Healthedge Administrators

What We Do

HealthEdge takes the complexities out of health plan management, providing customized solutions that empower employers to provide comprehensive healthcare benefits without breaking the bank. We recognize that each business has unique needs and challenges, and that's why we go beyond simply offering off-the-shelf plans. Our team of experts collaborates closely with you to design a plan that perfectly aligns with your company culture, workforce demographics, and budgetary constraints.

We understand the frustration of navigating confusing healthcare systems and dealing with unresponsive customer service. That's why we prioritize clear communication, transparency, and personalized support. Our dedicated account managers are readily available to answer your questions, provide comprehensive plan explanations, and address any concerns you may have.

Flexible Solutions Tailored to Your Needs

HealthEdge offers a range of services designed to streamline your healthcare administration and drive cost savings. We specialize in self-funded health plans, which provide employers with greater flexibility and control over their benefit offerings.

Our comprehensive suite of services includes:

• Pharmacy Benefit Management: We leverage our relationships with leading pharmacy benefit managers to negotiate competitive drug pricing and create a flexible drug formulary that meets the specific needs of your employees.

• Utilization Review/Case Management: We partner with qualified UR/UM teams to ensure that your employees receive appropriate and cost-effective care. Our case management support helps guide employees through the healthcare system, minimizing unnecessary expenses and maximizing positive health outcomes.

• Account Management: Every client is assigned a dedicated account manager who serves as their primary point of contact. These experienced professionals provide ongoing support, guidance, and customized reporting to ensure your plan runs smoothly and your employees are well-informed about their benefits.

• Provider Network Management: We offer access to extensive networks of qualified providers, including medical specialists, clinics, and hospitals. You can choose from established networks or collaborate with us to develop a customized network that meets your specific requirements.

• Reporting and Data Analytics: We believe in transparency and empower you to make informed decisions about your plan. Our robust reporting and data analytics tools provide detailed insights into plan performance, allowing you to identify areas for improvement, optimize spending, and ultimately create a more sustainable healthcare program.

Commitment to Excellence

HealthEdge is committed to providing exceptional customer service and exceeding your expectations. We understand that your employees are your most valuable asset, and we strive to create a healthcare environment that promotes well-being, access to quality care, and peace of mind.