Alternatives to NextGen Population Health

Although clinical health is essential, better outcomes require a higher level of care. HELIOS provides a 360deg view that encompasses all aspects of a member’s health. The care team can collaborate to determine the best interventions and reduce avoidable readmissions by using a holistic view of the member. VirtualHealth's HELIOS platform allows for unparalleled collaboration and coordination between the member and their care team. It also provides visibility across the entire healthcare organization. Our clients can achieve more than traditional care management by connecting their entire care team to one integrated ecosystem. This allows them to drive greater efficiency, transparency and cost reduction.

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.

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

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

Driven by a passion for enhancing health outcomes, we aim to develop cutting-edge solutions and services in population health that elevate care management and enrich the consumer experience. At i2i, we are committed to the belief that superior care translates to a better quality of life for every community. By focusing on innovation, we strive to make a meaningful impact on public health.

The SCIOVantage solution suite empowers organizations to enhance their decision-making processes by integrating various data sources and providing insightful perspectives that illustrate past events, forecast future occurrences, and recommend actions to attain the best possible outcomes. By uniting different data streams, it helps users understand trends and make informed choices that align with their strategic goals.

MEDITECH’s Cloud Platform empowers organizations of all sizes to enhance their Expanse EHR by integrating various specialties, enabling connections to remote locations, and safeguarding patient information. Communication with your community remains seamless and accessible through Expanse Virtual Care and the Patient and Consumer Health Portal, even when physically apart. Additionally, providers can access essential data during unexpected outages thanks to High Availability SnapShot. Clarity is paramount for care teams addressing population health, and with MEDITECH Expanse Population Health, you will be equipped with the necessary tools to gain a comprehensive understanding of your patient demographics — their histories and future pathways. Furthermore, this platform offers capabilities to assist individual patients in managing their health risks throughout different life stages, ensuring that their care journey is well-supported regardless of the circumstances. Ultimately, this comprehensive approach not only enhances patient care but also strengthens the overall healthcare system.

Over 70% of healthcare information is contained within clinical documents, including reports, patient charts, clinician notes, and discharge summaries, allowing our specialized Natural Language Processing and AI Engine to extract essential concepts, attributes, and contextual information that drive business insights, enhance billing processes, assess and categorize patient risks, calculate quality metrics, and gather patient sentiment and outcome data. By tapping into difficult-to-access or previously unused data sources, you can significantly improve your clinical research or business intelligence efforts. Our extensive database features thousands of clinical concepts, including genomic biomarkers, symptoms, side effects, and medications, enabling the identification of disease characteristics and risk factors from clinical documents to better stratify patients and elevate the standard of care. Moreover, we ensure the protection of data subjects' identities while preserving the usefulness of the data through effective document de-identification strategies. This approach not only safeguards privacy but also empowers healthcare organizations to make informed decisions based on the most comprehensive data available.

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

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

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.

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.

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.

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.

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.

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.

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.

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.

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

NeuroFlow is a digital healthcare company that combines workflow automation, consumer engagement solutions and applied AI to promote behavioral integration in all care settings. NeuroFlow's cloud-based suite of HIPAA-compliant tools simplifies remote patient monitoring, allows risk stratification, and facilitates collaborative care. NeuroFlow allows health care organizations to bridge the gap between mental health and physical health, improving outcomes and reducing costs.

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.

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.

Epion’s patient engagement platform integrates solutions for patient access, check-in, and telehealth, facilitating seamless connections with patients throughout their healthcare journey—before, during, and after their appointments. Patients anticipate receiving care that actively reaches and engages them in their current environment. To meet this expectation, healthcare practices must utilize the appropriate tools and automation to enhance engagement, satisfaction, and return on investment. Committed to transforming healthcare, Epion focuses exclusively on creating innovative digital access solutions that lead to improved clinical and financial results. By serving as a reliable partner to healthcare providers, we help advance your value-based care objectives while ensuring exceptional customer support and a wealth of resources. This commitment to excellence is among the reasons why our leading platform has gained traction with medical practices nationwide, spanning from small, single-provider offices to large health systems. Ultimately, Epion's dedication to enhancing patient experiences solidifies its position as a key player in the healthcare technology landscape.

