BURLINGTON, Mass.--(BUSINESS WIRE)--HealthEdge®, a leading provider of next-generation core administrative processing systems (CAPS) and care management solutions, and Unite Us, the nation’s leading technology partner for social care transformation, are partnering to empower health plans with the tools to deliver seamless, whole-person care at scale. This collaboration addresses the Social Determinants of Health (SDOH) needs of members by leveraging the SMART on FHIR interoperability standard. HealthEdge’s GuidingCare® integrates with the Unite Us platform to connect members with essential SDOH resources, such as food and housing services.
This innovative partnership can help enable and connect over 20 million US health plan members to the social services they need more efficiently. HealthEdge GuidingCare is a comprehensive solution for whole-person, patient-centered care, offering easy-to-use, next-generation data integration and workflow management solutions and tools. Unite Us’ advanced product suite streamlines processes, sends, receives, and tracks referrals, and facilitates eligibility and reimbursements across government, healthcare, health plans, and community organizations. By integrating Unite Us’ platform directly into GuidingCare’s clinical workflows, this partnership enhances the member care experience, while reducing the administrative burden on care managers.
“Our partnership allows care managers to facilitate better health outcomes by ensuring timely and appropriate social services for members, while also supporting compliance with state mandates to improve quality performance,” said Dr. Sandhya Gardner, General Manager of Care Solutions and Chief Medical Officer of HealthEdge. “Care managers will also have an enhanced user experience, allowing them to take full advantage of Unite Us’ capabilities and streamline operations.”
Due to evolving CMS requirements, care managers face growing expectations to address SDOH needs comprehensively. The HealthEdge-Unite Us partnership enables care managers to act efficiently and effectively on members’ SDOH needs directly within GuidingCare.
“This integration empowers organizations and their teams to connect members with local resources more efficiently, seamlessly manage and track referrals, and elevate care delivery,” said Sarkis Kalashian, senior vice president at Unite Us. “By embedding Unite Us within HealthEdge’s GuidingCare workflows, we’re not just streamlining operations—we’re empowering health plans to deliver comprehensive, whole-person care that drives meaningful health outcomes and sets a new standard for collaboration and impact.”
The partnership between HealthEdge and Unite Us exemplifies the future of healthcare, where innovation and compassion intersect, transforming healthcare delivery and addressing the critical needs of vulnerable populations. By uniting clinical and social care information into a single, streamlined platform, health plans can now achieve more visibility into member needs and improved outcomes. Together, these organizations are setting a new standard for whole-person care—empowering care teams to act with empathy, precision, and speed, while ensuring no member falls through the cracks.
About HealthEdge:
HealthEdge® is building a future without limits for health plans, where they can deliver better service and care, make more informed decisions and streamline operations. Through an integrated platform of solutions for core administration (HealthRules® Payer), payment accuracy (HealthEdge Source™), care management (GuidingCare®) and member experience (Wellframe™), health plans can converge their data and harness automation to drive more informed decisions, improve touchless transaction processing and payment accuracy, foster meaningful collaboration and enhance service and care delivery. HealthEdge is trusted by over 130 health plans, covering more than 81 million lives across 48 states. See what it means to converge without limits at HealthEdge.com and follow us on LinkedIn.
About Unite Us:
Unite Us is the nation’s premier technology provider for transforming social care. Our advanced product suite is used to proactively support those in need, streamline processes, send and track referrals, and facilitate eligibility and reimbursements across government, healthcare, health plans, and community organizations. The first of its kind, our closed-loop referral system prioritizes privacy and dignity and has integrated data and analytics tools used to measure impact, optimize programs, and shape policy. With over 1.5M services, we host the nation’s largest network of community-based health and social services dedicated to improving whole-person health. Learn more at UniteUs.com and LinkedIn.