Health Plan Technology Insights

SourcEdge Introduces ClaimOptima for Testing TriZetto Facets Product Builds

ClaimOptima™ by SourcEdge is the industry’s first and only platform specifically engineered to automate and optimize the testing…

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SourcEdge Enters Reseller Agreement with Qlik to Broaden Data Management Strategies for Health Plans

SourcEdge, a leader in health plan technology optimization solutions, announced it has signed a reseller partnership today with…

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Masking PHI Using De‑Identification Throughout the SDLC

This recorded breakout session presentation will explore the critical importance of masking Protected Health Information (PHI) using de-identification…

Events, Thought Leadership

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Health Plan Going Beyond the No Surprises Act for Price Transparency

Problem: The Challenge of Full Transparency When the No Surprises Act was passed in 2020, many healthcare companies…

Analytics/BI, Success Stories

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SourcEdge Year in Review 2022

IT Modernization for Health Plans Helping Our Clients Achieve Financial & Operational Returns SourcEdge had a productive 2022…

News, Success Stories

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Value-Based Care & Impacts on Health Plans / Systems: Lili Brillstein and Mark McAdoo Catchup

When it comes to healthcare, excellence and accessibility is essential to both the provider and the payer.

Events, Thought Leadership

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How One U.S. Health Plan Rapidly Expanded in ACA and Medicaid Using Facets

Data comes into a health plan in many ways. By taking multiple data sources and consolidating them into…

Claims Systems, Success Stories

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Claims System Modernization Success: An Interview with the CIO of CommunityCare of Oklahoma

In today’s changing landscape, health plans are continually challenged to modernize and extend the life of their systems.…

Events, Thought Leadership

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Cyber Exposures to Health Plan Systems: An Interview with Hacker & CSFI Chief of R&D

With the advent of virtual healthcare, data exposure continues to increase with continual threats against claims systems, providers,…

Events, Thought Leadership

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CommunityCare of Oklahoma: Modernization Improves Claims System Lifetime and Performance

Health plans must modernize to extend the life of their systems. When those systems are antiquated, SourcEdge delivers…

Analytics/BI, Claims Systems, Success Stories

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Delivering the Data that Drives Value-Based Care Initiatives

We provide cloud-based data analytics, so clients can accelerate their value-based care initiatives in the market.

Data Management, Success Stories, Value-Based Care

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Unleashing the Power of Data for Key Decision-Making

Data comes into a health plan in many ways. By taking multiple data sources and consolidating them into…

Analytics/BI, Data Management, Success Stories

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Protecting PHI Data and Improving Developer Efficiency

Testing data while protecting privacy is complex. Our solution scrambles data the same way every time, using significantly…

Data Management, Success Stories

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Kno2 Appoints Mark McAdoo to Board of Directors Amid Recent Growth

Kno2®, the company leading the connected future of healthcare communication, today announce the appointment of Mark McAdoo to…

News

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SourcEdge and HealthLX Partner to Solve Interoperability and Compliance Challenges for Payers

SourcEdge Solutions has announced a systems integrator partnership with HealthLX to help health plans comply with the CMS…

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SourcEdge Unveils AMISYS Modernization Practice to Help Payers Future-Proof Claims Processing

Support for the AMISYS claims processing system is winding down fast, and health plan CIOs now face a…

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Health Plan Insights