Alternatives to Care Management Suite

To ensure the well-being of both patients and providers, independent practices require comprehensive solutions. Each product offered by Tebra is specifically designed to enhance and streamline the entire patient-practice experience, and when integrated into a unified platform, it functions as a complete operating system that benefits both providers and patients. By utilizing this connected system, practices can effectively attract new patients while retaining existing ones through enhanced digital visibility. Furthermore, patients are empowered at every communication point, fostering a seamless experience that promotes trust and contributes to a healthier practice environment. A state-of-the-art, certified EHR solution tailored to meet the demands of today’s healthcare providers is also included, equipping practices with essential features such as advanced charting, efficient documentation processes, a holistic view of patient histories, electronic prescriptions, lab integrations, telehealth capabilities, and much more, enabling providers to maintain control over their care delivery methods. With these innovative tools at their disposal, practices can thrive in an increasingly competitive healthcare landscape.

RXNT's cloud-based integrated Electronic Health Records (EHR), software with E-Prescribing and Patient Portal optimizes patient treatment and streamlines workflows in practices of all sizes and specialties. Providers have access to the most current patient health information and prescription history from one database, accessible from any device. Integrated communications allows providers to share real-time clinical information with patients and clinicians, allowing for better care coordination. The use of "smart keys" and intake forms allows for customization and eliminates redundancy. Your practice will enjoy the Patient Check-In feature and integrated Electronic Prescribing. HIPAA compliant, ONC certified, EPCS-certified and meets MACRA/MIPS requirements. RXNT also offers Practice Management (PM), which includes Medical Billing, Scheduling, and standalone E-Prescribing. You can choose a solution by the piece with predictable pricing or you can implement our Full Suite for one, integrated platform.

The GuidingCare solution suite offers user-friendly, state-of-the-art tools for data integration and workflow management, designed to enhance the implementation of a person-centered, evidence-based Care Management strategy for various populations. Its advanced features in data analytics, workflow oversight, care coordination, and reporting empower organizations to effectively serve specific groups while ensuring compliance throughout the process. By utilizing GuidingCare, you can optimize coordination across the entire care spectrum, efficiently manage both clinical and behavioral health requirements, automate planning for care and services, and accurately identify and address high-risk populations, thus delivering comprehensive care. Additionally, the suite fosters improved outcomes within a fully integrated, patient-centric ecosystem focused on value-based care. Ultimately, GuidingCare positions your organization to achieve both operational excellence and enhanced patient satisfaction.

AssureCare, a privately-held healthcare technology company, provides innovative care management solutions for commercial and health and human service providers. AssureCare's flagship platform, MedCompass is used by healthcare providers across the United States to provide end-to-end care management for millions. MedCompass transforms healthcare management through streamlining workflows and automating processes. This allows care professionals to make better decisions and achieve lower costs and a significantly improved quality of care. AssureCare is a leader in the development of modular, seamless solutions that improve patient outcomes and reduce unnecessary costs associated with population health management.

Provide your healthcare staff with advanced clinical-decision support software that removes uncertainty in capacity management throughout the entire hospital. This evidence-driven tool aids your facility in enhancing bed turnover rates while simultaneously elevating the patient experience. By utilizing the potential of predictive analytics and more reliable data, your team can significantly improve care coordination as well as patient satisfaction. The bed management system offers care teams a clear view of each patient's progress and facilitates effective management of bed demand and capacity, whether within a single hospital or across multiple locations in a healthcare network. Equip your physicians, nurses, and clinicians with software that diminishes clinical biases and standardizes the process of data collection. Medworxx not only produces predictive analytics but also harnesses data to foresee trends, providing healthcare workers with more insightful information. Ultimately, this technology fosters a more organized and informed approach to patient care, enhancing the overall efficiency of hospital operations.

WellSky solutions connect thousands of providers across the U.S. Their CarePort solutions bridge acute and post-acute data, providing visibility into the entire patient journey for providers, physicians, payers, ACOs and risk-bearing entities. Healthcare professionals can coordinate patient care throughout the continuum to manage and influence patient care, resulting in improved patient and financial outcomes.

Claims processing can stretch over several months, making it increasingly challenging to control associated costs by that time. A mere few minutes of delay in recognizing patient activity can lead to an unwarranted and expensive hospital admission, which is crucial in the realms of care coordination and achieving success in value-based contracts. MemberMatch delivers these critical insights instantly, equipping care teams with timely intelligence that enables them to proactively and efficiently address active care episodes. This approach assists risk-bearing organizations in enhancing both the quality of care and the financial implications of member interactions throughout the care continuum, ultimately resulting in improved patient outcomes and a healthier financial situation for the organizations accountable for their well-being. By facilitating connections between your care team and the clinical staff involved, essential context can be provided to improve the quality and cost-effectiveness of encounters, helping to prevent unnecessary admissions to out-of-network facilities and redundant testing. In essence, this real-time data empowers healthcare providers to make informed decisions that can significantly benefit both patients and their organizations.