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.

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.

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.

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.

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.

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.

Welkin is crafted to enhance care coordination by ensuring that the appropriate team member addresses patient needs throughout every stage of their journey. By offering your team members smooth transitions and a tailored experience for each patient they assist, we enable a more personalized approach to care. The full automation of any program not only boosts patient engagement but also reduces the burden of tasks, allowing for a seamless transition to the next phase of care. By outlining processes and escalation protocols that are based on specific outcomes or conditions, your team can focus on what truly matters – providing quality care. It is essential to establish escalation pathways for events requiring monitoring, such as adverse incidents, out-of-range results, particular patient reactions, or insufficient engagement. Moreover, the system can automate internal notifications or initiate emails and SMS alerts to care team members in response to specific actions or inactions, as well as for upcoming or missed appointments. This comprehensive approach ensures that no critical detail is overlooked in the patient care continuum.

Greenway aims to transform healthcare by providing top-notch solutions tailored for practices, patients, and communities alike. Their comprehensive, interoperable software platform is designed to meet the diverse needs of ambulatory care specialties while ensuring a superior client service experience. A dedicated team composed of clinical, financial, and technological experts is committed to offering solutions that empower clients to thrive in the dynamic healthcare environment. By prioritizing emerging client needs and integrating direct feedback, they continuously enhance provider experiences with innovative products and services. Their medical software for ambulatory practices is both reliable and user-friendly, promoting efficiency and ease of use. Adopting a client-centered approach, they offer a versatile suite of data-driven EHR, practice management, and revenue cycle solutions to help practices navigate industry shifts effectively. Greenway's commitment to integrating end-to-end EHR, practice management, and medical billing systems further establishes them as a leader in the healthcare technology sector. This holistic approach ensures that practices not only keep pace with changes but also excel in providing quality care.

Create a seamless patient journey that synchronizes instantly with your practice management system, offering a unique solution that both reads and writes data in real-time. We prioritize our engineering efforts on developing optimal bidirectional integrations with EHR and practice management systems. This advancement allows you to launch and refine your product in mere weeks instead of taking years. Our engineers actively utilize our own API to construct a doctor-facing SaaS product, ensuring that users receive a thoroughly tested and scalable experience. With online patient scheduling, potential clients can view your availability instantly and book appointments on-demand from any location or device. NexHealth's scheduling software is designed to perfectly customize your calendar straight out of the box. Our dedicated team of product experts is committed to assisting in the integration of both your calendar of record and EHR system, regardless of the complexity of your scheduling needs, ensuring a smooth and efficient implementation process. By enhancing these elements, we aim to significantly improve the overall efficiency of your practice.

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.

The 3M™ Ambulatory Potentially Preventable Complications (AM-PPCs) Grouping Software is specifically crafted to detect complications that could be avoided following elective outpatient procedures. Utilizing advanced grouping algorithms, this software allows healthcare professionals to scrutinize procedure encounters along with their related complications through multiple lenses, such as particular procedures, medical conditions, service lines, healthcare providers, and facilities. This comprehensive examination provides valuable insights that can guide focused interventions aimed at improving patient safety and the quality of care delivered in outpatient environments. Ultimately, the implementation of this software could lead to significant enhancements in overall patient outcomes.

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.

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.

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.

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.

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.

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.

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 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.

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.

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.

Harris CareTracker stands out as a premier healthcare software solution, providing medical practices and clinics with state-of-the-art tools and technologies. Our comprehensive platform includes essential features such as Electronic Health Records (EHR), Practice Management, Revenue Cycle Management, Electronic Prescriptions, Patient Portal, and Telemedicine. Designed with user-friendliness and continuous improvement in mind, Harris CareTracker streamlines practice operations, enhances patient care, and maximizes overall efficiency.