HealthEdge GuidingCare
The leading, integrated financial, administrative and clinical platform for health insurers.
Overview
GuidingCare, from HealthEdge, is a care management platform that supports whole-person care by simplifying workflows for health plans and providers. It facilitates coordination and collaboration, accelerates quality improvement, and promotes provider and patient engagement through next-generation data integration and workflow management tools.
✨ Key Features
- Care Management
- Utilization Management
- Disease Management
- Population Health Management
- Automated Care Planning
- Community Referrals
🎯 Key Differentiators
- Tight integration with HealthRules Payor for a complete payer platform
- Focus on health plan administration and workflows
- Strong data integration and workflow management capabilities
Unique Value: Provides health plans with a comprehensive and integrated platform to manage the health of their members, improve quality, and reduce costs.
🎯 Use Cases (3)
✅ Best For
- Health plan administration and core administrative processing
- Automating care planning and community referrals for payers
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Standalone provider organizations not affiliated with a health plan
🏆 Alternatives
Offers deeper integration with core administrative processing systems for payers compared to standalone care management solutions.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Varies tier)
🔒 Compliance & Security
💰 Pricing
🔄 Similar Tools in Care Coordination
athenahealth
Cloud-based EHR, practice management, and care coordination services....
Innovaccer
A data activation platform that helps healthcare organizations unify and analyze data....
Cerner (Oracle Health)
A leading provider of health information technology solutions, services, and hardware....
Epic Systems
A leading provider of electronic health records (EHR) software for large and medium-sized healthcare...
NextGen Healthcare
Provides integrated electronic health record (EHR), practice management, and population health solut...
Salesforce Health Cloud
A patient relationship management platform that provides a 360-degree view of the patient....