naviHealth is revolutionizing senior-centered care by collaborating with health plans and providers to enhance the care transition process through innovative technology. Our focus is on simplifying transitions and improving overall care experiences for seniors, offering valuable news, insights, and expert analysis. With our proprietary tools for post-acute care planning, naviHealth provides clinical support that not only boosts patient recovery but also minimizes avoidable medical expenses. Our approach allows partners to manage care transitions more effectively, utilizing our specialized patient care management system. By integrating in-market clinical support with cutting-edge technology, we facilitate a smoother recovery journey for patients, enhance satisfaction levels, and reduce unnecessary costs associated with post-acute care. Furthermore, naviHealth’s dedicated care coordinators play a crucial role in maintaining seamless communication among patients, their families, and healthcare providers, ensuring that everyone is on the same page throughout the recovery process. This interconnected support system ultimately leads to better health outcomes and a more efficient care experience.

CareManager is a versatile population health management platform that operates independently of any specific electronic health record (EHR) systems, offering features such as care coordination, interoperability, analytics, outcomes measurement, and risk stratification. Leveraging cloud technology, this solution effectively minimizes the risk of patient readmission while maintaining high standards of care quality. Providers involved in the program can collaborate using a unified care plan, transfer patient information seamlessly, monitor clinical quality metrics, and handle authorizations and claims throughout their network. By consolidating data, CareManager reveals patterns and outcomes, enabling data-driven decisions in healthcare. With real-time access to up-to-date information, CareManager provides a holistic overview of each patient’s health records, enhancing understanding and transparency regarding activities across the entire care continuum. Additionally, it facilitates the management of patient assignments among various agencies and teams, ensuring coordinated and effective care delivery. This comprehensive approach aims to optimize health outcomes for communities while streamlining processes for healthcare providers.

TAGNOS enhances the capabilities of healthcare professionals, enabling them to deliver superior patient care. By focusing on timely surgical starts, increasing room turnover, and maximizing scheduling efficiency, healthcare workers can perform more procedures safely and effectively. Additionally, TAGNOS addresses patient satisfaction by minimizing the rates of those leaving without being seen (LWBS), speeding up treatment times, and improving communication within and between departments. The system also promotes better asset management, reduces waste, eliminates unnecessary search times, and streamlines work orders while optimizing supply levels. With TAGNOS OR Orchestration, healthcare providers are empowered to conduct more surgeries safely and efficiently, thanks to real-time situational awareness and performance insights driven by data. Ultimately, the implementation of OR Orchestration not only enhances operational efficiency but also significantly improves the overall patient experience through timely and effective care delivery.

In hospitals, the environment can shift unexpectedly, making it essential to enhance patient capacity while delivering top-notch care. SystmOne facilitates the effective monitoring of patient needs and their movement throughout the facility. By utilizing real-time data, the platform boosts safety, coordination of care, efficiency, and overall performance, accessible to both healthcare providers and hospital management. Users can complete data entry forms and seamlessly incorporate them into patient records. Information can be swiftly added to these records through an intuitive overview screen. Additionally, the system allows for the management of task lists related to teams, individual patients, or consultants, fostering effective resource allocation. It is also possible to design both general and specific patient pathways to streamline the flow of patients across various departments. Furthermore, customized patient pathways can be established to optimize attendance planning and enhance overall operational efficiency. Overall, SystmOne’s comprehensive features significantly contribute to improving hospital management and patient outcomes.

Transform your healthcare experience with the revolutionary Soliton® AI, which is powered by 30,000 evidence-based rules and advanced machine learning techniques. By automating various healthcare and care management functions, Soliton® equips you with the tools necessary to thrive in a value-based care environment, offering unmatched capabilities. It efficiently analyzes vast amounts of patient data in real-time, leading to enhancements in both clinical outcomes and financial performance, while also supporting a range of Alternative Payment Models (APMs). The solution boosts the effectiveness of telehealth by forecasting billable codes during patient interactions and predicting future healthcare costs through sophisticated risk stratification models. Furthermore, it provides timely clinical decision support to assist in managing intricate patient populations. Soliton® optimizes the patient journey, facilitating seamless transitions from acute to post-acute care through AI-driven care coordination. Moreover, it identifies care gaps, uncovers service and coding opportunities, and generates tailored patient assessments and personalized care plans, while also enabling the creation of custom cohorts for targeted interventions. As a result, Soliton® not only enhances operational efficiency but also elevates the overall quality of patient care.

