Alternatives to Lightbeam

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.

Over 25 years ago, one of our founders was working as the IT Director of a large behavioural health and residential services agency in New York. Sensing a need for a better way to track and report on their services, he developed a case management system for his agency. Over time, two other agencies joined in and helped expand the software so that it could serve the needs of virtually any human services agency in the country. Today, Foothold’s team and our software support hundreds of agencies across the nation, in Guam, and in Puerto Rico. With our technology expertise and roots in human services, we continue to empower agencies to focus on their missions.

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.

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.

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.

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.

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.

Enhance your shift towards value-based care with innovative solutions designed to boost performance, efficiency, and quality in healthcare. While value-based care presents a significant opportunity, it can often feel like a challenge during daily operational activities. With the appropriate tools at your disposal, you can effectively anticipate, model, and generate actionable insights to achieve your objectives. There's no longer a need for multiple vendors to enhance care delivery and improve financial outcomes. We provide the essential components to transform your healthcare organization comprehensively. Achieving high-performance healthcare is contingent upon having a powerful engine. Cedar Gate supplies cutting-edge technology founded on unparalleled expert algorithms. Every day, our commitment is to propel you towards success. You can maintain your focus on achieving your goals, as we equip you with all the resources necessary for your value-based care journey, ensuring a smoother transition. Embrace the future of healthcare with confidence, knowing that support is always within reach.

Responding, recovering, and thriving in the aftermath of Covid-19 requires a robust approach. By utilizing a flexible platform equipped with powerful tools, healthcare providers can enhance patient engagement effectively. It is essential to virtualize care across the entire continuum and cater to diverse patient populations. Organizations should shift towards unified care models that harmoniously integrate both virtual and in-person services. Spark Health offers a comprehensive suite of solutions tailored for various clients who oversee patients within multiple payment frameworks. They play a critical role in linking the healthcare ecosystem, promoting seamless virtual and in-person care, and facilitating the transition to innovative value-based healthcare. This integration connects all stakeholders in the healthcare ecosystem, including patients, providers, families, communities, and systems, along with EMRs, devices, and remote patient monitoring tools. Communication is streamlined through secure methods such as talk, text, video, notifications, alerts, patient and provider portals, and permission-based access. Additionally, they promote engagement across a variety of platforms, ensuring compatibility with web, apps, wearable technology, iOS, Android, Alexa, and Google Home, thus enhancing the overall patient experience and accessibility to care. Ultimately, this comprehensive approach is crucial for fostering resilience and adaptability in today's healthcare landscape.

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.

myUnity®, - Leveraging the most strategic elements of the Netsmart market-leading senior living, hospice, and home care solutions into a unified enterprise platform. All your post-acute care settings can be accessed from a single location or across hundreds. It is user-friendly and gives your clinical staff the right information at the right moment so they can concentrate on patient care. This platform is designed to provide value-based care through connectivity, analytics, population health management and electronic referral management.

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.

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.

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.

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.

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.

Achieving significant advancements in both clinical and administrative outcomes, Evolent Care Partners, a healthcare system in the Midwest, has earned the distinction of being ranked third nationally for both total shared savings and the percentage of savings against benchmarks. By providing independent primary care physicians with essential capital and resources, Evolent Care Partners empowers them to engage in and thrive under two-sided payer contracts while mitigating their financial exposure. New Century Health enhances cost-effectiveness and quality of care in oncology and cardiology by leveraging clinical evidence to inform care decisions, a process that enjoys support from both payers and providers alike. Furthermore, Evolent Health Services streamlines health plan operations through a suite of comprehensive services backed by a modern, integrated platform and a genuine model of strategic partnership. Additionally, the organization encourages exploration of insights and news related to value-based care, population health, health plan administration, and various topics concerning the transformation of healthcare. Through these initiatives, Evolent aims to foster a more efficient and effective healthcare landscape.

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.

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.

