Alternatives to Clarify Health

Gain access to top-tier information and insights regarding hospitals, medical professionals, and various healthcare providers, with daily updates ensuring accuracy. Our mission is to assist businesses throughout the healthcare landscape in expanding their operations and forging innovative pathways to success in the market. There are numerous reasons we have maintained our status as a frontrunner in healthcare commercial intelligence for over a decade. Driven by cutting-edge data science and artificial intelligence, we provide comprehensive intelligence tailored to all your business requirements. Healthcare commercial intelligence effectively clarifies the intricate network of data related to delivery systems, healthcare providers, insurers, patients, government entities, and more, allowing you to pinpoint the most suitable individuals, opportunities, and organizations for your offerings. Navigating the healthcare market with a new product can be challenging, as vital insights are frequently hidden within various fragmented data systems, complicating the quest for cohesive understanding. This is where healthcare commercial intelligence (HCI) steps in, representing a groundbreaking category of software that simplifies the complex data landscape surrounding healthcare delivery. By leveraging HCI, businesses can not only streamline their access to vital information but also enhance their strategic decision-making processes.

Numerous organizations globally rely on IQVIA to accelerate the drug development process, guarantee the safety and quality of products, enhance commercial efficacy, deliver appropriate treatments to patients, and ultimately promote improved health outcomes by facilitating access to and delivery of healthcare. Transform your approach to clinical development by seamlessly integrating data, technology, and analytics to streamline your trials. The outcome? Quicker decision-making and minimized risks, enabling you to provide transformative therapies at a faster pace. With its expertise rooted in data, sophisticated analytics, and deep industry knowledge, IQVIA offers tailored capabilities to clients throughout the healthcare landscape. Stay informed by exploring the latest insights and updates from IQVIA's data scientists, healthcare professionals, researchers, and other industry experts on crucial topics that resonate with your interests. From emerging industry developments to practical applications of our capabilities, a wealth of information awaits you here. Engaging with this content also empowers you to stay ahead in a rapidly evolving healthcare environment.

Gigasheet applies AI to healthcare price transparency data to deliver market intelligence for providers, payers, and consultants. The platform structures Transparency in Coverage datasets at scale and analyzes them to benchmark reimbursement rates, identify outliers, and surface opportunities for savings or growth. Organizations can integrate their own claims, contract, or network data within a high-scale spreadsheet-style interface to create a complete view of market dynamics. Gigasheet’s AI agent produces consultant-grade reports, dashboards, and executive summaries, allowing teams to improve contracting and strategy decisions without relying on complex technical workflows.

At Komodo Health, we integrate an extensive understanding of patient interactions with cutting-edge algorithms and years of clinical knowledge to create our Healthcare Map, which offers the most accurate representation of the U.S. healthcare landscape. This Healthcare Map serves as the backbone for our comprehensive suite of software solutions, designed to help you provide exceptional value to your customers, colleagues, and patients alike. Relying solely on traditional scholarly data for strategic planning is now outdated. Our Aperture platform has been meticulously crafted to deliver unparalleled insights into clinical leadership and influence, enabling improvements in care standards where they are needed most—whether that involves the most referenced author, a prominent social media influencer, or the physician with the highest patient volume. Moreover, conventional open/sampled prescription and patient-level data often overlook critical patterns that are essential for accurately identifying individuals with complex care needs or uncommon medical conditions. By addressing these gaps, we aim to enhance patient outcomes and streamline healthcare delivery.

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.

Numerous patients are in urgent need of your home health services, yet many doctors who could refer them are not doing so. This situation is likely a result of your sales and marketing teams not accessing the 75% of Medicare claims that correspond to office visits. It is essential to showcase your capability to reduce expenses while enhancing patient outcomes. For instance, Home Health Agency A can swiftly illustrate its superior performance over Home Health Agency B concerning hospitalization and readmission statistics. Marketscape for Home Health empowers you to transform your sales and marketing approach, ensuring that you target the most promising physician and facility referral sources. Our innovative technology and dedicated support enable you to efficiently assess your standing against competitors based on various metrics, including hospitalization and readmission rates, diagnostic categories, acuity levels, time to initiate care, overall care costs, and numerous other quality indicators. By leveraging this information, you can strategically align your efforts to maximize referrals and ultimately improve patient care.