Doxer.io is a cloud-driven system for managing medical records that aims to enhance healthcare practices by bringing together various tools to improve patient care efficiency. The platform provides customizable templates that facilitate the quick and straightforward documentation of medical appointments, alongside an online calendar and notification system, as well as additional resources for optimizing healthcare provider operations. Key features include charting capabilities, secure telehealth options for video consultations, and patient management tools that allow for effective tracking of treatment and progress. Users can benefit from personalized templates created through an intuitive drag-and-drop interface, a web-based calendar for scheduling appointments, and a centralized online dashboard that consolidates clinical information for easy access. Doxer.io prioritizes user-friendliness, requiring no prior training for setup, making it adaptable for practices of any size, enabling rapid form creation, and ensuring robust security for patient data through 256-bit SSL encryption and comprehensive end-to-end infrastructure encryption. The cloud-based nature of Doxer.io also ensures that healthcare professionals can access the system from virtually anywhere, enhancing flexibility in managing patient care.

Empower strategic decision-making and foster enhanced collaboration among diverse functions within the healthcare ecosystem. The Incedo™ Healthcare Management Platform presents a robust solution for medical management, seamlessly fusing care management, utilization management, care coordination, and healthcare navigation efforts to boost operational effectiveness and improve patient outcomes. It strengthens communication and teamwork among Care Management, Clinical, and Utilization Management teams by providing a unified view of the member care plan, ensuring a smooth transition between Utilization Management and Care Management. The platform's advanced data capabilities streamline data collection and ensure compliance with CMS regulations through a versatile data repository that can be tailored for detailed data tracking and reporting. Additionally, it promotes system interoperability, enhancing the overall integration within healthcare systems. By implementing this innovative platform, organizations can significantly upgrade their operational processes and patient care quality.

Providers and healthcare plans are facing increasing demands to enhance the quality and affordability of comprehensive care for their most vulnerable and complex patient populations. We are here to assist in addressing the cumbersome processes, fragmented care teams, and isolated data systems that hinder the delivery of integrated care for the whole individual while adapting to new value-based care requirements, including those pertaining to behavioral health and social determinants of health. Currently, our nation allocates $33 billion each year to preventable hospital admissions stemming from inadequate care coordination and management of transitions, highlighting the urgent need for effective solutions. CareEmpower stands out as a comprehensive solution unlike any other care navigation system you've experienced. Whether your organization seeks to swiftly advance its Medicare Advantage program or establish a strong population health initiative for at-risk groups, CareEmpower offers the essential tools required. It effectively stratifies and prioritizes care opportunities for these vulnerable populations, ensuring that their needs are met in a timely and efficient manner. With our innovative approach, the path to better care coordination is clearer than ever.

Enhance your revenue in clinical research by pinpointing deficiencies in clinical care. CliniWorks’ AccelInsight™ Analytics Application facilitates Population Health Management through data-driven clinical decision-making, offering insightful reports and tools that reveal care gaps across various disease areas. With AccelInsight™, healthcare professionals can access customized, near-real-time analytics derived from extensive structured and unstructured datasets, including patient medical records and other sources, to uncover evidence-based opportunities for quality improvement, risk stratification, gap analysis, and effective care management. Additionally, AccelCare™ empowers healthcare providers to swiftly establish preferred intervention plans based on best-practice protocols, align patient cases from medical records with established medical guidelines and workflows, and trigger immediate corrective workflows alongside real-time alerts and information dissemination to quality assurance teams, management, and providers. This comprehensive approach not only enhances patient outcomes but also improves overall efficiency in healthcare delivery.

Address the complexities of value-based care regardless of your existing EHR system. Gain a comprehensive understanding of your patient demographics through consolidated data from various sources, presented in an intuitive visual format. Leverage data-driven insights to enhance the management of chronic diseases and facilitate smoother transitions in care, while also working to prevent illnesses, reduce costs, and enhance care management initiatives. Promote effective care coordination through tools designed for a proactive mindset, including a pre-visit dashboard, risk assessment capabilities, and automated monitoring of admission, discharge, and transfer activities. Activate care management strategies to broaden the reach of healthcare providers. Encourage essential patient interactions and ensure meaningful follow-up between visits. Utilize the Johns Hopkins ACG system for risk stratification to pinpoint patients most at risk for high-cost healthcare utilization. Efficiently allocate resources to areas where they are most urgently needed. Aim to elevate performance metrics related to quality care. Engage successfully in value-based payment initiatives and maximize reimbursement opportunities as you navigate this evolving landscape. By implementing these strategies, healthcare organizations can improve patient outcomes and foster a more sustainable care environment.

Lightbeam facilitates population health improvement by converting data insights into tangible outcomes, effectively bridging care gaps and reducing risks. This approach enhances both the quality of care and the overall quality of life for patients. By utilizing its robust population health management platform, Lightbeam integrates various data sources to create a comprehensive 360-degree view of patients, which is essential for maximizing the benefits of value-based care. In the contemporary landscape of value-based care, effective risk management hinges on data-driven intelligence. Lightbeam's innovative platform consolidates patient information in unique ways, enabling the strategic application of relevant data precisely when it is needed. The impact of Lightbeam extends beyond just altering how clients navigate value-based care; it has been instrumental in generating significant financial benefits, having saved clients over 2 billion dollars since its inception in 2014, and its journey is only beginning. Furthermore, Lightbeam's technology-enabled services approach effortlessly complements these initiatives, providing additional support to enhance client outcomes. As a result, organizations that partner with Lightbeam are equipped to achieve remarkable advancements in their population health strategies.

