Case Study: Elderplan achieves more efficient care management with HealthEdge GuidingCare

Elderplan uses GuidingCare® to Provide Better, More Ecient Care Management in a Fragmented, Rapidly Changing Healthcare Environment

Elderplan, a not-for-profit health plan based in New York, faced the challenge of adapting to rapidly changing and increasingly stringent healthcare regulations from both state and federal bodies. Their previous technology platform was not agile enough to handle new data reporting requirements or the necessary risk scoring, making efficient care management difficult. This led them to seek a more modern solution, which they found in HealthEdge and its GuidingCare platform.

HealthEdge implemented its GuidingCare care management platform to provide Elderplan with the agile and configurable technology it needed. The solution automated key processes, improved staff efficiency with standardized workflows, and integrated data from numerous sources to create a holistic member view. This enabled Elderplan to seamlessly meet new regulatory demands, improve the member experience, recoup time and money lost to manual processing, and generate the consistent reporting required to avoid costly sanctions.

Elderplan

Craig Azoff

Vice President, Health Plan Information Services