TikaMarketAccess gives Market Access teams the ability to: -Manage pricing and contracts -Handle all clinical requests and accept response dates Analyze competitor activity in detail -Get insight into the formulary plans that cover different therapeutic groups -Draw into specific plan details, such as the number of lives per plan or by state. Sales reps can also push real-time alerts for formulary wins by physician and location. Tika's powerful app uses data and information to determine the best practices for value-based contracting. This ensures success from contract initiation through execution and evaluation. The solution allows teams to identify the best payment and delivery methods, balance value, accessibility, and affordability for patients. This helps to achieve the goal of a patient-centric approach in healthcare.

CORTEX represents a groundbreaking advancement in utilization management software, delivering a comprehensive 360° solution to navigate the complexities of utilization management and revenue cycle operations. Powered by an advanced machine learning engine and real-time predictive analytics, CORTEX guarantees that cases are addressed promptly and appropriately, whether by the right personnel or through exceptions. By integrating precision medicine with a robust foundation of evidence-based practices, CORTEX enhances the evaluation of patient populations through real-time machine learning models. Our analytics solutions have been successfully implemented in hospitals and health plans nationwide, demonstrating their effectiveness. For straightforward inpatient cases, CORTEX streamlines the process by automating determinations based on your specific criteria, significantly reducing the burden on staff. In contrast, when facing challenging cases, CORTEX equips your team with critical insights to facilitate well-informed decisions. This innovative approach delivers tremendous benefits to both payers and providers, fostering improved healthcare outcomes and operational efficiency. Furthermore, CORTEX's adaptability allows it to evolve with the changing needs of the healthcare landscape, ensuring sustained value over time.

The significance of quality and cost cannot be overstated. As value-based care models become more prevalent, it is essential for hospitals, physicians, employers, and insurance plans to have access to precise and insightful analytics. With Quantros’ exceptional insights, both providers and recipients of care can make informed, data-driven choices. The analytics software from Quantros equips healthcare providers to comprehend, forecast, and enhance their performance effectively. Additionally, it offers healthcare purchasers a transparent view of the reliability with which hospitals and physicians are achieving optimal outcomes and delivering suitable care throughout the healthcare continuum. This level of transparency not only fosters trust but also drives improvements in healthcare delivery.

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.

Health plans today prioritize population health management (PHM) as a critical focus area. The key issue lies in balancing the overall health of the population while still recognizing and addressing the needs of each individual. ZeOmega emphasizes the significance of the individual member in the context of evolving value-based care initiatives. Our Jiva solution for population health management aggregates extensive data at the population level and incorporates analytical tools that allow for real-time identification of ways to enhance care or modify patient behavior. It is designed around five vital pillars that are crucial for successful population health management. ZeOmega’s robust platform provides strategic, high-value solutions aimed at enhancing both individual health outcomes and provider performance. With our deep expertise in the field, we are well-equipped to tackle the intricate challenges presented by population health dynamics, ensuring that both collective and individual needs are met effectively.

Facilitate connections between healthcare entities such as hospitals, clinics, health plans, and life sciences with app developers and health data partners to create innovative digital services based on FHIR APIs. Enhance both the efficiency and safety of transitions throughout the continuum of care, whether in-patient or out-patient. Offer personalized wellness and prevention strategies tailored to at-risk individuals, fostering proactive health management. Encourage collaboration among patients, healthcare providers, and physicians to effectively address chronic conditions, leading to better management outcomes. Focus on patient-centered digital services that prioritize user experience and safety, while minimizing risks during care transitions. Utilize an enterprise-grade platform capable of managing, securing, and scaling APIs that remain agnostic to FHIR servers. Seamlessly integrate healthcare data from various sources, including internal systems, external partners, or open-source FHIR-ready resources. By swiftly launching digital services like mobile applications, advance the vision of patient-centric healthcare and enhance data interoperability, ultimately improving healthcare delivery for all. This approach not only enhances patient engagement but also drives innovation across the healthcare landscape.

Harnessing the capabilities of Medius’ multi-cloud AI platform enables an impressive accuracy and coverage rate exceeding 90% in health intelligence and risk predictions, utilizing only a handful of health variables. By analyzing a limited set of health data points, Medius’ platform efficiently aggregates and mines extensive datasets to produce vital health risk and underwriting insights in mere seconds, achieving remarkable accuracy and coverage that supports providers and payers in their assessments, operational efficiency, and cost-saving strategies. Furthermore, Medius’ proprietary UW Studio™ serves as a comprehensive underwriting platform that revolutionizes the insurance industry, employing various science-driven underwriting ensemble models to meet both business and technical needs, while emulating human-like actuarial reasoning with clinical precision. This innovative approach not only streamlines decision-making processes but also enhances the overall effectiveness of health insurance operations.