For thirty years, health systems have depended on TeleTracking’s operational platform to effectively manage bed availability and monitor patient progress from initial access through to discharge and into post-acute care settings. TeleTracking fosters comprehensive situational awareness across the system and provides operational insights that simplify processes and enhance efficiency. Our unique methodology, combined with unmatched expertise in patient flow, guarantees that you achieve your long-term objectives while prioritizing the delivery of high-quality care to patients. Ultimately, TeleTracking is dedicated to preserving lives, allowing caregivers to reclaim their time, and ensuring that patients enjoy a favorable experience by facilitating access to the appropriate level of care when and where it is required. Additionally, in light of the financial challenges currently confronting health systems, TeleTracking aids in the enhancement of care delivery without incurring extra costs, requiring additional space, or increasing inventory demands. By integrating innovative solutions, TeleTracking empowers health systems to thrive in a competitive landscape, all while maintaining a steadfast focus on patient-centric care.

Remote Patient Monitoring (RPM) enables individuals to utilize connected medical devices for routine assessments and transmit the results to their healthcare providers. By enhancing access to medical care and lowering healthcare delivery expenses, RPM assists safety-net providers in moving beyond sporadic patient visits to establish an ongoing, real-time patient record, thereby transforming healthcare practices from a reactive to a proactive approach that supports value-based care (VBC). Through Care Management services, patients with complex medical needs can receive continuous, patient-centered care. Those grappling with chronic conditions who participate in these initiatives experience better health results due to consistent care coordination, uninterrupted communication with their healthcare providers, and regularly scheduled telehealth consultations. Additionally, the implementation of telepharmacy plays a pivotal role in improving patient outcomes by ensuring that individuals adhere to their medication regimens, including specialized treatments. Moreover, these innovations in healthcare delivery systems contribute to a more holistic approach to patient wellness, fostering an environment where proactive management can significantly reduce the potential for health complications.

Effective coordination of care, assessment of quality, risk identification, and compliance monitoring are all essential processes that rely on data from a variety of sources and systems, ultimately enhancing the experiences of both patients and providers. Midas Health Analytics offers innovative solutions designed to enhance operational and clinical effectiveness by managing risks, optimizing costs, and transforming data into practical insights. By monitoring and analyzing performance trends over time, organizations can proactively address and reduce risks, make informed decisions in the face of evolving regulations, and create a safe environment for patient care. Achieve unparalleled operational efficiency while assessing, interpreting, and presenting quality of care performance results to stakeholders, navigating the complexities of today's healthcare landscape. This approach not only improves accountability but also fosters a culture of continuous improvement within healthcare organizations.

CareStat represents SHP's all-encompassing analytics solution for post-acute care, effectively connecting acute care providers, ACOs, payers, and physician groups with skilled nursing facilities and home health agencies. Our mission is to collaboratively enhance the management of patient outcomes, operational efficiency, utilization, and partnerships between post-acute providers. Utilizing SHP's exclusive readmission algorithms, CareStat integrates real-time OASIS and MDS data to facilitate patient management throughout the entire care continuum. This implementation not only aims to minimize readmissions and shorten hospital stays but also to foster better collaboration and improve referral practices, ultimately leading to heightened patient satisfaction. By streamlining the data transfer process for quality and outcome metrics, we help organizations save valuable time. In a metrics-driven landscape, your organization understands the necessity of actionable insights, and achieving your goals demands the right tools and expertise to function optimally. Overall, CareStat is designed to empower providers with the insights they need to drive better patient care outcomes.

CareVoyant is an integrated enterprise-scale software platform for Home Health Care Agencies offering one or multiple lines of service, including Private Duty Nursing, Non-Medical, Personal Care, HCBS, and Home Health - under ONE Patient and ONE Employee. CareVoyant's built-in validations and proactive alerts improve your agency's operational efficiency and bottom line through exception-based management. CareVoyant functions - Intake, Authorization, Scheduling, Clinical, Financial, Care Coordination, Reports and Dashboards – improve operational efficiency and bottom line of your home health care agency by eliminating duplicate data entry, streamlining workflow, improving quality of care, and optimizing reimbursement. CareVoyant Scheduling and Clinical functions are integrated and easy to use tools to optimize employee utilization and ensure compliance. eMAR, eTAR, and Electronic Continuous Care Flow Sheets will meet the requirements for Private Duty Nursing Home Care. CareVoyant CV Mobile is an easy to use and integrated platform to meet disparate EVV requirements for multiple states with a standard interface to state aggregators. CareVoyant handles complex billing requirements for all payers.

