What is HealthEdge?

HealthEdge services provide health plans with a deployment road map, along with continuing resources to ensure your ongoing success. The powerful combination of people, process and technology is evidenced across the continuum of HealthEdge’s products and services.

Who owns HealthEdge?

HealthEdge was founded by Albert Waxman of Psilos Group and Rob Gillette in December 2004. In January 2005, the company acquired over $125 million in intellectual property and other assets. This technology served as the foundation for the patented, award-winning HealthRules product suite.

How many employees does HealthEdge have?

534 Employees
HealthEdge has 534 Employees.

What is HealthRules payor?

HealthRules Payor® is a next-generation core administrative processing system that provides transformational capabilities to health plans of all types and sizes.

What is a payor?

Payor is used interchangeably with “payer”. The person making the payment, satisfying the claim, or settling a financial obligation. For example, the person writing a check is the payor, or an employer paying their worker is the payor. [Last updated in August of 2020 by the Wex Definitions Team]

What is HealthRules experience?

HealthRules Answers is a transformative business intelligence solution that transforms the way health plans see and use data in real-time, helping to reduce costs, identify market opportunities, validate new product offerings and support next-generation business models.

Who are payers in healthcare?

Payers in the health care industry are organizations — such as health plan providers, Medicare, and Medicaid — that set service rates, collect payments, process claims, and pay provider claims. Payers are usually not the same as providers. Providers are usually the ones offering the services, like hospitals or clinics.

What is difference between payer and payor?

The party making the payment is called a payer or payor, while a payee is the party receiving the payment. Payor, or payer, is a party in a financial transaction that makes a payment to another party (known as a payee) in exchange for goods, services, and other items of value or benefit.

Is payor and payer the same?

There is some conflict regarding the use of “payer” versus “payor.” Though both spellings are used interchangeably, “payor” is the usage preferred by the American Medical Association (AMA), and the most widely searched on Google.

What is the difference between payer and payor?

Who is the largest payer in healthcare?

Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS) is the single largest payer for health care in the United States. Nearly 90 million Americans rely on health care benefits through Medicare, Medicaid, and the State Children’s Health Insurance Program (SCHIP).

Is payor different means?

Payor, often spelled payer, is defined as the person paying. An example of a payor is the person who takes care of all the household bills. noun.

What do you need to know about HealthEdge?

HealthRules is a set of cutting-edge software products that work independently or together, and are complemented by a comprehensive set of available services. HealthRules connects everyone in the healthcare delivery cycle. Health plans ready to embark on the road to transformation are turning to HealthRules solutions.

What kind of software does HealthEdge use?

HealthRules is a set of cutting-edge software products that work independently or together, and are complemented by a comprehensive set of available services. HealthRules connects everyone in the healthcare delivery cycle.

What does HealthEdge partners do for a company?

Our team brings more than just capital to our portfolio companies. In partnering with management, HealthEdge provides expertise in the areas of strategy, operations, business development, and governance to generate significant appreciation on invested capital.

Who are the members of the HealthEdge family?

Altruista Health and Burgess Group have now become part of the HealthEdge family. This positions well in the market but also increases opportunity and growth. Please check out our positions that are open across the country and 2 India offices! Interested in a New Job?

https://www.youtube.com/c/HealthEdge