Mosaic offers exceptional insights into comprehensive market performance metrics that span various provider categories, enabling you to assess risks prior to engagement, enhance relationships, and succeed in the current value-driven healthcare environment. In the endeavor of constructing and sustaining a robust network, the effectiveness of your team is heavily influenced by any underperforming partners. Uncover strategies to tackle deficiencies and capitalize on potential opportunities. Set and accomplish targeted objectives, such as incorporating new provider types or establishing a preferred provider group. Work alongside providers to elevate quality, optimize utilization, and manage costs effectively. Ultimately, achieve a reduction in the overall cost of care while simultaneously enhancing patient outcomes, ensuring a win-win situation for all stakeholders involved. By leveraging these insights, you can foster a culture of continuous improvement and adaptability in your healthcare network.

Envolve is committed to transforming healthcare by leveraging strategic partnerships and extensive experience to deliver value-based and cost-effective care solutions. The services offered by Envolve MSO equip organizations with essential strategies, skilled personnel, and streamlined processes aimed at implementing value-driven, affordable healthcare and facilitating genuine transformation in the sector. As a prominent provider of healthcare management services, we infuse innovation and expertise to enhance performance within outcomes-oriented and value-based reimbursement frameworks. Our comprehensive healthcare management services improve both quality and efficiency in care delivery through top-tier business administration services, effective data usage, clinical excellence, and robust operational support. By investing in pioneering benefit designs across a variety of products nationwide, Envolve significantly contributes to publicly funded, marketplace, and commercial programs that enhance individuals' health and overall quality of life. This commitment to innovation and improvement positions Envolve as a leader in reshaping the future of healthcare for all.

Enhance the effectiveness of your organization and streamline the validation process of OASIS data using cloud-based reporting and analytics tools tailored for home health services. By equipping home health agencies with the means to pinpoint actionable insights, you can elevate patient outcomes and star ratings, decrease readmission rates, enhance referral rates, and ultimately boost your revenue streams. OASIS Intelligence serves as the essential platform for addressing your home health agency's needs in performance improvement. Our cloud-based software not only facilitates thorough analysis of organizational performance but also ensures swift and precise validation of OASIS data. With access to the latest data, you can uncover performance trends and identify areas for improvement, leading to quicker enhancements in your processes and increased star ratings. Stay informed about quality standards and reimbursement accuracy through automated notifications that alert you to any errors or discrepancies in the OASIS documentation. Our reporting capabilities are comprehensive and adaptable, allowing you to examine everything from monthly performance trends and condition-specific evaluations to detailed patient-level outcomes. By leveraging these insights, your agency can strategically target areas for growth and improvement, ultimately driving better health outcomes for your patients.

Pareto Intelligence is an innovative platform specializing in healthcare analytics and technology aimed at enhancing the financial performance and compliance of health plans and risk-bearing provider organizations while also improving clinical communication and outcomes in value-based care. At its foundation lies a centralized healthcare data environment that assimilates, normalizes, and enriches a variety of clinical, claims, and social determinants of health data, enabling comprehensive views of patients and programs that facilitate advanced analytics and reporting. Among its offerings are tools for risk adjustment and revenue integrity that reveal undocumented risk gaps, enhance risk scores, aid in RADV audit preparedness, reconcile premiums, and guarantee complete and compliant revenue capture. Additionally, Pareto provides payment integrity solutions designed to identify both under- and overpaid claims, thereby enhancing Section 111 reporting and the coordination of benefits. By leveraging these capabilities, healthcare organizations can make informed decisions that lead to improved patient outcomes and operational efficiency.