Meeting the objectives of care coordination at a reduced cost is essential for enhancing patient satisfaction and fostering loyalty. However, these objectives are intricate. Your organization requires a population health software solution that offers a collaborative care plan, seamlessly integrated across all healthcare environments, without disrupting users' workflows. It’s vital to utilize automated outreach tools for patients, allowing care coordinators to focus on more strategic responsibilities. Now is the moment to consider Care Director. By implementing Care Director, your team can streamline the coordination of outpatient services, categorize patients into healthy and at-risk groups, and obtain care recommendations driven by actionable clinical insights, leading to timely interventions and better overall population health. Care Director empowers healthcare providers to view a comprehensive care plan directly within their existing workflows, facilitating easy access to information and enabling efficient communication back to care navigators with just a few clicks, ultimately transforming the care delivery process. With this approach, your organization can enhance operational efficiency and deliver a higher standard of care.

ThoroughCare is an all-encompassing care coordination software platform that aims to improve the delivery of care across numerous healthcare sectors, such as chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness assessments, and advance care planning. This platform empowers healthcare providers to fulfill all service criteria, utilize evidence-based practices, and generate additional revenue while effectively addressing care gaps. By implementing a robust care management strategy, ThoroughCare meticulously monitors quality and performance metrics, consolidates data from various clinical locations to assess patient engagement and outcomes, and generates reports on risk stratification, claims, missed revenue opportunities, encounters, and call performance. The analytics feature of ThoroughCare equips decision-makers with visual insights into operational, financial, and patient data, thus facilitating informed choices. Additionally, the platform seamlessly integrates with electronic health records (EHRs), health information exchanges (HIEs), and remote monitoring technologies, ensuring a holistic approach to patient care. This interconnectedness not only streamlines workflows but also enhances the overall efficiency of healthcare delivery systems.

Become a part of our network to enhance care coordination throughout various communities. Watershed Health offers a comprehensive care coordination platform that enables healthcare providers to deliver integrated care, ultimately leading to better patient outcomes. With our system, you can access vital patient information all in one place, facilitating more informed clinical decisions. Receive timely updates on patient data from all members of the care team as it is generated. Identify crucial insights into significant patient demographics to promote value-based care and improve population health management strategies. As healthcare providers collaborate and share information, Watershed Health employs clear, real-time quality metrics to evaluate and motivate care coordination efforts. Additionally, our platform allows for screening of social determinants of health (SDOH) and connects patients to local resources that can help meet their specific needs. Our solution seamlessly fits into existing tools, systems, and workflows, significantly reducing the time and effort required for implementation. By joining Watershed Health, you're not just enhancing care; you're also fostering a community dedicated to improving health outcomes for everyone involved.

Enable Healthcare’s Electronic Health Records (EHR) is an advanced clinical solution powered by AI that serves both individual practices and extensive multispecialty groups by streamlining comprehensive documentation, administrative processes, and patient engagement within one platform. It offers a visual representation of interactive clinical data to guide treatment decisions for both individual patients and broader populations, while its real-time dictation application enhances efficiency by replacing manual typing with precise voice recognition. Utilizing HPI-based algorithms, the intelligent coding engine automates the identification of codes, incorporates payer-specific coding, and generates alerts for care gaps to ensure better revenue management. With the help of enableAssist, healthcare providers can take advantage of AI-driven charting prompts to quickly create assessment and plan narratives. Additionally, eApredict assesses and presents color-coded risk levels for patients, aiding in prioritization of care. Furthermore, integrated telehealth functionalities support virtual appointments and streamline the process of transition-of-care reviews, making healthcare delivery more efficient than ever.

Our comprehensive platform provides fully integrated health plan solutions that add value and reduce the complexities of healthcare for employers, members, providers, and payers alike. Valenz combines member-focused services with insights derived from data, creating connections through personalized assistance that leads to high-quality care and enhanced outcomes. We prioritize early and frequent engagement through effective education, support, and services designed to prevent more severe and costly health issues down the line. By choosing Valenz, you can foster a healthier member population while consistently achieving cost savings for both plans and members year after year. To access the transparency and tools necessary for making quality-driven, cost-effective decisions, let’s discover your pathway to more efficient healthcare today. Additionally, the Valenz healthcare ecosystem optimization platform features a suite of fully customizable solutions that are all integrated within a single strategic framework, providing in-depth visualization of cost, quality, and utilization opportunities, ensuring you are equipped to navigate the healthcare landscape effectively.

