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GuidingCare Commentary
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Paul Hess
Research Director
KLAS Research Director - Paul Hess
 
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VP/Other Executive

Relationship

In terms of taking the lead to alert us about things, no vendor does that, including HealthEdge....

Jul 2025
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VP/Other Executive

Loyalty, Relationship

We use GuidingCare for care coordination. It was bought by HealthEdge. They provide support, and we...

Jul 2025
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VP/Other Executive

Loyalty

I hope I get to renegotiate my GuidingCare contracts and get some better pricing. That is my...

Jul 2025
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VP/Other Executive

Operations

The implementation of GuidingCare went really well, and all of our nurses really like the system. We...

Jul 2025
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VP/Other Executive

Product

HealthEdge is putting a lot of emphasis on their HealthRules Payer platform. They haven't put a lot...

Jul 2025
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Director

Product

GuidingCare is good for what it does. HealthEdge does utilization management really well, and...

Jul 2025
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Director

Relationship, Operations

We did an internal assessment on GuidingCare with HealthEdge's executive leadership team. With AI,...

Jul 2025
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Director

Product

We have had some challenging pain points with GuidingCare's interoperability. It has been a struggle...

Jul 2025
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Director

Relationship, Product

HealthEdge could be better with appeals and grievances. There are a lot of compliance-related items...

Jul 2025
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VP/Other Executive

Value

Everything that we want to do and change in the system is another statement of work and another...

May 2025
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VP/Other Executive

Loyalty

We are looking to HealthEdge to help us with our prior authorization rules.

May 2025
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CIO

Relationship

The first time I interacted with GuidingCare was many years ago, and HealthEdge has really come a...

Apr 2025
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CIO

Product

HealthEdge could improve processes on downtime management and have greater testing of plans and...

Apr 2025
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CIO

Relationship, Product

HealthEdge has been a pretty good partner in using HIPAA transactions as we have integrated...

Apr 2025
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CIO

Relationship

Before HealthEdge bought GuidingCare, there was a more dedicated group who knew the care management...

Apr 2025
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Director

Product

We have had to do some optimization work on GuidingCare. We have had more challenges with the...

Apr 2025
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VP/Other Executive

Loyalty

I'm not a huge fan of GuidingCare. HealthEdge is chipping away at an enterprise solution. We must...

Apr 2025
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VP/Other Executive

Relationship, Product

I haven't had any issues with HealthEdge’s management of security risk, and it is pretty easy to set...

Apr 2025
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VP/Other Executive

Operations

The idea of GuidingCare is great in terms of having the same ownership of the core platform in our...

Apr 2025
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Analyst/Coordinator

Product

If an organization is running HealthEdge products, the system will naturally fit in. I think there...

Apr 2025
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Analyst/Coordinator

Product

Integration is a work in progress for the system as CMS gets more mature and as rules and...

Apr 2025
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Manager

Loyalty, Product

We decided against GuidingCare's reporting mechanism because the reporting, while done through...

Mar 2025
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Manager

Relationship

HealthEdge's executive involvement varies. Our current person rates high. However, I know there has...

Mar 2025
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Manager

Product

HealthEdge has improvement opportunities with integration. For example, I would like the visual...

Mar 2025
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Manager

Value

One of the bigger challenges with GuidingCare is that for the most part, rule changes and things of...

Mar 2025
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Manager

Loyalty, Relationship, Product

There is a lot of conversation about artificial intelligence and its involvement within systems....

Mar 2025
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Manager

Loyalty, Product

We have been using GuidingCare for a few years, and we use it strictly for care management. The...

Mar 2025
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VP/Other Executive

Relationship

We did an upgrade using professional services for GuidingCare, and the services were really strong....

Nov 2024
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VP/Other Executive

Loyalty, Relationship, Operations

HealthEdge is doing a great job of engaging their user group. There have been a lot more recent...

Nov 2024
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VP/Other Executive

Product, Value

We have a lot of manual workarounds in GuidingCare. Also, sometimes we feel like we get charged for...

Nov 2024
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Director

Product

If somebody needs to do only case management, GuidingCare is a good system for Medicaid case...

Oct 2024
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Director

Loyalty, Product

HealthEdge supports us somewhat with integration with HealthRules Payer. Other than that, there is...

Oct 2024
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Director

Relationship

Externally, HealthEdge is good, and I can only base that on the fact that we haven't had any...

Oct 2024
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Director

Culture

When we bought GuidingCare, it wasn't robust. HealthEdge said it was capable of some things that...

Oct 2024
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VP/Other Executive

Loyalty

We have both GuidingCare and another solution owned by HealthEdge. The interesting thing is that we...

Oct 2024
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VP/Other Executive

Product

I am extremely satisfied with HealthEdge's security program and management of security risk because...

Oct 2024
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VP/Other Executive

Relationship

When we reach out to the vendor, it is usually an email or a Teams meeting. There is a phone. I...

Oct 2024
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VP/Other Executive

Loyalty, Product

We are working on integration. The ways the vendor supports us with integration or interoperability...

Oct 2024
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VP/Other Executive

Operations, Product

When we first implemented GuidingCare, there were a lot of things that weren't fully developed. For...

Oct 2024
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Director

Relationship

HealthEdge is not very proactive because they tend not to dabble unless we point something out to...

Sep 2024
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Director

Relationship

It has been a transition since Altruista Health merged with HealthEdge because Altruista Health was...

Sep 2024
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Director

Operations

The training from HealthEdge is one of my biggest complaints. Their training for the front end is...

Sep 2024
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Director

Relationship

HealthEdge is sometimes not as responsive as I would like them to be. But my account executive is...

Sep 2024
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Director

Culture, Value

When the vendor was Altruista Health, they did not charge us for every little thing. With...