Streamline your case management initiatives with post-acute care providers while implementing a value-based care model. Obtain real-time insights and take timely action for every patient within your PAC network, while also receiving prompt assistance from your acute care partners. Enhance both patient outcomes and quality of care, fostering stronger referral relationships in the process. Join Olio to ensure your success in navigating value-based care. Leadership in population health has sought to boost PAC performance by initially assessing their providers, leading to significant industry advancements. Unfortunately, many PAC providers lack the necessary resources, expertise, or knowledge to effectively carry out your intricate population health initiatives, as they are often expected to perform more with limited means. Olio assists in modernizing communication across your PAC network, equipping your entire team with the tools needed to successfully implement your population health strategy while enhancing collaboration among all stakeholders. Ultimately, this approach not only benefits patients but also strengthens the entire healthcare ecosystem.

Credo Health is an innovative SaaS platform fueled by artificial intelligence, designed to propel the future of value-based healthcare. It empowers physicians, MSOs, ACOs, and health plans to effectively diagnose, document, and treat each patient through a wealth of clinical intelligence. By consolidating disparate patient data, Credo’s platform generates nearly complete longitudinal records seamlessly integrated into existing EHR workflows. Its AI-driven tools facilitate the acquisition of medical records, enhance data analysis, boost patient engagement, and optimize performance. Clinicians receive actionable insights right at the point of care, alleviating additional administrative burdens. Meanwhile, administrators gain access to real-time analytics that enhance risk adjustment precision and quality performance. Ultimately, Credo Health equips healthcare organizations with the means to cut costs, elevate patient outcomes, and function more efficiently within value-based care frameworks, paving the way for a transformative shift in the healthcare landscape. This comprehensive approach not only supports immediate clinical needs but also fosters long-term improvements in healthcare delivery.

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.

Connexall is a hospital-wide event management and control platform. It was ranked number one in the 2015/2016/2017 awards and 2018 Best in KLAS Awards. It acts as a backbone to clinical workflow by communicating the correct information to the right person at the right time on the right device. The Class II medical device software, based on more than 20 years worth of R&D, is completely vendor-neutral. Connexall has offices located in Canada, Brazil, Portugal, Hong Kong, and the United States. It works with more than a thousand of the most innovative and renowned hospitals and health systems around the globe.

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.

Personify Health stands as a pioneering personalized health platform, delivering integrated solutions that encompass health, wellness, and navigation services. Established from the merger of Virgin Pulse and HealthComp in November 2023, the company seeks to streamline the healthcare experience by offering personalized, interconnected, and user-centric services. Their all-encompassing platform features various offerings, including health plan management, comprehensive wellbeing initiatives, and care navigation assistance, all crafted to encourage individuals to take a more active role in their health journey. Through the use of data-driven personalization and scientifically-supported strategies, Personify Health not only aids businesses in maximizing their healthcare investments but also enhances health outcomes for their members. By focusing on individual needs and preferences, Personify Health is setting a new standard in the healthcare industry.

Health Catalyst stands out as a premier provider of advanced data and analytics solutions tailored specifically for healthcare organizations, dedicated to driving significant, measurable improvements through data-informed strategies. Escape the limitations of fragmented data and embrace an innovative approach that prioritizes healthcare-focused analytics to unlock substantial progress. By partnering with Health Catalyst, you can transform your organization into one that operates at its highest potential. Avoid relying on disjointed analytic efforts that fail to yield meaningful results; instead, enhance your revenue, reduce costs, and improve quality by integrating AI and data science into your core frameworks. Leverage AI proactively to empower analysts and leaders, facilitating a measurable transformation that is broad, scalable, and sustainable. Additionally, broaden the application of self-service AI to become a fundamental part of your analytics strategy. With just a single click, Healthcare.AI seamlessly integrates with your current business intelligence tools and applications, making it easier than ever to harness the power of data in healthcare. This integration not only streamlines processes but also enhances the overall effectiveness of your analytics efforts.

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.

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.

Syneos Health provides extensive medical affairs solutions designed to assist pharmaceutical and biotechnology firms in maneuvering through the intricate medical and scientific environment. Their offerings include the formulation of medical strategies, the deployment of field medical teams, conducting late-phase real-world studies, health economics and outcomes research, as well as scientific communication efforts. By functioning as an integral part of your team, Syneos Health strives to elevate your scientific messaging and value proposition to a wide array of stakeholders, ultimately improving patient care and refining product rollouts. Their holistic methodology guarantees that your product's safety, efficacy, and influence on patient outcomes are effectively demonstrated and communicated to those who matter most. This commitment not only enhances the visibility of your innovations but also fosters a stronger connection between your products and the healthcare community.

