Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose. Gartner’s research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner does not endorse any vendor, product, or service depicted in its research publications and does not advise technology users to select only those vendors with the highest ratings or other designation. and internationally and are used herein with permission. Gartner and Hype Cycle are registered trademarks of Gartner, Inc. Healthcare Payers, 2021, Bryan Cole, Jeff Cribbs, Mandi Bishop, 13 July 2021.
Similarly, Burgess was named a Sample Vendor for the third consecutive year in the Gartner report for the Prospective Payment Integrity Solutions category for the Burgess Source® solution. In addition, we are maximizing the strength of our CAPS solution by integrating it with the industry’s leading cloud-based technologies in payment integrity and care management with the HealthEdge acquisition of The Burgess Group and Altruista Health in 2020.” “We are poised for growth and innovation as we advance the first-ever, next-generation integrated solution suite for the three most important value streams within health plans. “This milestone comes at an especially significant point in our evolution as an organization,” said Steve Krupa, HealthEdge Chief Executive Officer. It enables them to seamlessly and efficiently administer benefits, configure plans, manage providers and enroll participants.Īs per the Gartner report, “Next-generation core administrative processing solutions (CAPS) enable payers to manage their enrollment, premium billing, claims processing, and payment operations more nimbly and with greater flexibility than existing legacy applications.” The Gartner report also states that, “solutions must meet the following criteria: support cloud delivery models allow clients to configure policies and processing rules without IT intervention decouple modular business functions and support third-party module integrations enable value-based payment and provide preconfigured and configurable interfaces.” HealthEdge provides mission-critical HealthRules Payor® CAPS solution to healthcare payers. Healthcare Payers, 2021” i report for the 11th consecutive year.
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Its research is produced independently by its research organization without input or influence from any third party.įor further information, see Guiding Principles on Independence and Objectivity.BURLINGTON, Mass.–(BUSINESS WIRE)–HealthEdge Software said today it has been named a Sample Vendor for the Next-Generation Core Administrative Systems category in the Gartner “Hype Cycle for U.S. Gartner prides itself on its reputation for independence and objectivity. Your access and use of this publication are governed by Gartner’s Usage Policy. While the information contained in this publication has been obtained from sources believed to be reliable, Gartner disclaims all warranties as to the accuracy, completeness or adequacy of such information.Īlthough Gartner research may address legal and financial issues, Gartner does not provide legal or investment advice and its research should not be construed or used as such. It consists of the opinions of Gartner’s research organization, which should not be construed as statements of fact. This publication may not be reproduced or distributed in any form without Gartner’s prior written permission. Gartner is a registered trademark of Gartner, Inc.
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