Case Study: Independent Health achieves value-based care savings with HealthEdge HealthRules Payer

Independent Health - Customer Case Study

Independent Health, a not-for-profit health plan based in Buffalo, New York, faced the industry-wide challenge of transitioning from fee-for-service to value-based reimbursement models. The organization needed to lower healthcare costs, adopt new provider contracts, and achieve greater alignment with its network of primary care physicians. To address this, Independent Health partnered with vendor HealthEdge and implemented its HealthRules Payer platform as its core administration system.

By leveraging HealthEdge's technology, Independent Health gained a nimble platform that enabled speed to market and the ability to configure new products quickly. The solution provided robust, accurate, and transparent data sharing with providers, enhancing stakeholder engagement. The measurable results were significant, including placing 98% of primary care members in full capitation contracts and achieving $14.8 million in savings from one initiative alone, representing a 10% cost reduction. HealthEdge provided the tools necessary for Independent Health to improve patient outcomes and lower costs.

Independent Health

Dave Mika

VicePresident, Enterprise Core System Operations