Case Study: a non-profit Midwestern health plan achieves a smooth, unified care management implementation with HealthEdge GuidingCare

How to Effectively & Efficiently Implement a Care Management Platform

A non-profit midwestern health plan faced the challenge of moving over one million members to a single care management platform. They were operating two distinct clinical systems connected to four separate claims systems and needed a unified model of care. To accomplish this, the health plan implemented HealthEdge’s care management solution, GuidingCare®.

HealthEdge implemented the solution in three distinct waves to ensure a smooth transition, starting with a simple population and progressing to more complex groups. Despite the added challenge of the COVID-19 pandemic shifting work remote, the entire implementation was completed in approximately six months. The result was a successful and efficient large-scale platform transition executed during a period of great uncertainty.