Sep 2024
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Director

Product

Some of the seasoned members of our staff sometimes struggle with certain things in GuidingCare....

Sep 2024
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Director

Loyalty, Product

Some automation and AI are coming in the newer version of GuidingCare. Our business is chomping at...

Sep 2024
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Director

Product

I have been with HealthEdge for a long time, so I have seen them evolve and build a lot of...

Sep 2024
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Director

Relationship, Operations, Product

One thing I have found about HealthEdge versus other vendors that we work with is that HealthEdge...

Sep 2024
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VP/Other Executive

Relationship, Product

We have had the platform for several years now, and the technology folks on my team and our IT...

Sep 2024
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VP/Other Executive

Product

HealthEdge has been pretty well in sync with us despite our crazy timeframes. We have a couple of...

Sep 2024
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VP/Other Executive

Value

We are getting charged over our agreed-upon fee. I don't feel like HealthEdge should be able to go...

Sep 2024
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VP/Other Executive

Operations

We have asked for training multiple times on things like reporting. When we first started using the...

Sep 2024
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VP/Other Executive

Operations

We often have to figure out how things should work in the system, but HealthEdge should train us on...

Sep 2024
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VP/Other Executive

Loyalty, Relationship, Operations

HealthEdge should focus on having more visibility into the road map and on understanding how we can...

Sep 2024
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VP/Other Executive

Relationship

HealthEdge’s relationship management is phenomenal. Our account executive did not just sell us the...

Sep 2024
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VP/Other Executive

Product

We have so many steps in GuidingCare. With our internal platform, an integrated care plan for one...

Sep 2024
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Director

Loyalty, Relationship, Product

HealthEdge is a leader in this care management, clinical software space. They are continually...

Sep 2024
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(0)
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Director

Loyalty, Product

Right now, HealthEdge is really not supporting interoperability. We wanted to take advantage of the...

Sep 2024
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Director

Relationship

We have an opportunity to meet regularly with a C-suite person for GuidingCare, and this individual...

Sep 2024
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Manager

Relationship

Unless an organization has somebody internally who has GuidingCare experience and expertise, they...

Sep 2024
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Manager

Loyalty

We are continuing to use GuidingCare; we have implemented their Agile Services contract with mixed...

Sep 2024
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Manager

Relationship, Operations

The vendor’s teams are pretty siloed. We had professional services called Agile Services, all of...

Sep 2024
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Manager

Operations, Value

The product-as-a-service piece needs to be a lot more integrated into the vendor’s clients if they...

Sep 2024
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Manager

Loyalty, Product

The vendor is enhancing their products' interoperability. We are pursuing some better integrations...

Sep 2024
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(0)
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Director

Value

HealthEdge does charge for a lot of things, and there are thresholds for statements of work. If...

Sep 2024
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Director

Relationship, Product

I'm not a user of GuidingCare. I don't go in and use it, but I certainly hear feedback from our...

Sep 2024
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(0)
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Director

Relationship

HealthEdge’s support has gotten better. We did have some challenges this year. We had to escalate...

Sep 2024
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Director

Relationship

We have an active situation going on right now with HealthEdge that is making me pause a little bit....

Sep 2024
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Director

Loyalty, Operations, Product

We were early adopters of HealthEdge’s GuidingCare University, and that has been positive. There has...

Sep 2024
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VP/Other Executive

Loyalty

We are using HealthEdge on the appeals and grievances side and the utilization management side. Most...

Sep 2024
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(0)
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VP/Other Executive

Relationship, Product

The vendor is very focused on the regulatory aspects and on adapting to different regulatory...

Sep 2024
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VP/Other Executive

Loyalty, Product

The product is pretty integrated with our ecosystem here. There are things that we would like the...

Sep 2024
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VP/Other Executive

Relationship

Probably the biggest distinction for HealthEdge has been their partnership and willingness to do the...

Sep 2024
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VP/Other Executive

Culture, Relationship

HealthEdge pretty much keeps all their promises. They keep their promises more than they don't....

Sep 2024
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(0)
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VP/Other Executive

Loyalty, Relationship, Product

End users like the system. It is clean, but the one thing that I have heard is the system takes a...

Sep 2024
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(0)
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VP/Other Executive

Loyalty, Relationship

The things that make a big difference are the vendor’s partnership, their executive involvement to...

Sep 2024
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(0)
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VP/Other Executive

Relationship

Whenever we find something, the vendor is very responsive, and we are always scanning, essentially....

Sep 2024
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(0)
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Director

Product

We do regular upgrades for GuidingCare, and we always find defects in production. That is...

Aug 2024
||
(0)
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Director

Operations

We don't get training from HealthEdge per se. The notes they give us of upcoming functionality are...

Aug 2024
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(0)
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Director

Product

It feels like GuidingCare is getting worse. We are getting more defects and trying to understand why...

Aug 2024
||
(0)
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Director

Relationship

HealthEdge meets our SLAs, but I feel like our SLAs are really in their favor. They were written...

Aug 2024
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(0)
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Director

Value

HealthEdge 100% used to charge us for every little thing, and they still do that to a certain...

Aug 2024
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(0)
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Director

Loyalty, Relationship

HealthEdge doesn’t always solve our problems, but they definitely try. There is a massive product...

Aug 2024
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(0)
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Director

Relationship

HealthEdge and their competitors aren't particularly good, so everyone lacks an area that is key....

Aug 2024
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(0)
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Director

Loyalty, Relationship

We are a large HealthEdge customer, and historically, we haven't been treated that way. We weren't...

Aug 2024
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(0)
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Director

Product

With HealthEdge, we have been exploring the development of APIs that support our larger enterprise...

Aug 2024
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