Alternatives to Cotiviti

Jvion transcends conventional predictive analytics by uncovering concealed patient risks associated with various diseases and clinical scenarios while also assessing whether those risk patterns can be redirected toward more favorable outcomes. Utilizing our prescriptive AI, we offer tailored recommendations for individual patients by considering a range of factors, including clinical, socioeconomic, and behavioral data, along with established best practices. With this insightful information, healthcare organizations are empowered to enhance quality, reduce costs, and elevate the overall patient experience. We analyze a wide array of clinical, socioeconomic, environmental, and behavioral data to uncover hidden health and financial vulnerabilities. By evaluating modifiable patient characteristics, we can formulate targeted action plans for each individual. Our approach delivers evidence-backed, prioritized, and patient-specific recommendations that seamlessly align with existing workflows. In light of the ongoing pandemic, the concept of home care has gained renewed significance, as many patients now prefer to seek treatment at home to minimize the risk of exposure to Covid-19 and other illnesses. This shift underscores the necessity for innovative healthcare solutions that cater to the evolving needs of patients in a post-pandemic world.

HealthStream's Checklist Management, which has won numerous awards, is a flexible yet simple framework that can be used to standardize processes and provide consistent care. This tool, used by over 1 million professionals, allows organizations to create custom checklists. They can also assign evaluators to assess employees against pre-defined steps.

Watson Health leverages its foundational strengths, extensive expertise in the healthcare sector, and cutting-edge technological offerings—such as AI, blockchain, and data analytics—to empower clients in their digital transformation journeys. By integrating innovative technology with seasoned consulting services, we assist organizations in becoming more efficient and resilient, ultimately enhancing their ability to fulfill their commitments to the communities they serve. Explore the Watson Health solutions designed to optimize clinical, financial, and operational effectiveness while also applying analytics to improve initiatives aimed at vulnerable populations. Additionally, our offerings enhance clinical trials and facilitate the generation of real-world evidence, which is crucial for advancing healthcare practices. We also provide solutions that enable payers to effectively manage performance, member engagement, and business networks. Furthermore, Watson Health assists organizations with benefits analytics and ensuring business continuity, making us a comprehensive partner in the healthcare landscape. This multifaceted approach highlights our commitment to driving positive outcomes across various facets of health systems and enhancing overall service delivery.

At ArborMetrix, our aim is to enhance healthcare through data science, while our enthusiasm lies in providing impactful, user-friendly technology and analytics. Our advanced healthcare analytics solutions are designed to yield precise, clinically-rich insights that enhance clinical outcomes, boost financial effectiveness, add value for stakeholders, and evaluate the real-world success of treatments, procedures, medical devices, and pharmaceuticals. One of the significant benefits of patient registries is their application across various medical fields, with post-market surveillance standing out as a particularly important function. To assist you in establishing a reliable data resource, we follow a systematic approach. First, it’s essential to have an effective and secure method for gathering substantial amounts of real-world data, which is crucial for thorough analysis. By utilizing the appropriate technology, you can aggregate data from diverse sources such as medical records, regulatory bodies, and patient-reported outcomes to support post-market surveillance initiatives. This comprehensive approach not only streamlines the data collection process but also enhances the overall quality of insights derived from the analysis.

Foundations™ integrates financial, clinical, and operational data, offering a comprehensive view accessible to your entire team via a user-friendly visualization interface. This tool not only helps uncover new operational insights but also allows clinicians, staff, and administrators to track dashboards that reveal inefficiencies and identify necessary steps to enhance patient care and ensure business success. Acting as the ultimate “source of truth,” Foundations™ equips each team member to make informed decisions with confidence. By enhancing the quality of documentation across various fields, including workflow states and case details, the platform contributes to a decreased rate of complications for each case. As a result, patients experience better overall clinical outcomes. Foundations™ effectively empowers clinicians by delivering real-time operational data in a visually compelling format for immediate action, ultimately leading to improved patient health outcomes. Furthermore, it provides clinicians with a quick and efficient way to evaluate their performance against their peers and established goals, facilitating a deeper understanding of clinical metrics and fostering continuous improvement. This holistic approach ensures that all team members are aligned in their efforts to enhance patient care and operational efficiency.

KPI Dashboards™ offers comprehensive data visualization for clinical, financial, and operational information, enabling the customization of views and the filtering of aggregated data based on various parameters such as program, service type, and client access. This adaptable and user-friendly platform allows staff to regularly monitor performance metrics that directly influence those critical data points through both performance and clinical outcomes. Consequently, organizations can achieve consistent and quantifiable advancements toward their specific objectives. Additionally, utilize our healthcare benchmarking tools to compare your organization's financial, operational, and clinical performance metrics effectively. By tracking services and treatments for individuals across different care environments, you can minimize duplicative services and ease care transitions through secure data exchange. Furthermore, our care coordination solutions link organizations with a network of providers, facilitating secure data sharing among local health information exchanges (HIEs) and extensive interoperability frameworks like Carequality, ultimately enhancing the quality of care provided. This interconnected approach not only streamlines processes but also fosters a collaborative healthcare ecosystem that benefits all stakeholders involved.