Pearl's innovative platform, powered by artificial intelligence, empowers healthcare teams to cut unnecessary expenses, enhance patient outcomes, and thrive in value-based care by pinpointing priority patients and encouraging timely interventions while seamlessly fitting within existing workflows without causing disruption. This technology merges predictive analytics with effective action; it emphasizes significant outreach and automates subsequent steps, evaluates provider readiness and cohort risk to align participants with suitable payment models, and links intelligence to action to foster measurable advancements in clinical, financial, and operational performance. Moreover, it integrates flawlessly into provider systems, enabling teams to deliver high-quality care on a large scale. The platform's advanced data-science and actuarial capabilities maximize savings, improve benchmarks, and support various models like ACO REACH, MSSP, and Medicare Advantage, all while equipping physicians with user-friendly tools that streamline care delivery, alleviate them from mundane tasks, and enhance management of patient panels. Ultimately, Pearl's solution stands out in the healthcare landscape by prioritizing efficiency and effectiveness in care delivery, ensuring that both providers and patients benefit from its comprehensive features.

Established in Chicago, Illinois, PatientIQ provides a platform for healthcare providers, medical device manufacturers, life sciences companies, and payers to enhance their practices through data-driven medicine. It is recognized as the largest collaborative platform for healthcare professionals aimed at improving patient outcomes. By equipping healthcare providers with cutting-edge technology, PatientIQ fosters a culture of data-driven medical practice. In the competitive landscape of the U.S. healthcare market, all parties involved face mounting pressure to demonstrate their value effectively. A key factor in determining "value" lies in the objective measurement of patient outcomes. However, quantifying these outcomes presents challenges that are costly, complex, and fraught with technological obstacles. Despite these difficulties, outcomes represent the most significant currency in the future of value-based healthcare. Thus, a clear and reliable solution to systematically measure, analyze, and benchmark outcomes among various stakeholders presents a significant opportunity for growth in the digital health sector. As the industry evolves, the need for such innovative solutions will only become more pronounced.

LexisNexis® MarketView™ provides medical claims-based insights tailored for healthcare payers, providers, life sciences enterprises, and health IT organizations throughout the United States. This platform offers actionable intelligence designed to enhance competitiveness, enabling businesses to uncover valuable insights and visualize transformative strategies. Regardless of whether you represent a life sciences firm, a health insurance plan, a healthcare system, or a health IT service provider, MarketView can significantly enhance critical business processes such as marketing, sales, strategic planning, physician engagement, outreach, market research, network optimization, talent acquisition, pricing strategies, contracting, and clinical management, among others. To stay ahead in the competitive landscape, your organization requires the most relevant insights available. However, determining the right areas to focus on can be challenging when the overall picture lacks clarity. MarketView addresses this issue by providing insights into various aspects such as referral trends, strategies for aligning with physicians, the performance of clinically integrated networks, and patient volume metrics, ultimately empowering organizations to make informed decisions. By leveraging these insights, businesses can drive innovation and improve their operational effectiveness.

Specialty and rare diseases often encompass patient populations that are not clearly defined, including individuals who remain undiagnosed or face misdiagnoses, along with healthcare providers who may lack knowledge about these conditions and their various manifestations, resulting in treatment pathways that are poorly understood. IPM.ai operates as an Insights-as-a-Service (IaaS) firm, dedicated to empowering leading life sciences organizations to gain deeper insights into patient care and enhance the quality of life for those affected through the development, clinical research, and commercialization of therapeutic solutions. By predicting market size, analyzing the competitive landscape, and estimating potential return on investment, companies can optimize their commercialization strategies. Additionally, the platform identifies undiagnosed and misdiagnosed individuals who could benefit from early disease interception and therapeutic measures. It employs statistical models to gauge the prevalence of specific diseases within certain patient populations at any given moment. Furthermore, IPM.ai helps pinpoint physicians who are adept at diagnosing and treating these ideal patients, while also influencing other healthcare providers to enhance overall patient outcomes. This comprehensive approach ultimately aims to bridge the gap in understanding and addressing the needs of those with rare diseases.

