HealthEdge is a next-generation healthcare SaaS company driving a digital transformation for payers, providers and patients.
Joined September 2009
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4 Sep 2025
HealthEdge® is excited to announce its merger with UST HealthProof combining best-in-class core payer technology with seamless integration capabilities.
Learn more about our shared vision for the future: ow.ly/V5Oy50WQwbZ
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Jun 13
In the first 2 parts of our Ethical AI series, we covered Privacy & Security and how to identify bias in AI outputs.
Now, in the final installment, get practical recommendations for addressing bias and fairness in any role: spr.ly/6013B87KWW
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Jun 12
What is total cost of ownership, and how can you properly evaluate it for your health plan?
See how to identify inefficiencies in legacy models, and how an integrated ecosystem can improve stability, transparency, and scalability.
Listen to the podcast: spr.ly/6013B8IZS3
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Jun 11
One week away!
Join the HealthEdge® Advisory Services Director in a webinar with @AHIPCoverage to discover how health plans can identify hidden cost drivers & pinpoint key operational efficiencies.
Save your seat: spr.ly/6013B80cJt
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Jun 10
BPO and BPaaS are common choices for payers looking to reduce administrative costs, meet regulatory demands, and deliver better member experiences.
So what is the difference, and what unique outcomes can they deliver for your health plan?
Learn more: spr.ly/6041Cl8Zl
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Jun 9
Last chance!
Testing is one of the top risk factors in any implementation or optimization—but many payers take it on without the right resources.
Tomorrow, join HealthEdge leaders as they share how to improve quality and reduce test cycle times: spr.ly/6010B8sZQg
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Jun 6
Relying on disconnected legacy solutions leaves health plans vulnerable to workflow inefficiencies, claims rework, and provider abrasion.
By adopting the integrated operating model from HealthEdge®, health plans are reducing PMPM costs by up to 40%: healthedge.com/resources/cor…
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Jun 5
New regulations, evolving technology, and constant cost pressures are forcing health plans to rethink how they manage claims processing.
See how HealthEdge Source™ can help improve payment accuracy, provider relationships, and regulatory compliance: spr.ly/6014B8i58I
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Jun 3
This week, HealthEdge® CTO joins leaders from @awscloud and @BainCapital to discuss how agentic AI can help organizations accelerate time to value, drive efficiency, and build lasting competitive advantage.
Capacity is limited. Save your seat now! spr.ly/6018B8Ye0n
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Jun 2
The HealthEdge® team is excited to announce the launch of Haven, a generative AI-powered nurse assistant embedded natively within HealthEdge GuidingCare®.
Learn more about Haven's key capabilities: spr.ly/6013B8bUBR
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Jun 1
As the HEDIS hybrid review phase concludes, another critical stage begins: supporting the audit process.
See 5 ways your health plan can support HEDIS documentation and post-hybrid review: healthedge.com/resources/blo…
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May 30
For health plans relying on disparate technology solutions, daily operations can feel chaotic and lead to inflated costs.
See how the integrated HealthEdge® ecosystem enables payers to streamline operations and achieve key outcomes.
Download the eBook: spr.ly/6013B8XbKH
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May 29
More than 60% of Americans are using generative AI tools to find information, according to Pew research—and that includes healthcare consumers.
See how health plans can help guide members toward reliable, accurate healthcare information: spr.ly/6012B8buME
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May 28
Health plans are under growing pressure to control administrative costs, but many lack a clear view of the drivers behind them.
Join the HealthEdge® Advisory Services Director in a webinar with @AHIPCoverage to see how payers are rethinking operations: spr.ly/6010B8Xjhr
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May 27
Software testing is one of the biggest risk factors in any implementation, upgrade, or optimization.
Join HealthEdge® delivery experts in an upcoming webinar as they introduce an all-new testing offering designed to help: spr.ly/6019B8VXtZ
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May 26
The cost of legacy operating models rarely shows up as a single line item, instead compounding across the health plan.
We built the HealthEdge® AI-Powered Operational Infrastructure to combat these costs & reduce PMPM administrative spending up to 40%: spr.ly/6018B8yiAy
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May 25
At HealthEdge®, we don't measure success by features shipped or products released, but by the outcomes we deliver.
During IMPACT Spring 2026, Chief Product Officer Ryan Mooney shared the three key outcomes that drive every product development: spr.ly/6015B8H84P
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May 23
From regulatory requirements to rising claims volumes, it’s vital that health plans have full visibility and control over claims processes.
See how HealthEdge Source™ can help your plan avoid common pitfalls to enhance payment accuracy and efficiency: spr.ly/6013B8HLJz
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May 22
As AI becomes more widely adopted across healthcare technology platforms, protecting sensitive data has become a critical responsibility.
See how the AI Team at HealthEdge® approaches privacy & security when using AI and when building our solutions: spr.ly/6017B8D8ZB
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May 21
Health plans face significant pressure to improve interoperability, efficiency, and value-based care. And they're turning to integration.
See 6 key components of a modern tech stack, and how payers are leveraging BPaaS to achieve their goals: spr.ly/6043hH0gW
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May 20
For health plan leaders, tight budgets & limited resources can make it challenging to prioritize quality improvement measures.
See how a strategic partnership with HealthEdge® helped one payer achieve & maintain a 4 Star Rating for 3 consecutive years: spr.ly/6013BBAa1x
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