Best Care Coordination Software of 2025 - Page 2

CarePassport offers a user-friendly platform for individuals to effortlessly compile, oversee, and share their entire medical history in a secure manner. This reliable healthcare application allows users to gather and retrieve a wide range of medical information, such as lab results, clinical reports, dental records, medical images, and more, all sourced from various healthcare providers. With CarePassport, users can bring together their medical documentation from diverse sources, including imaging CDs, Apple Watch, HealthKit, Fitbit, health forms, CDA files, JPEGs, PDFs, or any self-reported health information through either the native app or the patient portal. Additionally, users can monitor their health and access their medical data conveniently from any device, ensuring that their health information is always within reach. This comprehensive approach to managing health records empowers patients to take control of their healthcare journey.

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

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.

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.

A comprehensive platform designed to streamline and enhance provider data across the entire organization. Phynd 360 serves as an advanced provider data solution, functioning as the central hub for health systems' provider information. It effectively optimizes data related to providers—covering individuals, facilities, and services—for application within EHR, marketing, and claims systems through its suite of tools that facilitate provider enrollment, management, outreach, and search throughout the enterprise. The platform allows for the administration of data pertaining to employed, referring, and affiliated healthcare providers. Additionally, it supports the maintenance of detailed profiles for care locations intended for consumers, providers, and care coordinators alike. By aligning providers with the appropriate specialty, subspecialty, and terms that resonate with both clinical and consumer needs, it enhances the overall usability of provider data. Furthermore, it enables monitoring of provider and location engagement within various commercial and health system plans, as well as accountable care organizations (ACOs) and narrow networks, ensuring a holistic approach to provider management. Ultimately, this platform not only centralizes vital information but also improves the efficiency of care delivery.

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

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

The accuracy of patient information is more volatile than many health organizations might acknowledge. In fact, the number of mobile phone users in the United States exceeds the total population, alongside frequent job transitions, name alterations, and relocations, which collectively contribute to the uncertainty of patient contact details. Addressing these discrepancies is crucial for enhancing efficiency in various business operations and for optimizing care coordination and service delivery, all while striving to reduce expenses. For instance, having incorrect patient contact data can adversely affect re-enrollment rates. LexisNexis Keep Contact provides comprehensive insights into your patients and facilitates the seamless integration of this information into your practices. Moreover, Keep Contact not only refines but also enriches your patient records by leveraging data from extensive public records. This ensures that healthcare providers can maintain up-to-date and precise patient information, ultimately leading to improved care outcomes.

Viz alerts multidisciplinary care teams earlier in the care process, linking frontline health care professionals (HCPs) with specialists to streamline communication and enhance care coordination. By engaging care teams sooner in the workflow, treatment decisions can be made more swiftly, which can lead to a significant boost in patient outcomes. The time saved not only enhances provider productivity but allows them to either see more patients or take necessary breaks, which helps alleviate physician burnout. A reduction in the length of patient stays lessens the resources needed for treatment, leading to lower costs per patient and increased bed availability, thereby allowing healthcare centers to serve a greater number of patients with existing resources. Additionally, identifying more patients who stand to benefit from therapy amplifies the overall procedural volume. Enhanced care coordination also curtails patient leakage, ultimately improving the economic performance of the operation while fostering a more collaborative environment among care teams. By streamlining these processes, healthcare facilities can ensure a higher standard of care for all patients.

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

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

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.

TimeDoc Health collaborates with numerous healthcare organizations to implement scalable care management programs that adhere to established best practices and are backed by reliable technology. Our solutions are crafted to excel in providing integrated and virtual care experiences. We offer an enterprise platform along with care management services that facilitate comprehensive care, covering aspects such as medication adherence, appointment scheduling, and assistance with durable medical equipment (DME). Our integrated solutions aim to provide actionable insights on chronic conditions while enhancing care management services to reduce medication errors, inaccurate readings, missed appointments, and other prevalent issues. Additionally, we provide connected care services that focus on proactively managing the mental health of patients with chronic illnesses through specialized behavioral health care coordination. Designed by healthcare professionals, TimeDoc's care management solutions seamlessly fit into your existing EHR systems and workflows, ensuring a smooth integration that enhances overall patient care delivery. With our innovative approach, we strive to improve health outcomes and foster better relationships between patients and providers.

