HealthEdge, a provider of cutting-edge healthcare software solutions, and Zelis, a leader in healthcare payments technology, have announced a strategic partnership.
This collaboration is set to modernise the healthcare payment system, enhancing the efficiency, accuracy, and transparency of transactions.
The partnership is driven by the need to address common challenges faced by health plans, such as expanding to new markets, adopting value-based care payment arrangements, and meeting evolving industry regulations. By integrating their advanced platforms, HealthEdge and Zelis aim to streamline payment processes, maximize cost savings for members, and reduce the administrative burden on payers and providers.
HealthEdge provides a next-generation core administrative processing system known as HealthRules® Payer (HRP), which offers transformative outcomes and agility for health plans. This system is designed to adapt quickly to changes in consumer demands, regulatory environments, and competitive landscapes.
Zelis, on the other hand, operates the Zelis Advanced Payments PlatformSM (ZAPP), which is the industry’s first integrated payments and communications platform, offering digital conveniences that benefit all stakeholders in the healthcare payment process.
This strategic collaboration builds upon an existing adjudication integration partnership between the two companies. By combining HealthEdge’s modern cloud-based platform with Zelis’ comprehensive single-hub payments solution, the partnership aims to enhance the overall payment experience, reducing friction and improving satisfaction among health plans, providers, and members.
The integration of HealthEdge and Zelis systems promises a more efficient and simplified data exchange, which is critical in reducing the administrative load on health systems. The out-of-the-box integration, enabled by advanced technologies and deep industry expertise, supports a seamless, automated payment process that delivers greater value across the healthcare ecosystem.
HealthEdge chief product and strategy officer Alan Stein said, “Health Plans have many challenges, including expanding to new markets, adopting value-based care payment arrangements, meeting evolving industry regulations, and more. Plans must maximize member cost savings and streamline the payment process to make it more efficient.”
Zelis president, Payments Optimization Yusuf Qasim said, “ZAPP is the industry’s first integrated payments and communications platform delivering digital conveniences and experiences that benefit payers, providers, and members.
“In partnership with HealthEdge, we can help resource-constrained health plans modernize their payments experience and seamlessly scale into new markets and reach providers and members without further implementation.”
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