Utilize analytical insights to minimize variation, enhance the quality of care, streamline care coordination, and manage financial outcomes effectively. Regardless of whether you're functioning within a fee-for-service or a risk-based model, the unparalleled data and analytics capabilities, combined with expert support from Optum® Performance Analytics, can help your organization thrive in the dynamic health care environment. Optum Performance Analytics provides comprehensive clinical and financial longitudinal perspectives on your patients, healthcare providers, facilities, and networks. By merging your varied clinical and claims data with an expanding array of sociodemographic, behavioral, and patient-reported information, you gain a deeper understanding and context. Additionally, Optum Performance Analytics is designed with the adaptability to align with the objectives of any healthcare system. Organizations that need focused guidance can take advantage of pre-built dashboards and opportunity reports that identify ways to improve care and cut costs, ultimately paving the way for more effective health management strategies. As such, adopting these analytics tools not only fosters better patient outcomes but also strengthens the overall operational efficiency of healthcare providers.

Dina is crafted to promote collaboration in a contemporary, adaptable, and integration-ready environment. The platform accesses data to pinpoint the most suitable post-acute and in-home care partners while delivering actionable insights from within the home setting. We curate a network of high-quality partners utilizing information from CMS, your organization, and exclusive data collected by Dina. Our digital ecosystem comprises post-acute providers, home health services, non-medical home care agencies, organizations that tackle social determinants of health (SDOH), and family caregivers. It offers the healthcare sector's first fully-integrated suite for communications that comply with HIPAA regulations, featuring real-time messaging alongside a care coordination workflow that encompasses care transitions, referrals, DME orders, health plan authorizations, tracking of patients over time, and engaging family caregivers. Additionally, predictive models are employed to identify patients who are at a significant risk of returning to the emergency department, thus enhancing proactive care management. This comprehensive approach not only streamlines communication but also fosters a collaborative environment that can lead to improved health outcomes.

At Maincare, we specialize in delivering digital health solutions tailored for healthcare organizations, care teams, and payers, enabling them to enhance the quality of care, elevate population health management, and boost performance metrics. We develop advanced, fully integrated e-health platforms that facilitate a more coordinated care experience, leading to improved patient engagement and outcomes. Our commitment to better care coordination and enhanced population health comes with a focus on reducing costs for all stakeholders involved. Every day at Maincare Solutions, we strive to drive innovation that empowers healthcare organizations to offer superior care and enhance the overall health of populations. As a preferred partner in population health programs, we assist groups of healthcare providers in collaborating within a secure and efficient information-sharing environment, ultimately refining and optimizing care processes for better performance. Our extensive expertise in digital health allows us to deliver bespoke solutions that perfectly align with your specific project needs, ensuring that each client receives the most effective tools available. By prioritizing adaptability and client satisfaction, we aim to revolutionize the healthcare landscape.

The process we follow for setup is straightforward and efficient. We take the initiative to incorporate our HIPAA-compliant software and services seamlessly into your current workflow. This software is designed to analyze your patient population, pinpointing individuals who might be eligible for Chronic Care Management (CCM) and various preventive programs. Our combination of a dedicated care team and advanced software can handle tasks like enrollment and eligibility verification, patient outreach cycles, and meticulous record management, among other functions. With our integrated approach, we stay closely attuned to the needs of your patients, ensuring timely responses. Our user-friendly, one-click interface provides physicians with essential information about patients requiring urgent care. This is how our system operates:

By offering a groundbreaking array of solutions and the most integrated care collaboration network available, we are pursuing a holistic approach to healthcare that is transforming expectations and altering the landscape of the industry. This journey toward more informed decision-making and improved outcomes is anchored in a commitment to ongoing dialogue, teamwork, and innovation. This dedication is the cornerstone of our mission, enabling us to achieve significant results across diverse care environments. Empower yourself to choose the best care paths and proceed with confidence, leveraging real-time insights and the nation's most extensive care collaboration network. Efficiently pinpoint the best course of action with streamlined solutions that enhance workflows and accelerate patient treatment. Minimize risks, reduce expenses, and hasten the shift to value-based care through access to previously unavailable proactive intelligence. Bring the concept of whole-person care to life by integrating essential context that encompasses both physical and mental health experiences, ensuring comprehensive support for patients’ well-being. This holistic approach guarantees that every individual receives the tailored care they deserve, addressing all facets of their health journey.

VitalHub offers a suite of solutions focused on Patient Flow, Operational Visibility, and Patient Journey Optimization, specifically tailored for intricate hospital systems and integrated health settings. Our innovative technologies enable frontline staff, healthcare providers, and management to enhance the patient experience while achieving greater operational efficiency, ultimately leading to safer care outcomes. We provide tools that streamline various aspects of healthcare, including patient flow management, perioperative processes, demand and capacity planning, virtual consultations, clinic administration, and the overall patient journey. By enhancing transparency and communication, our solutions offer real-time visibility across the entire system, ensuring integrated information is available for coordinated care and optimizing patient transitions. Furthermore, VitalHub’s Electronic Health Record (EHR) offerings extend beyond conventional clinical data collection, delivering a comprehensive and holistic perspective of patients and clients right at the point of care, which fosters better decision-making and improved health outcomes. Through these advancements, we aim to transform healthcare delivery into a more efficient and patient-centered experience.

