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GuidingCare Commentary
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Subject Expert
Mac Boyter
Research Director
KLAS Research Director - Mac Boyter
 

Commentary Summary

Comment Type Breakout

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User Commentary

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VP/Other Executive

Loyalty, Product

I have seen improvements with GuidingCare and things that would positively impact us. However,...

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Apr 2026

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CIO

Culture, Value

HealthEdge’s licensing for GuidingCare is pretty competitive compared to that of some of the other...

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Mar 2026

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CIO

Relationship

GuidingCare is good, but HealthEdge needs to work on support, and we have to be a very engaged...

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Mar 2026

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CIO

Relationship

HealthEdge’s processes need to be a little tighter in some of the upgrades and rollouts. As a...

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Mar 2026

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Director

Loyalty, Relationship, Product

The road map and vision are definitely strengths for GuidingCare. HealthEdge is investing a lot in...

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Mar 2026

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Director

Loyalty, Relationship

HealthEdge is doing things so differently from UST HealthProof in how they engage with clients and...

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Mar 2026

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Director

Operations

We do not receive formal training from HealthEdge. Support is provided primarily through...

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Jan 2026

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Director

Relationship

HealthEdge’s support is not strong. We use Jira to log defects and issues, but HealthEdge does not...

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Jan 2026

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Director

Product

HealthEdge needs to significantly improve their APIs. They are very basic, while our data sets are...

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Jan 2026

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Director

Value

Our in-house solutions are more expensive than HealthEdge. HealthEdge is priced per member per month...

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Jan 2026

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Director

Relationship

We have a very strong partner with our account manager at HealthEdge. I share positive feedback...

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Jan 2026

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Director

Culture, Product

For a straightforward health plan with one or two markets, I would strongly recommend HealthEdge's...

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Jan 2026

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Director

Loyalty, Relationship

In the past two years, HealthEdge has made internal structural changes that have led to more...

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Jan 2026

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Director

Loyalty, Relationship

We hold regular business reviews and review our strategic clinical road map. We always present our...

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Jan 2026

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Director

Product

The GuidingCare application is more intuitive than others I have seen and offers greater...

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Jan 2026

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Product, Value

With GuidingCare, we are getting close to a full 360-degree view of all of our enrollees. We can do...

Unrated
Oct 2025

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Relationship

One thing that HealthEdge has done that has had a positive impact is working with us to integrate...

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Oct 2025

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Relationship, Product

We want the care managers to better summarize the information that is captured in this solution so...

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Oct 2025

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Product

HealthEdge should focus on GuidingCare’s ability to gain insights from the data that we are plowing...

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Oct 2025

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VP/Other Executive

Product

HealthEdge expanded and increased the capabilities of their reporting database and their reporting...

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Oct 2025

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VP/Other Executive

Product

HealthEdge is very forward-looking; they are increasing their use of AI. The biggest challenge they...

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Oct 2025

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VP/Other Executive

Loyalty, Relationship

I would just emphasize that as a partner, HealthEdge has been fantastic. No product is going to be...

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Oct 2025

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VP/Other Executive

Loyalty, Value

It is huge that the vendor is forward-thinking and has a road map that is constantly being updated...

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Oct 2025

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VP/Other Executive

Product

There is a work queue for guiding the care management module internally, and we can use that to look...

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Oct 2025

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VP/Other Executive

Loyalty, Relationship, Product

In terms of delivering advancements, HealthEdge is providing us with digital engagement. They bought...

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Oct 2025

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VP/Other Executive

Operations

In terms of ongoing training, the vendor has been there anytime we have needed anything. They have...

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Oct 2025

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VP/Other Executive

Product, Value

Compliance has been a huge deal, especially on the Medicaid side. HealthEdge facilitated and...

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Oct 2025

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Director

Relationship

The company was small before they were acquired by HealthEdge. They were very responsive to our...

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Oct 2025

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Director

Relationship, Value

I have to say that the vendor keeps promises, but there are a lot of empty words. The vendor does...

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Oct 2025

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Director

Loyalty, Value

We are looking to expand to utilize HealthEdge’s utilization management module as well as their...

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Oct 2025

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Director

Operations

In terms of the training offered by the vendor, if we don't ask, they don't come. It doesn't seem...

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Oct 2025

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CEO/President

Relationship, Product

Being able to see the on-ramps and off-ramps that a corporation can choose to push into the...

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Oct 2025

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CEO/President

Operations

We had a very good, successful implementation. We pushed hard to not have to recreate the wheel....

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Oct 2025

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CEO/President

Operations

GuidingCare is kind of a blank slate when it comes to implementation. We pushed hard for the best...

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Oct 2025

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CEO/President

Relationship

HealthEdge does a very good job in this niche of dealing with long-term services and support...

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Oct 2025

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CEO/President

Value

Moving away from our old product to GuidingCare has definitely created efficiencies in process and...

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Oct 2025

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CEO/President

Product

GuidingCare is relatively intuitive, but there are still some components of getting lost inside the...

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Oct 2025

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VP/Other Executive

Value

We have felt HealthEdge nickel-and-diming us over the last few years, and to get around that, we...

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Sep 2025

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VP/Other Executive

Relationship, Product

Sometimes we are hamstrung by the file formats that we are using to bring data into GuidingCare, and...

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Sep 2025

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VP/Other Executive

Relationship

We have a really good relationship with our client executive from HealthEdge; they don’t always...

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Sep 2025

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VP/Other Executive

Product

GuidingCare is just very user-friendly. The work that we have done from a configuration standpoint...

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Sep 2025

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VP/Other Executive

Product

We did an upgrade of GuidingCare, and obviously, that was a lot of work for us, but upgrading to a...

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Sep 2025

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Director

Operations, Product

Our recent upgrade was flawless. Everything went smoothly, we had no issues, and we finished on...

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Sep 2025

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Director

Operations

The implementation of the appeals and grievances module for GuidingCare was very difficult. I don't...

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Sep 2025

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Director

Relationship

Sometimes we talk about what we need, and HealthEdge is all for it, but it can take them a long time...

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Sep 2025

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Director

Relationship

HealthEdge will sometimes promote a feature in GuidingCare as functioning a certain way, but when we...

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Sep 2025

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Director

Product

Everybody thinks AI is something that we can turn on overnight. Our users are chomping at the bit...

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Sep 2025

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Director

Relationship

We have dedicated people at HealthEdge who support our team, and that is good because every client...

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Sep 2025

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Director

Relationship, Product

HealthEdge is really good about security, and they are always helpful when we are doing our risk...

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Sep 2025

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Director

Value

HealthEdge does nickel-and-dime us. We have been a client for so long, but I almost feel like I'm in...

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Sep 2025

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VP/Other Executive

Product

Right now, HealthEdge may be a little behind in the technology basis of Medicaid and long-term...

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Sep 2025

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VP/Other Executive

Loyalty, Relationship

HealthEdge has been a phenomenal partner. They are always willing to help where we need quick...

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Sep 2025

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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....

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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...

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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...

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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...

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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...

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Jul 2025

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Director

Product

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

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Jul 2025

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Director

Relationship, Operations

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

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Jul 2025

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Director

Product

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

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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...

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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...

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May 2025

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VP/Other Executive

Loyalty

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

Unrated
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...

Unrated
Apr 2025

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CIO

Product

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

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Apr 2025

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CIO

Relationship, Product

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

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Apr 2025

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CIO

Relationship

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

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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...

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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...

Unrated
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...

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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...

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Apr 2025

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