Government
Government-sponsored healthcare programs now account for the majority of healthcare spending in the United States. While serving that market may be an attractive opportunity, succeeding in it can be a challenge. Health plans seeking to pursue Medicare, Medicaid and dual eligibles lines of business need to excel at delivering care, controlling costs, ensuring regulatory compliance and supporting the shift to value-based care models.
HealthEdge® healthcare government plans software gives you the tools and resources you need to succeed at all of the goals.
Medicare
In the competitive Medicare market, HealthEdge solutions help ensure quality care, ease the shift to value-based care, support compliance and lower costs.
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Overcome the complexity and fragmented engagement of Medicaid care with HealthEdge solutions that support care, control costs and ensure compliance.
Learn MoreDual-Eligibles
Our dual eligibles solution suite enhances claims processing with payment integrity and feeds data to an end-to-end care management solution. Together, they enable better compliance, lower costs, higher-quality care and improved outcomes.
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