Transforming fragmented health data into meaningful insights is at the heart of what we do. Clarify Health's analytics platform cuts through the confusion, enabling organizations to excel in a post-pandemic landscape. We provide accurate insights into the performance of healthcare providers, the experiences of patients, and the adoption rates of therapies. With our state-of-the-art analytics software, you can confidently enhance physician performance, align patients with suitable care options, and adeptly manage value-based agreements. Harness insights that can expedite product launches and foster growth, while showcasing real-world effectiveness and facilitating outcomes-based contracts. Accurately pinpoint leading physicians and facilities, offer a more tailored experience to members, and optimize value-based interactions. Our timely insights are generated through a multitude of predictive models, organizing data into real-time analyses that drive measurable return on investment. Fueled by extensive data and cutting-edge technology, we are dedicated to transforming health data into tangible results that make a difference in patient care. In this rapidly evolving healthcare environment, our platform empowers stakeholders to make informed decisions that lead to better health outcomes.

Effectively overseeing patient care requires a balanced mix of clinical expertise and technological tools. In a field often characterized by high labor demands, these tools should not only facilitate and improve care management processes but also enhance the financial health of the organization. AveCare offers a comprehensive solution that integrates care management functions—including care management (CM), disease management (DM), and utilization management (UM)—streamlining workflows and providing robust management capabilities at a competitive price point, enabling organizations to maximize both clinical and financial resources while elevating the quality of care and patient outcomes. The platform allows for the exchange of data from a variety of sources such as eligibility, claims, pharmacy, diagnostic tests, lab results, predictive analytics, decision support systems, and electronic faxing. Designed for integration, it seamlessly combines case management, disease management education, and utilization management functions into one cohesive system. Users can access a centralized view of all relevant CM, DM, and UM activities related to each patient, ensuring that care is coordinated and informed by comprehensive data. This holistic approach not only streamlines operations but also fosters better communication among healthcare providers.

Netsmart Homecare integrates all aspects of home healthcare organizations, from patient intake through documentation to scheduling to billing to billing. Homecare was developed by clinicians and industry professionals. It seamlessly integrates business, clinical, scheduling, and mobile functionality for multiple business lines, including private duty and home health. This homecare software allows for true interoperability by providing instant access to vital patient data, notes, and care plans. It allows real-time data exchange between providers, optimizing care coordination and leading to better outcomes. Netsmart Homecare supports you in your mission to provide home care with an EHR that is most suitable for your agency today and tomorrow.

DocSpera serves as a comprehensive surgical coordination platform designed to enhance collaboration across various locations and teams, ultimately leading to greater efficiency and improved patient outcomes. It is utilized by numerous surgeons in hundreds of healthcare facilities that employ diverse surgical pathways. The solution offers extensive longitudinal data and insights that span the entire continuum of patient care. With a versatile interface that is not tied to any single institution, it effectively manages cases from the initial surgical decision through to recovery. Additionally, it integrates smoothly with electronic medical record (EMR) systems and picture archiving and communication systems (PACS). The platform provides timely and dependable supply chain alerts, which facilitate better logistics and operational support. By providing predictive indicators related to patient compliance, discharge information, and readmission risks, it empowers healthcare providers to intervene early when necessary. Featuring user-friendly web and mobile interfaces, it can easily connect with other essential systems. By leveraging a real-time predictive framework, DocSpera ensures efficient care coordination for patients throughout their surgical journey, making it a top-tier solution in the field. Notably, it has established integrations with over 30 EMRs and various third-party systems, showcasing its flexibility and adaptability in diverse healthcare environments.

A data-driven solution for managing claims and remittances specifically designed for healthcare providers looking to streamline their workflows, enhance resource efficiency, minimize denial rates, and expedite cash flow. Boost your initial claim acceptance rate significantly. Our all-inclusive edits package ensures you remain compliant with evolving payer guidelines and regulations. Increase your team's efficiency with user-friendly, exception-based workflows and automated procedures. Your personnel can conveniently utilize our adaptable, cloud-based platform from any device. Effectively manage your secondary claims volume through the automated creation of secondary claims and explanations of benefits (EOB) derived from the primary remittance advice. Leverage predictive artificial intelligence to identify and prioritize claims that require attention, allowing for quicker error resolution and minimizing denials before submission. Achieve a more efficient claims processing experience. Additionally, print and distribute primary paper claims, or compile and send collated claims along with EOBs for secondary submissions. This holistic approach not only enhances operational efficiency but also promotes better financial performance for healthcare providers.

