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Visit WebsiteAmeriHealth Administrators - Customer Case Study
AmeriHealth Administrators
Michael Robak
Vice President of Service Operations Independence
HealthEdge
HealthEdge is on a mission to drive a digital transformation in healthcare. They’re connecting health plans, providers, and patients with end-to-end digital technology solutions to support new business models, reduce administrative costs and improve health outcomes. Their growing portfolio of products (HealthRules® Payer, Source, GuidingCare, and Wellframe) provides talented and passionate professionals with opportunities to lead change and make a lasting, global impact in healthcare.
Case Studies
Showing 31 HealthEdge Customer Success Stories
A large Blues plan uses Wellframe Digital Health Management to Drive Care Management Capacity and Member Engagement
Blue Cross Blue Shield
Improving maternal health outcomes through digital engagement
Blue Cross Blue Shield
Leveraging next-generation technology to optimize operationsand delight members and providers
Community Health Options
Kevin Lewis
Chief Executive Officer
Denver Health Medical Plan - Customer Case Study
Denver Health Medical Plan
Christine Seals-Messersmith
Denver Health Medical Plan
Elderplan uses GuidingCare® to Provide Better, More E cient Care Management in a Fragmented, Rapidly Changing Healthcare Environment
Elderplan
Craig Azoff
Vice President, Health Plan Information Services
Elderplan uses HealthRules® Payer to Lower Administrative Costs, Maximize Operational E ciency, and Be Resilient to Change
Elderplan
Daniel Ramos
Assistant Director
Building for Growth, E ciency, and a Consumer-First Future
Friday Health Plans
Sal Gentile
Chief Executive Officer
Independent Health - Customer Case Study
Independent Health
Dave Mika
VicePresident, Enterprise Core System Operations
Empowering Innovative Healthcare with Integrated HealthEdge® Solution
Innovative Regional Healthcare Company
Digital Care Management can help lower blood sugar by more than 25%
Large Digital Care Management Company
Digital Health Improves Care Transitions For Members With Multimorbidities
Large Digital Health Company
Demonstrating the value of digital health with a new methodology
Large Digital Health Company
Trishan Panch
Large Digital Health Company
Helping the organization manage payments across lines of business, at scale
Large National Health Insurer
Regional Non-Profit - Leveraging Source for Efficient Claims Audit & Inquiry
Large Non-Profit Health Plan Company
Managing Payment Complexity to Improve Operational Efficiency
Large Non-Profit Health Plan Company
Accurate One Pass Pricing and Editing Solution Leads to Cost and Time Savings
Large Southeast Payer Company
Health Plan for Large Metropolitan Area Transforms Care and Operations with HealthEdge® Solutions
Large Urban-Based Health Plan Company
Digital Care Management can help lower blood pressure by more than 9%
Leading Digital Care Management Company
Modernizing Care Management and Operations with HealthEdge® Solutions
Leading Health Plan Company
How to Effectively & Efficiently Implement a Care Management Platform
Leading Non Profit Midwestern Health Plan Company
McLaren Health Plan - Customer Case Study
McLaren Health Plan
Sara Mavredes
Vice President of Business Information and Operations
How HealthEdge®’s HealthRules® Payer Helped Medica Transform Claims Operations through Strategic Automation
Medica
Stacy Chalupsky
Vice President for Claims Operations and Payment Integrity
Medica’s Business Transformation Using NextGeneration Claims Technology as a Catalyst
Medica
Kimberly Branson
VP Business Transformation
HealthRules® Promote Empowers Medica Health Plan to Streamline Processes
Medica
Robb Tushie-Lessard
Manager of Configuration Architecture, Quality and Business Analysts
NeuGen Uses HealthCheck to Identify Operational E ciencies Within HealthRules® Payer That Will Lead to Cost and Time Savings
NeuGen
Terri Lowe
Chief Operating Officer
Modernizing with HealthEdge® to Drive Expansion
Not-for-profit Medicare Company
Presbyterian Health Plan - Customer Case Study
Presbyterian Health Plan
Priority Health and GuidingCare® Team Up To Ease Preauthorization Pain Points
Priority Health
Ann Donnelly
Vice President, Care and Utilization Management
Top-15 Insurance Company - Customer Case Study
Top-15 Insurance Company
Leveraging Business Intelligence to Accelerate Digital Transformation
VillageCare
Stuart Myer
Chief Information Officer
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