Enhance your value-based initiatives by swiftly evaluating and comprehending the expenses associated with episodes of care. Foster provider participation and engagement by facilitating discussions rooted in data and evidence regarding overall episode costs as well as the specific practice patterns of individual providers. Propel enhancements in cost and quality by addressing discrepancies in care delivery and performance among providers. Utilize analytics to empower value-based strategies, offering insights that assist in refining network structures and advancing clinical transformations. Discover opportunities for value-based care by analyzing episode costs, using clinically validated definitions for episodes. Engage providers in value-focused conversations by examining patterns of utilization, costs, and variations in care. Employ episode analytics to refine network designs, reshape clinical guidelines, and boost consumer engagement effectively. Simplify the process of creating episode budgets by establishing average costs per episode alongside the related clinical services, ensuring a comprehensive understanding of financial requirements. This focused approach not only drives efficiency but also lays a strong foundation for sustainable improvements in healthcare delivery.

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.

Retrieving a patient's medical records is now just a search away, thanks to the PRISMA health information search engine, which consolidates data from primary care providers, specialists, clinics, urgent care centers, and hospitals into a comprehensive, searchable timeline of a patient’s health. Our Customer Success Stories showcase how our healthcare IT is being utilized in real-world scenarios, highlighting how eClinicalWorks customers are enhancing value-based care and overall healthcare outcomes. With a dedicated team of 5,000 employees, eClinicalWorks is committed to advancing healthcare in collaboration with our clients. Over 130,000 physicians across the United States, along with more than 850,000 medical professionals worldwide, depend on our EHR software for thorough clinical documentation as well as solutions that encompass telehealth, population health, patient engagement, and revenue cycle management. As a privately held company focused on innovation and excellence, our primary goal is to equip our customers with secure, cloud-based solutions that meet their evolving needs. Our commitment to improving healthcare continues to drive every aspect of our operations.

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.

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.

Since becoming part of the Netsmart team in 2017, the DeVero software has been seamlessly integrated into Netsmart’s offerings, resulting in an exceptional, cloud-based platform that unifies various care environments. The myUnity® solution from Netsmart brings together the most effective elements of both Netsmart and DeVero’s leading home care, hospice, and senior living services into one cohesive enterprise platform. Tailored for value-based care, this innovative platform encompasses analytics, connectivity, population health management, and electronic referral management, ensuring it meets your specific needs. Explore the Netsmart solutions designed to enhance the efficiency of your home health organization, ensure compliance, and prepare for the evolving landscape of healthcare. Discover how Netsmart’s hospice solutions adeptly handle regulatory and payment challenges, allowing you to concentrate on the well-being of your patients. If you're interested in experiencing our home care and hospice solutions firsthand, please complete the form to initiate the process. Embrace the future of healthcare with tools that empower your organization to thrive.

MDLand’s array of products is designed to enhance workflow efficiency for both medical professionals and their support teams, ultimately saving time and reducing redundant tasks. The iClinic® offers a comprehensive and certified electronic health record (EHR) system that streamlines processes, minimizes time dedicated to data entry, and equips you to fulfill quality payment program standards and earn additional incentives, allowing you to concentrate more on patient care. As an ONC certified EHR vendor, MDLand supports healthcare providers in achieving meaningful use, adhering to MACRA/MIPS, and participating in various value-based payment initiatives. This software package includes a user-friendly EHR, electronic billing, payment processing, and an assortment of patient engagement tools all conveniently accessible. Transitioning from a fee-for-service model to a value-based reimbursement system means that healthcare providers have the opportunity to increase earnings by delivering high-quality care. By leveraging MDLand’s innovative solutions, you can focus on what truly matters—enhancing patient outcomes and satisfaction.

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.

Elevate the effectiveness of value-based care through the OMS Trace Analytics® cloud platform, which specializes in the analysis and reporting of essential cardiovascular metrics. As reimbursement increasingly hinges on value, it's important to note that in the 2018 performance year, 60% of Medicare reimbursements were associated with quality metrics under the Quality Payment Program. This emphasizes the growing necessity for a precise data-driven and evidence-based quality reporting solution aimed at measuring, targeting, and enhancing your quality initiatives. The OMS Trace Analytics® cloud platform is expertly crafted to provide profound clinical insights into cardiovascular conditions, featuring dedicated dashboards that focus on key cardiovascular issues such as Hypertension, Dyslipidemia, Atrial Fibrillation, Heart Failure, Coronary Artery Disease, and Peripheral Artery Disease. With the integration of such advanced analytics, healthcare providers can better navigate the complexities of value-based care while actively improving patient outcomes.

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.

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.

