Delivering AI-powered operational infrastructure for payers.

Boston, MA
Joined September 2009
Today, the HealthEdge® team introduces a newly unified platform & portfolio of integrated solutions designed to deliver measurable outcomes. Read the press release for more information: spr.ly/6013BGt2Ix
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The 2027 Star Ratings are out. In the new episode of the Current Trends for Payers podcast, HealthEdge Sr. Director of Regulatory Compliance explains shifting cut points, upcoming measure changes, and what they could mean for quality strategy: spr.ly/6015BHMVVT
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Will you be attending the @RISEhlth 27th Risk Adjustment Forum? Say hello to HealthEdge® & see how our AI-powered operational infrastructure can help your health plan improve audit readiness & enable proactive compliance.
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For HealthEdge Day 2026, we asked our Executive Leadership Team to describe our first year as one unified company in a single word. Their responses reflect the progress we have made together since the merge. Hear directly from our leaders. #HealthEdgeDay #ThinkHealthEdge
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Last chance to register! Tomorrow, October 13, join two healthcare & advisory experts as they share: -Why MLR & ALR must be managed as one -Trends impacting cost control -How data, automation, and operating model affect performance Save your seat now: spr.ly/6018BG7wEw
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Introducing Clinical Edge, the integrated care management solution that's clearing the path to better outcomes. See how we’re empowering health plans to improve care quality outcomes, manage costs, and streamline workflows.
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Introducing Provider Atlas Edge: The Provider Data Management Solution. See how we’re reducing operational friction, compliance risk, and administrative risk through a single, reliable source of truth across the payer data ecosystem.
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Introducing HealthRules® Edge: The Industry's Leading Core Administrative Processing System HealthRules Edge is a cloud-native solution that powers accurate, efficient claims administration for health plans of every size. See how it embeds AI directly into claims workflows:
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Introducing Payment Accuracy Edge: The Prospective Payment Integrity & Accuracy Solution. See how the solution is ensuring accurate payments using real-time data for continuous cost containment through end-to-end payment integrity solutions.
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Introducing Integration Edge: The enterprise performance EPaaS solution from HealthEdge®. Reduce complexity across the payer ecosystem and accelerate measurable performance improvement without requiring full operational support.
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Enduring Edge: The integrated BPaaS solution from HealthEdge®. By combining our AI-powered solution with operational execution, we deliver long-term financial resilience and a durable competitive edge for health plans.
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Last week, HealthEdge® celebrated one year as a combined company with in-person & virtual events across the U.S., India, the Philippines, Mexico and the U.K. See how HealthEdge employees around the world celebrated this milestone & our new brand. #HealthEdge #LifeAtHealthEdge
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"The new HealthEdge® brand is the clearest articulation yet of who we are, what we deliver, and where we're headed," said CEO Kevin Adams. Hear what other HealthEdge executives had to say about our freshly unified portfolio & what customers can expect.
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2 Days Away. Hear what customers are saying about HealthEdge®. #HealthEdge #HealthEdgeCountdown #HealthEdgeCustomers
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Will you be at the 2026 ACAP CEO Summit in Washington, D.C.? HealthEdge® is a proud sponsor of the welcome dinner on Wednesday, Sept. 30—don't forget to come meet our team to discuss how we can help support public coverage, programs, and managed care policies.
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