Everything you do is influenced by providing the best patient care. We empower it with tools that simplify your team's workflows, digitize data, and provide the right clinical documentation to the right people at the right times. Forcura is the clinical workflow solution of choice for top healthcare organizations. It can manage care transitions and coordinate care across your teams. Forcura consolidates referrals coming from multiple sources into one location. This allows your team to track, track, and respond to any referrals. Home healthcare teams can connect, so they can work from anywhere with a web connection. With faster patient onboarding and efficient workflows, every second counts. Automated technology can streamline patient referrals and accelerate billing cycles. Digital workflows and patient-centered tools can reduce operating costs.

Acuity Advanced Care™ is a flexible on-premise population health platform tailored to meet the varied requirements of case, utilization, disease, and overall population health management initiatives. This system empowers organizations by granting them complete control over their environment while allowing for customization to cater to each entity's distinctive care strategies. Impressively, over 90% of Acuity Advanced clients hold either NCQA or URAC accreditation, or both. With Acuity Advanced Care, users benefit from the inherent flexibility that an on-premise solution provides, along with comprehensive database access. The on-premise setup enables organizations to dictate the location of their data storage. Those clients who possess skilled IT teams are capable of handling the configuration, security, and upkeep of intricate systems independently. Chordline Health stands out as a premier software provider focused on assisting health plans, TPAs, ACOs, and various risk-bearing entities. The skilled team at Chordline, composed of US-based clinicians and developers, is celebrated for its unparalleled expertise in managed care and exceptional customer service, ensuring that clients receive top-tier support and solutions for their healthcare needs.

Accelerate your market entry in a budget-friendly manner with the provider portal offered by LucidAct Health. With LucidAct, you can effectively launch and expand your services rapidly. Our platform assists in establishing a secure API-driven data feed from your applications or devices, and we can also connect you with a network of qualified care coordinators and nurses if desired. Think of our workflow module as the Trello for healthcare teams, simplifying task assignments and providing notifications throughout the entire patient care experience. You can steer the remote care team with timely tasks aligned with the care delivery workflows you design or modify. Facilitate symptom tracking and ensure proactive patient engagement while also producing reports on productivity and task management. Our platform supports API-driven data integration to enhance your operations. Additionally, our payment module functions like Stripe for healthcare, streamlining the payment process by replacing outdated insurance phone protocols with modern digital solutions. Providers will have straightforward access to your data and analytics regarding patient outcomes and engagement. Ultimately, your Provider Portal serves as a vital sales channel. Furthermore, leveraging these tools can significantly improve the quality of care provided to patients while enhancing overall operational efficiency.

We enhance the efficiency of numerous healthcare facilities globally, simultaneously improving the experiences of both staff and patients. Our solution streamlines ambulatory care pathways, providing patients with greater peace of mind. With LGI eClinibase, visibility into patient care pathways is significantly increased, and waiting times are curtailed by sharing detailed information about each care episode. Transitioning from paper to digital allows for rapid access to data regarding referrals, waiting lists, and appointments. Users can generate lists and summaries from multiple clinical administrative systems regarding all episodes of care. The platform facilitates management of referrals, appointments, and patient communications across the entire facility, ensuring a cohesive workflow. Additionally, it offers automatic suggestions to correct patient records and identifies duplicate entries efficiently. Furthermore, it oversees the professional activities agenda, encompassing intake management, appointments, clinical documentation, and statistical reporting for the MSSS, thereby optimizing operational effectiveness throughout the healthcare system.

To enhance outcomes, it is essential to recognize the whole patient, empower both patients and their care teams, and promote the scalability and efficiency of care management programs. Optum® Patient Care Management enables organizations to proactively and intelligently oversee patient care throughout the healthcare ecosystem, forming sustainable networks that facilitate genuine patient-centered care at every phase of the patient experience. By establishing intelligent workflows, automatically triggering essential tasks, and creating precise interventions along with individualized care plans, Optum Patient Care Management allows care managers to concentrate on critical issues that significantly influence care quality and costs. Through the aggregation and normalization of diverse clinical and claims data, along with an expanding array of sociodemographic, behavioral, and patient-reported information, Optum can provide a comprehensive, 360-degree view of every patient for whom care coordination is being conducted. This holistic approach ensures that care is not only comprehensive but also tailored to meet the unique needs of each patient effectively.

Authorize, claim processing and payment are available at the point-of-care. Improve care coordination and improve outcomes for lower medical costs while streamlining administrative processes. Engage providers at point of care to share and capture data in real time, resulting in an unprecedented exchange of health information. We work with our clients to develop risk management strategies that produce better outcomes at lower costs. We aim to improve the user experience of everyone in the ecosystem. To optimize clients' resources, we deliver a minimum of a 3:1 ROI. Conexia has created a core technology platform (ONE), which can be customized to meet the different regulatory requirements and operational processes of each client in each geographic region. Our initial implementation is usually an overlay on the existing technology ecosystem of the payer to create real-time processes.