HealthEdge

Healthcare payers spend roughly $2 billion every year to maintain provider information, according to the American Medical Association—but inaccuracies and duplicate data persist. Adopting next-generation Provider Data Management tools can enable health plans to streamline data workflows, improve member outcomes, and even strengthen provider relationships. See how the HealthEdge® Provider Data Management solution can help scale your organizational reach and enhance existing partnerships with in-network providers. Read the blog to learn more: https://xmrrwallet.com/cmx.pow.ly/UBAK50WC2pb

Here are this week's #HotJobs at HealthEdge! Visit our careers site to learn more! https://xmrrwallet.com/cmx.plnkd.in/gh-KgCJx And remember, you can get the inside scoop on our weekly Hot Jobs by following us on Instagram (healthedge_software)! #workatHealthEdge #hiring #wearehiring

In a new article from Healthcare IT Today, author Grayson Miller asked leaders across the healthcare technology industry about the intersection between AI and value-based care—and potential opportunities for health plans. "Payers often have a more comprehensive view of a member’s health journey than any single provider," said Alan Stein, HealthEdge® Chief Product and Strategy Officer. "This gives them a unique opportunity to leverage advanced analytics and AI tools to generate actionable insights. "We’re only beginning to tap into the potential of AI in healthcare. So perhaps the better question is: Is there any area where AI and analytics won’t play a role?" Read the full article: https://xmrrwallet.com/cmx.plnkd.in/gdRmGJae

"Across the healthcare industry, many processes still rely on long, manual sequences— read this, look that up, log into three systems, extract five data points, and re-enter them somewhere else. Agentic AI can take a meaningful subset of those steps off your plate." AI is changing the way individual organizations and entire industries are working. But what does that mean for health plans? We sat down with HealthEdge® Chief Technology Officer Rob Duffy to hear about his vision for using AI to reimagine the structure of work, his approach to responsible AI adoption, and why the most significant breakthroughs in healthcare will come from transforming the everyday processes that quietly power the system. Read the full interview: https://xmrrwallet.com/cmx.pow.ly/6kny50Wy4OK

Last chance to register! Edit smarter, not harder with the new platform updates from HealthEdge Source™. Join our webinar TOMORROW, Aug. 7 at 2pm ET to hear directly from Source product experts Carl Anderson and Eric Mackie. Whether you're a seasoned Source user or are new to the platform and looking for best practices, this session was made for you. Webinar attendees will learn more about: -How new features simplify edit management across provider types -Quickly applying edit exceptions across contracts and configurations -Practical strategies for streamlining policy updates and edit management Save your seat now: https://xmrrwallet.com/cmx.pow.ly/bzx850WxCPf

The CalAIM initiative is changing the way managed care plans support their Medicaid members in California. CalAIM encourages payers to address the full spectrum of health and non-clinical needs for vulnerable members—through advanced care management and by connecting members with community resources across California. By partnering with HealthEdge GuidingCare®, payers can improve healthcare access, help ensure regulatory compliance, and improve member outcomes. Learn more about how your health plan can improve population health with whole-person care: https://xmrrwallet.com/cmx.pow.ly/KQq050WyK83

"Healthcare payers are increasingly leveraging artificial intelligence (AI), including predictive analytics, generative AI (GenAI), and autonomous agentic AI systems, to transform Utilization Management (UM) processes." A new article from Adnan Masood, PhD posted on Medium highlights how healthcare organizations are increasingly adopting solutions that include AI-powered tools to improve inefficient and manually intensive utilization management practices. HealthEdge GuidingCare® is highlighted in the Health Plan Technology Firms and Core Admin System Vendors category for its use of AI to flag at-risk members for intervention. GuidingCare also recently launched its new AI Summarizer feature to reduce cognitive burden for providers and enable more personalized care delivery. Read the full article: https://xmrrwallet.com/cmx.pow.ly/ovMW50Wyh1X

Organizations across the healthcare industry are racing to implement AI-powered solutions. But achieving measurable impact with AI requires more than a willingness to experiment—it requires clear, scalable strategy. At HealthEdge®, our goal is to support health plans at every stage of their AI journey. Whether your health plan is exploring new capabilities or scaling proven ones, our team can help you accelerate implementation and time to value: https://xmrrwallet.com/cmx.pow.ly/eQQ950Wy4Go

We are thrilled to share this video, shot and edited by our intern Akhil Kumar, which depicts the recent transformation of the Government Higher Primary School in Dinnahalli, Karnataka, through our continued CSR partnership with United Way of Hyderabad. #HealthEdgeCares #UnitedWay #UnitedWayHyderabad #CommunityDevelopment #CorporateSocialResponsibility #SocialImpact

We're #hiring a new Team Lead Quality Analyst in Alexandria, Virginia. Apply today or share this post with your network.