The Talix platform facilitates advanced workflow applications designed for risk-bearing healthcare organizations to thrive in a value-based care environment. Our solutions for both payers and providers depend on sophisticated technologies that operate seamlessly and efficiently across large scales. We have developed the Talix Platform to accommodate the requirements of thousands of users globally, ensuring simultaneous access. Additionally, our architectural design supports a variety of SaaS applications, optimizing the processing of millions of patient records and encounter data. The Talix Platform consists of a network of interconnected technology components, which are essential for driving scalable software solutions for healthcare providers and payers. These components serve as foundational elements for artificial intelligence (AI), enhancing the platform's capabilities and effectiveness in the healthcare sector. Ultimately, the integration of these technologies positions the Talix Platform as a leader in the evolution of healthcare workflows.

Our platform simplifies all parameters, raw data, and technical jargon, ensuring clarity regardless of your background. At Syntax, we lead the charge in transforming value-based care and incentive structures. Utilizing our proficiency in advanced analytics and collaborative platforms, our SaaS-driven enterprise solution equips payors and providers to confidently navigate the intricate healthcare environment. We demystify the complex frameworks of value-based care, enhancing processes and eliminating obstacles that impede collaboration. Our commitment to transparency and trust fosters seamless cooperation among all stakeholders, ultimately improving outcomes and reshaping healthcare delivery. Whether it's through standardizing contracts, modeling incentives, or promoting open collaboration, our mission is to make value-based care more accessible, efficient, and impactful for all involved. We believe that by putting these principles into practice, we can create a healthier future for everyone.

HealthEC offers a premier population health management platform, featuring the CareConnect™ care management module and the 3D Analytics™ module, aimed at improving the quality of care and enhancing patient experiences by tackling the most significant data challenges in healthcare. By utilizing a universal data warehouse, it effectively integrates normalized claims, clinical, and social determinants of health (SDoH) data from various sources, ensuring CMS certification for reuse. The platform minimizes workflow interruptions through customizable care plans and decision-support tools, providing comprehensive care management assistance. It fosters patient-centered care by promoting seamless coordination with community resources while addressing SDoH. With clear dashboards and point-of-care access, it empowers healthcare professionals with actionable insights at the diagnosis, provider, practice, and organizational levels. Additionally, it enhances managed care organization (MCO) performance reviews and ensures compliance with CMS interoperability rules, thereby supporting healthcare providers in delivering superior outcomes. The integration of these features leads to a transformative approach to population health management.

blueBriX delivers unique digital health solutions designed to empower healthcare systems to excel in value-based care, prioritizing accessibility, cost-effectiveness, equity, and quality.

Your aim is to provide outstanding care for your patients, and that aligns perfectly with our mission. Aledade equips primary care practitioners with advanced data analytics, intuitive guided workflows, unmatched knowledge of regulations, robust relationships with payers, and dedicated local support from knowledgeable professionals. We strive to simplify the process for your primary care practice or community health center to engage in value-based care, thereby enhancing patient outcomes and fostering a cost-efficient, high-quality healthcare system for your community. Independent primary care providers and community health centers interested in participating in the Medicare Shared Savings Program, in addition to other governmental initiatives or various commercial contracts, have the opportunity to join an Aledade accountable care organization (ACO) alongside fellow healthcare providers in their area. Together, we can transform healthcare delivery and make a meaningful impact on the lives of patients.

We facilitate the transition to value-based healthcare by evaluating various treatments, medications, processes, and costs, which aids hospitals, life sciences firms, and payers in pinpointing the most effective treatment strategies for optimal patient results. Our CRCA™ P&T platform equips Pharmacy and Therapeutics committees to implement data-driven enhancements in key quality indicators, including metrics like average length of stay (ALOS) and 30-day readmissions. The innovative POP-BUILDER Rx™ solution offers comparative evaluations among chosen cohorts against CRCA’s extensive real-world data index, which encompasses over 140 million longitudinal patient records. Additionally, our drug remittance dashboard provides an in-depth analysis and reporting of drug remittance information across different payer categories, focusing on high-cost medications at the National Drug Code (NDC) level. Furthermore, we assist hospital finance teams in effectively tracking and enhancing service line costs and profitability, productivity, and revenue cycle performance through our insightful analytics, detailed reporting, and the expertise of our Agilum Healthcare Intelligence team. This comprehensive approach ensures that healthcare providers can make informed decisions that positively impact both operational efficiency and patient care.

