUICER 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 Load More CONTACT 30 Corporate Drive Burlington, MA 01803 -------------------------------------------------------------------------------- * Type of Request: Select...Human ResourcesPartnershipCustomer SupportProduct InquiryRequest a DemoSubmit an RFP * First Name: * Last Name: * Company Name: * Email Address: * Phone Number: * Comments: Contact Us FOOTER MENU * Your Opportunities * Our Solutions * Products & Services * Insights * About Us * News & Events * Careers * Facebook(link is external) * Twitter(link is external) * LinkedIn(link is external) * YouTube(link is external) Privacy Policy | Contact | Communication Preferences ©2022 HealthEdge Software, Inc. | HealthEdge® and HealthRules® are registered trademarks, The HealthRules Language™ is a trademark, GuidingCare® is a registered trademark, and the Wellframe logo is a registered trademark of HealthEdge Software, Inc. All Rights Reserved.