Who We Collaborate With. For Active Medical Professionals. Assisting you in receiving immediate payments from insurance providers for value-driven activities that have previously gone unreimbursed. Stellar Health removes the need for multiple payor-specific spreadsheets and tools utilized by practices, instead providing a unified application for patient management across all health plans. The Stellar Application is an intuitive, web-based platform designed to integrate seamlessly into practice workflows, prompting providers only for actionable tasks at the right moment. Stellar ensures practices are compensated for the additional moments spent enhancing patient care and allows providers to monitor their earnings in real-time, preventing unexpected financial discrepancies at year-end. We provide complimentary support to active medical professionals, ensuring they are compensated for the additional time spent on value-based activities that have historically been overlooked. Through our innovative approach, we aim to transform how practices interact with health plans, making the reimbursement process smoother and more efficient.

AIDA enhances value-based care by establishing robust communication channels among providers. These adaptable channels facilitate connections with nearly any downstream provider and offer in-depth insights regarding the strengths and growth areas within your network. It also allows for customized placement solutions for all patients, including those with complex needs. Ensuring secure communication and seamless data exchange with all downstream providers is a priority, along with providing comprehensive analytics that contribute to effective value-based care. Our application is specifically designed for integration with Epic, allowing users to take advantage of three key features: the elimination of user provisioning challenges through single sign-on (SSO), the ability to utilize AIDA as a fully integrated component within the Epic interface, and direct access to all patient records through APIs. This last advantage paves the way for entirely standardized and paperless referral packets, which can be tailored according to the type of Care Provider, thereby removing the need for outdated practices such as faxing, printing, and manual file handling. With AIDA, healthcare providers can streamline their workflows and enhance overall patient care.

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.

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.

Grounded in established medical science and transparent systems biology, DARA enhances clinical decision-making and intervention strategies. Collaborating with healthcare providers and relevant stakeholders, we deliver digital solutions that revolutionize health screening and the management of chronic diseases. Our approach facilitates the digital evolution of care delivery through the automation of clinical workflows and the use of predictive analytics, all aligned with leading clinical guidelines and best practices. By offering actionable health insights through tailored predictions of disease risk and potential adverse events, we empower physicians to better connect with their patients. Additionally, we support pharmaceutical development by uncovering pharmacodynamics within intricate biological systems and discovering innovative therapeutic options. Utilizing predictive analytics on comprehensive patient data allows for personalized precision medicine, particularly in managing cardiometabolic diseases to avert severe patient outcomes. With our tools, healthcare can become more proactive and responsive, ultimately leading to improved patient care and health outcomes.

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.

Expand your practice using CareCloud, the top-rated cloud-based EHR and practice management software. CareCloud provides a full range of resources designed for healthcare professionals and organizations of varying sizes. Among these offerings are Concierge, a thorough revenue cycle management system; Central, an intuitive practice management application; Charts, a straightforward electronic health records platform; Community, tools for patient engagement and social interaction; and Companion, a mobile application for both clinical and administrative tasks. By utilizing these tools, practices can streamline operations and enhance patient care effectively.

We assess health beyond traditional healthcare environments to gain a deeper insight into the burden of diseases. This holistic perspective on patient wellness reveals new business avenues by introducing innovative metrics for understanding disease and patient health. By cultivating a patient-focused comprehension of how diseases affect daily functioning, we can engage both physicians and payers more effectively while enhancing patient support initiatives. Furthermore, we aim to develop sophisticated algorithms that can forecast disease onset and its progression or regression, as well as pinpoint critical moments for intervention. Utilize actual digital data to advocate for the advantages of your offerings. Our technology-driven service facilitates real-world research that integrates unique, day-to-day behavioral information, thereby benefiting clinical, medical affairs, and commercial divisions, all while utilizing Evidation's virtual research site, Achievement. With adaptable study designs, strategies for device integration, and streamlined protocol management, we ensure efficient study operations. Additionally, we offer the flexibility for sponsorship either by us or your organization, allowing for tailored collaboration.

Our web and mobile solutions, which are easy to implement, assist physician practices and health systems in extracting deeper insights from healthcare data, synchronizing workflows with value-based care initiatives, and enhancing revenue integrity. Achieving excellence goes beyond just having superior technology. Become one of the many satisfied practices and health systems that trust Ingenious Med as their partner, benefiting from our dedicated and experienced support team along with ongoing product updates that cater to changing demands. Ingenious Med provides mobile and web solutions that enhance physician productivity and hospital efficiency directly at the point of care. We empower health systems and physician groups to boost their revenues, enhance data intelligence, align care with quality standards, and streamline workflows throughout the healthcare landscape. With over two decades of experience collaborating with providers and organizations, we are well-equipped to meet the diverse needs of the healthcare industry. Our commitment to innovation ensures that we remain at the forefront of healthcare technology advancements.