Optimized workflows in operations, clinical practice, and billing enable you to prioritize patient care effectively. Additionally, an advanced outcomes-focused recommendation system empowers therapists to create individualized care plans that achieve optimal results for each patient. Net Health Therapy stands out as the premier choice for addressing the challenges of value-based care. Enjoy comprehensive features designed to enhance the efficiency, productivity, and quality of therapists and staff alike. With user-friendly admissions, effortless one-click scheduling, compliance notifications, and customizable workflows, transitioning and managing patient care becomes seamless. Equip therapists with the essential tools they need to ensure high-quality care, maintain compliance, and improve patient outcomes. Notably, the platform includes the top-rated clinical content library in the industry, offers flexible mobility options, provides offline access, and incorporates compliance measures, all while the recommendation engine supports the formulation of patient-focused care plans, including specific treatment objectives and interventions, making it an invaluable asset in modern healthcare.

By combining cutting-edge navigation technology with top-tier primary care services, we aim to lead and expand value-based care within the commercial sector. Over the past ten years, we have focused on data aggregation, system integrations, and the refinement of machine learning models to create a highly personalized navigation experience that enhances member engagement and drives better health outcomes. Our platform consolidates health and wellness benefits into a user-friendly digital resource that is available every day of the year. Additionally, we offer personalized advocacy that enhances the digital experience for your members, allowing them to manage their health and wellbeing in a way that suits them best—utilizing digital tools when convenient and accessing human support when necessary. As healthcare costs rise, placing a significant financial strain on employers, we collaborate closely with you to enhance health results within your workforce, reduce expenditures, and achieve savings for your organization. Together, we strive to create a healthier future while ensuring financial sustainability for your business.

The Innovaccer Health Cloud will accelerate your transformation. You can unify patient data, create comprehensive financial and clinical insights, and innovate faster. We help providers integrate disparate patient information to provide actionable insights at point of care, collaborate across care teams and achieve better outcomes. We facilitate connectivity and collaboration among payers, providers, members, and members to manage risk and compliance as well as rising member expectations. We assist medtech and biopharma companies to build digital solutions at the intersection of healthcare and better use real-world data throughout the value chain. Transform from silos to an open platform that unifies healthcare data into one longitudinal patient record that allows for whole-person care.

There is a more secure approach to handling risk management. Our population health service enables you to effectively coordinate care and engage with patients, allowing for the seamless management of population groups of varying sizes across different electronic health records (EHRs). The newest advancements in healthcare extend beyond traditional medicine: population health management tools assist large medical practices in maintaining connections and engaging with patients, facilitating the management of populations—regardless of size—across various EHR systems. Ensure you remain linked to the essential data necessary to oversee your patient demographics. By utilizing over 140 pre-designed reports or generating custom reports with our data visualization tools, you can reveal cost and utilization patterns within your population and pinpoint actionable insights to tackle them. Care managers can leverage adjustable, evidence-based resources to develop the appropriate care plan for each patient more efficiently. Additionally, automated outreach services empower you to connect with a larger number of patients and successfully address more care gaps with reduced effort, ultimately enhancing overall patient engagement.

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.

The advanced features of the Inovalon ONE® Platform enable our clients and collaborators to thrive by utilizing extensive industry connections, vast primary-source real-world data, advanced analytics, and robust cloud-based technologies to enhance healthcare outcomes and economics. Central to modern healthcare is the necessity to consolidate and scrutinize vast amounts of varied data, extract valuable insights from these analyses, and apply this knowledge to effect significant improvements in patient outcomes, operational performance, and healthcare economics. With analytics and capabilities employed by over 20,000 clients, we draw upon the primary source data from more than 69.5 billion medical events, encompassing one million healthcare professionals, 611,000 clinical environments, and 350 million distinct patients. This extensive network of data and analytics is crucial for driving innovation and efficiency in the healthcare sector, fostering an environment where informed decisions lead to substantial advancements.

PopulationManager®, a robust platform for health analytics and data visualization, received the top customer rating in the 2017 KLAS™ Population Health Management Performance Report. This innovative tool emphasizes enhancing quality at the patient level and consolidating various measures within an individual healthcare provider organization. Its swift implementation and user-friendly design are instrumental in improving care quality and patient wellness, alongside bolstering the financial stability of healthcare providers. With its effective approach, PopulationManager is revolutionizing the landscape of healthcare management.

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.