Burlington, Mass., Aug. 16, 2021 – Altruista Health’s parent company, HealthEdge, 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. Healthcare
Payers, 2021” i report for the 11th consecutive year. HealthEdge
provides mission-critical HealthRules Payor® CAPS solution to healthcare payers.
It enables them to seamlessly and efficiently administer benefits, configure
plans, manage providers and enroll participants.
As 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.”
“This milestone comes at an especially significant point in
our evolution as an organization,” said Steve Krupa, HealthEdge Chief Executive
Officer. “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. 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.”
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.
Disclaimer
iGartner, Hype Cycle for U.S. Healthcare
Payers, 2021, Bryan Cole, Jeff Cribbs, Mandi Bishop, 13 July 2021. Gartner and Hype
Cycle are registered trademarks of Gartner, Inc. and/or its affiliates in the
U.S. and internationally and are used herein with permission. All rights
reserved. 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.
Gartner’s research publications consist of the opinions of Gartner’s research
organization and should not be construed as statements of fact. Gartner
disclaims all warranties, expressed or implied, with respect to this research,
including any warranties of merchantability or fitness for a particular
purpose.
About HealthEdge
HealthEdge® is the health
insurance industry’s first digital nervous system to provide automation and
seamless connectivity between all parts of a payer’s administrative and
clinical systems. HealthEdge provides modern, disruptive healthcare IT
solutions that health insurers use to leverage new business models, improve
outcomes, drastically reduce administrative costs, and connect everyone in the
healthcare delivery cycle. Its next-generation enterprise solution suite is
built on modern, patented technology and is delivered to customers via the
HealthEdge Cloud or onsite deployment. In 2020, Blackstone became the majority
owner. HealthEdge and its portfolio of mission-critical technology assets for
payers, including The
Burgess Group and Altruista Health, are collectively driving a digital
transformation in healthcare. Follow HealthEdge on Twitter or LinkedIn.