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.

Stitch serves as a comprehensive care coordination platform designed specifically for healthcare teams. It allows users to communicate through messages, share files, and maintain synchronization across various devices. Healthcare providers, regardless of their specialty, can benefit from its functionality on both computers and mobile phones. With the option for public and private rooms, healthcare teams can engage in meaningful discussions that enhance collaboration. The platform also facilitates direct messaging for immediate one-on-one interactions, eliminating the need for traditional communication methods like pagers, texting, or phone calls. Users can stay updated while on the move with personalized notification settings available on all devices. Furthermore, every message, file, and comment is meticulously archived and can be easily searched, ensuring that essential information is always accessible. By supporting the sharing of all file types, Stitch fosters seamless communication and coordination. With dedicated applications for Mac, Windows, iOS, and Android, Stitch is designed to accompany users wherever they may be, enhancing the efficiency of healthcare coordination. This versatility makes it an indispensable tool for modern healthcare teams aiming to improve their workflows and patient care.

Telmediq’s Healthcare Communications Hub (HCH) provides a seamless connection between your hospital's clinical, IT, and telecom systems, enhancing communication and facilitating better care coordination. This improvement leads to a significantly enhanced patient experience and safety while also reducing costs for both clinicians and their support teams. The Telmediq HCH supports a range of integrations, addressing the issue of clinicians spending excessive time on simple, repetitive EHR tasks, such as locating available workstations, accessing EHR systems, checking test results, identifying care team members, and recording clinical notes. Many of these activities can be performed efficiently on a mobile device, eliminating the necessity for logging into the complete EHR system. Critical updates, test results, and order notifications can be received promptly as they are entered into the EHR, ensuring that healthcare professionals are always informed. This innovative approach not only saves time but also allows for a more responsive and agile healthcare environment.

MH-CURE® stands at the forefront of unified collaboration applications tailored for health systems. Our platform offers customizable features that link every role across departments, enhancing clinical workflows, expediting decision-making, and ultimately elevating the quality of patient care. We have pinpointed four essential communication components that are vital for effective care coordination; these serve as the foundational elements of the MH-CURE platform. Built upon a framework of standards-based APIs, MH-CURE has successfully developed direct integrations with numerous essential healthcare technologies. As your IT infrastructure advances, MH-CURE adapts and grows alongside it, ensuring seamless functionality. Take a moment to delve into some of our most significant integrations and discover how they can enhance your operations.

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

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

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.

Navigating the journey to wellness can be challenging for both patients and their families. Rovicare effectively eliminates obstacles, enhances care coordination, and facilitates immediate communication among all parties involved. Its innovative design fosters connections with everyone participating in the care transition process. By improving patient handoffs and establishing consistent dialogues with healthcare collaborators, Rovicare also aims to minimize readmission rates. Furthermore, it enhances transparency, mobilizes your entire team, and automates tedious manual tasks. By actively involving patients in their care throughout their hospital stay, you can boost engagement in the coordination process. This approach allows for the identification and optimization of partnerships, ultimately leading to better patient retention. Additionally, it helps in recognizing essential partners, streamlining the provider network, and ensuring ongoing compliance is monitored and measured effectively. This comprehensive strategy contributes to a more cohesive healthcare experience for everyone involved.

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.

unisonMD streamlines the management of hospital charges for both doctors and billers, enhancing speed and ease in the process. Users of our platform report significant advancements in financial performance, efficiency in care coordination, as well as increased productivity and satisfaction among both providers and staff. By optimizing the revenue cycle for hospitals and patient encounters outside the office, unisonMD delivers tangible benefits. Clients frequently share their experiences of improved financial outcomes, enhanced staff efficiency, and elevated satisfaction levels. Additionally, our HIPAA-compliant messaging system not only saves time but also ensures the security of protected health information, contributing to a more effective healthcare environment. This dual focus on efficiency and compliance makes unisonMD a valuable tool for healthcare professionals.

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.

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.