Person Care Transforming Healthcare Delivery HealthEdge and Unite Us Partner to Streamline Whole-Person Care
Person Care In a groundbreaking collaboration, HealthEdge, a leader in next-generation core administrative processing systems (CAPS) and care management solutions, has joined forces with Unite Us, the nation’s premier technology partner for social care transformation. This partnership aims to empower health plans with innovative tools to deliver seamless, whole-person care at scale.
By addressing the Social Determinants of Health (SDOH) through advanced interoperability, the collaboration leverages the SMART on FHIR standard to integrate HealthEdge’s GuidingCare® platform with the Unite Us network. This integration connects members with essential SDOH resources—such as food security, housing assistance, and other community services—more efficiently than ever before.
The partnership has the potential to impact over 20 million U.S. health plan members, Person Care ensuring they receive the social support they need while streamlining operations for care managers. GuidingCare, HealthEdge’s comprehensive solution for patient-centered care, offers intuitive data integration and workflow management tools that enhance care coordination. Meanwhile, Unite Us’ advanced product suite simplifies processes by enabling organizations to send, receive, and track referrals, manage eligibility, and facilitate reimbursements across healthcare systems, government agencies, and community organizations. By embedding Unite Us’ capabilities directly into GuidingCare’s clinical workflows, this collaboration not only improves the member care experience but also reduces the administrative burden on care teams.
“Our partnership allows care managers to facilitate better Person Care 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, Person Care 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.”
This collaboration addresses the growing expectations placed on care managers due to evolving regulations from the Centers for Medicare & Medicaid Services (CMS). These requirements emphasize the importance of addressing SDOH comprehensively. The HealthEdge-Unite Us partnership equips care managers to act efficiently and effectively on members’ SDOH needs directly within the GuidingCare platform, ensuring no individual is left without access to critical resources.
“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.”
Bridging Clinical and Social Care: A Unified Approach to Member Needs
One of the most significant challenges in modern healthcare is the fragmentation between clinical care and social services. While medical interventions address immediate health concerns, factors like housing instability, food insecurity, and lack of transportation often undermine long-term health outcomes. The HealthEdge-Unite Us partnership bridges this gap by uniting clinical and social care information into a single, streamlined platform. This unified approach provides health plans with greater visibility into member needs, enabling care teams to deliver more personalized and effective support.
For example, a care manager using GuidingCare can now identify a member struggling with food insecurity and immediately connect them to local food banks or meal delivery services through the Unite Us network. Similarly, if a member requires stable housing, the platform facilitates referrals to housing assistance programs and tracks the progress of those referrals in real time. This level of coordination ensures that members receive the right resources at the right time, improving both their health and overall quality of life.
The integration also enhances transparency and accountability. By tracking referrals and outcomes across the continuum of care, health plans can measure the effectiveness of their interventions and make data-driven decisions to optimize resource allocation. This capability is particularly valuable in meeting regulatory requirements, such as CMS mandates, which increasingly emphasize the importance of addressing SDOH in healthcare delivery.
Moreover, the partnership fosters stronger collaboration between healthcare providers, community organizations, and government agencies. Traditionally, these entities operate in silos, making it difficult to coordinate efforts and share information. Unite Us’ platform breaks down these barriers by creating a centralized hub where all stakeholders can communicate and collaborate. This interconnected ecosystem not only improves efficiency but also amplifies the impact of social care initiatives, ensuring that vulnerable populations receive the support they need to thrive.
Empowering Care Managers: Reducing Administrative Burden and Enhancing Outcomes
Care managers play a critical role in addressing the complex needs of health plan members, but their work is often hindered by cumbersome administrative tasks and fragmented systems. The HealthEdge-Unite Us partnership alleviates these challenges by integrating social care capabilities directly into GuidingCare’s clinical workflows. This seamless integration allows care managers to focus on what matters most: delivering compassionate, high-quality care to members.
With Unite Us embedded in GuidingCare, care managers can access a wealth of social service resources at their fingertips. They can initiate referrals, monitor progress, and follow up with members—all within a single platform. This eliminates the need to toggle between multiple systems or manually track referrals, saving time and reducing the risk of errors. Additionally, the platform’s user-friendly interface ensures that care managers can quickly adapt to the new tools, minimizing disruptions to their daily routines.
The partnership also supports care managers in meeting regulatory and performance goals. As CMS and other governing bodies increasingly prioritize SDOH, health plans must demonstrate their ability to address these factors effectively. By leveraging the combined capabilities of HealthEdge and Unite Us, care managers can document and report on their efforts to connect members with social services, ensuring compliance with state and federal mandates. This not only enhances quality performance metrics but also positions health plans as leaders in innovative care delivery.
“Care managers will also have an enhanced user experience, allowing them to take full advantage of Unite Us’ capabilities and streamline operations,” noted Dr. Sandhya Gardner. Person Care This emphasis on usability underscores the partnership’s commitment to empowering care teams with tools that are both powerful and practical.
Setting a New Standard for Whole-Person Care
The collaboration between HealthEdge and Unite Us exemplifies the future of healthcare—a future where innovation and compassion converge to transform care delivery. By uniting clinical and social care into a cohesive platform, the partnership enables health plans to achieve unprecedented visibility into member needs and deliver more impactful interventions. This holistic approach not only improves health outcomes but also fosters equity and inclusivity, ensuring that no member falls through the cracks.
At its core, the partnership reflects a shared vision of healthcare as a collaborative effort. By bringing together diverse stakeholders—from healthcare providers to community organizations—the initiative creates a robust ecosystem that supports the entire spectrum of member needs. This model of care is particularly vital for vulnerable populations, who often face disproportionate barriers to accessing essential resources.
Looking ahead, the HealthEdge-Unite Us partnership has the potential to inspire similar innovations across the industry. As more organizations recognize the value of addressing SDOH, collaborations like this one could serve as a blueprint for scaling whole-person care nationwide. By setting a new standard for efficiency, empathy, and impact, HealthEdge and Unite Us are paving the way for a healthier, more equitable future.
A Catalyst for Change: Driving Meaningful Health Outcomes
Ultimately, the Person Care HealthEdge-Unite Us partnership represents more than just a technological advancement—it is a catalyst for systemic change in healthcare delivery. By addressing the root causes of poor Person Care health outcomes, the collaboration empowers health plans to move beyond traditional models of care and embrace a truly holistic approach. This shift not only benefits individual members but also strengthens communities and reduces the overall burden on the healthcare system.
As Sarkis Kalashian aptly stated, “We’re not just streamlining operations—we’re empowering health plans to deliver comprehensive, whole-person care that drives meaningful health outcomes.” This sentiment captures the essence of the partnership: a commitment to transforming lives through innovation, collaboration, and compassion.
Together, HealthEdge and Unite Us are redefining what it means to provide exceptional care. By uniting clinical expertise with social care resources, they are setting a new benchmark for excellence in healthcare—one that prioritizes the dignity, wellbeing, and resilience of every individual. In doing so, they are not only improving health outcomes but also building a foundation for a more equitable and sustainable healthcare system.