Our state-of-the-art technology, powered by artificial intelligence (AI), transforms both organized and disorganized healthcare information into a dependable, high-quality, standardized dataset that can be utilized throughout your organization. By facilitating near real-time access to data from various systems, our solutions alleviate the strain of manual data abstraction, enabling your administrative and clinical teams to reclaim valuable time for quality improvement and research endeavors. Our suite of products and services empowers you to gather, assess, and utilize your data effectively, irrespective of the data source, therapeutic area, organizational department, or pre-existing reporting, business intelligence, or analytics tools. Atlas leverages both human knowledge and AI capabilities to streamline the challenging process of uncovering and interpreting patient data for clinical registries. Meanwhile, Cartographer efficiently searches, evaluates, and interprets patient data across multiple platforms, standardizes that information into a uniform format, and offers pertinent data insights. Ultimately, our innovative solutions not only enhance operational efficiency but also support informed decision-making throughout your organization.

Our innovative data-driven approach, combined with the expertise of our talented team and the strength of our products, drives the transformation of advanced Value-Based Care technology. We hold the conviction that healthcare is an invaluable resource, and everyone deserves to maximize the benefits of their healthcare experience. This involves stratifying and identifying patient needs, coordinating care efficiently, and actively engaging members throughout their healthcare journey. We also focus on generic drug equivalency, pricing strategies, and providing educational materials for patients. In addition, we manage referrals, encounters or claims, eligibility, enrollment, and member reward programs. Comprehensive analytics, detailed reports, enhanced patient engagement, and seamless EHR integration are also key components of our approach to healthcare improvement. Ultimately, our mission is to ensure that every interaction and service is tailored to enhance health outcomes for individuals.

Let therapists be focused on patients, quality, and outcomes. Net Health Therapy for Skilled Nursing Facilities provides contract therapy companies, skilled nurses facilities (SNFs), assisted-living facilities (ALFs), and continuing care retirement communities with the best therapy management software in the industry. You can focus on your patients with simplified billing, clinical, and operational workflows. A powerful outcome-driven recommendation engine allows therapists to create patient-centric care plans that maximize patient outcomes. Net Health Therapy is the best option to meet the needs of value-based care.

VitalsMD® leverages real-time data generated by physicians to deliver analytics, reporting, communication tools, and a comprehensive knowledge base aimed at enhancing value-based clinical decisions right at the point of care. The platform features auto-flagging and reporting capabilities for patients who qualify for BPCI Bundles and other value-based initiatives. It enables the identification of high-risk patients through effective readmission risk tracking and assessment. With VitalsMD®, you can continuously monitor the performance of your practice and individual providers through its real-time analytics and reporting features. Additionally, it recognizes key performance indicators (KPIs) and value-based alternatives instantaneously, promoting the best possible treatment plans. The system also enhances and supports documentation processes using real-time risk scoring methods. Furthermore, it facilitates communication among provider groups within the care network, ensuring a smoother transition for patients returning home after treatment. Ultimately, VitalsMD® aims to improve patient outcomes by integrating comprehensive data insights into everyday clinical practices.

Envision a transformative approach to care management that lowers healthcare expenses, reduces both admissions and readmissions, enhances star ratings and HEDIS metrics, and elevates health quality and outcomes through a mission-focused data platform driven by artificial intelligence. As the healthcare sector increasingly embraces value-based care, Health EM.AI emerges as a pioneer, redefining care management and enhancing care delivery through innovative data utilization and AI technology. By streamlining patient information from various care settings and leveraging AI/ML-driven predictive analytics, we equip healthcare organizations with actionable insights that significantly enhance care quality. Our approach ensures measurable improvements at the individual patient level, particularly within palliative and chronic care management workflows. The integration of unified patient 360 data across all care settings leads to meaningful advancements in star ratings, risk adjustment, and the effective closing of care gaps. Additionally, our localized healthcare models examine over 1,000 clinical and non-clinical variables based on geographical context, further refining the effectiveness of care. This comprehensive strategy not only fosters better patient outcomes but also encourages a more efficient healthcare ecosystem.