Harris Affinity Decision Support (ADS) empowers hospital leaders to take actionable steps toward enhancing financial results and improving patient care. With our premier decision support tool, Affinity Decision Support, you can accurately assess real utilization costs. Harris Affinity is dedicated exclusively to developing and sustaining financial software tailored for the healthcare sector. By using a budgeting tool designed by healthcare experts for their peers, hospitals can minimize unexpected expenses, conserve time, and simplify their budgeting procedures. Combining financial, clinical, and patient activity data, Harris Affinity Decision Support (ADS) enables healthcare administrators to gain insights into patient costs and reimbursement processes. Consequently, they can pinpoint areas for improvement, driving enhancements in both financial viability and patient outcomes. This comprehensive approach ensures that healthcare facilities can remain competitive while providing high-quality care.

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.

Enhance clinical results and reduce complication rates by collaborating with our expert team and utilizing a comprehensive consultative method. Hospitals, clinical leaders, and their teams have consistently prioritized improving patient outcomes, and the demand for high-quality care is more pronounced today among patients, employers, and payers alike. This growing emphasis on quality necessitates that hospitals remain vigilant about their quality metrics and maintain transparency with the public. Healthgrades offers valuable resources to assist hospitals in their ongoing quest to measure and enhance quality outcomes effectively. The dedicated Healthgrades Quality team partners with hospitals to delve into the reasons behind their performance levels, helping them identify improvement opportunities and establish priorities for their enhancement initiatives. Additionally, our team conducts a thorough comparative analysis with clients, assessing their performance against leading hospitals and both local and national competitors to foster better outcomes. This proactive approach not only aids in immediate improvements but also cultivates a culture of continuous quality advancement in healthcare settings.

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.

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.

A healthier workforce translates to improved profitability for your business. This is why we collaborate with innovative organizations to provide an exceptional healthcare experience that effectively reduces expenses. Gain control over your healthcare expenditures through a tailored self-funded solution that leverages data insights, expert guidance, and is specifically designed for your needs. Discover additional savings opportunities beyond standard network discounts by utilizing proactive and independent claims analysis. Create a seamless benefits experience that actively assists employees in locating high-quality care. Our team of case managers and health coaches works diligently and empathetically with staff to enhance both financial and clinical outcomes. With user-friendly dashboards designed for modern employers, you can effortlessly view every detail and implement updates. From clinical outreach to financial optimization, as well as advocacy and analytics, we are designed to manage every facet of health plan administration without the need for outsourcing, ensuring you receive the highest level of service and support. By prioritizing your employees' health, you're not just investing in their well-being; you're also investing in the future success of your company.

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.

Combine and liberate your disorganized health information through an interactive AI and NLP solution that provides valuable health insights for various stakeholders. This innovative technology serves Providers by hastening the data abstraction process and ensuring the clinical information validation found within notes, thus minimizing the time and costs associated with identifying care gaps, assessing the quality of care through dashboards, and producing registry reports. For Payers, it facilitates the integration and analysis of claims alongside clinical notes, enhancing the management of high-risk and high-cost member populations. In the realm of Life Sciences, this solution enables swift patient matching to clinical trials using databases alongside clinical note data, maximizing the potential of real-world clinical evidence. Ember offers a comprehensive approach that merges NLP with predictive analytics, streamlining healthcare analytics for unstructured data to boost quality, efficiency, and outcomes in the healthcare system. As a result, stakeholders can make informed decisions that lead to improved patient care and resource allocation.

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

Milliman MedInsight® was founded in 1998 and is a leading provider for healthcare data and analytics. Over 300 payers/ACOs/employers and government agencies trust Milliman MedInsight. Our comprehensive suites of analytics and data enable organizations to leverage healthcare information for better clinical and financial outcomes. We deliver actionable insights on healthcare utilization, costs and quality using our deep industry expertise and advanced technologies. Milliman MedInsight empowers stakeholders with the tools they need to navigate the healthcare landscape, from risk management to value-based care.

Effectively managing large volumes of data is essential for both the well-being of your organization and the patients it serves. However, undertaking such initiatives can often lead to significant demands on both time and resources. Fortunately, Business & Clinical Analytics (BCA) takes on the challenging aspects for you. This web-based data visualization platform is designed to enhance organizational efficiency, track progress, and boost overall performance. Its implementation is straightforward, it's user-friendly, and it seamlessly integrates with MEDITECH's EHR, allowing you to leverage your clinical, financial, and operational data effectively to guide your organization toward success. Given the extensive information you handle, it necessitates meticulous care and ongoing maintenance. To simplify this process, BCA is equipped with standard dashboards that help visualize your organization's data, ensuring you can swiftly activate your big data initiatives. Moreover, MEDITECH regularly updates your dashboard library, continually introducing new dashboards and analytical tools that include a range of selectors to filter data by various criteria such as time frames, providers, payers, and patient categories, thus further enhancing your analytical capabilities. This ongoing commitment to innovation ensures that your organization remains agile in the ever-evolving landscape of healthcare data management.

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

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.

KATE serves as our premier solution that alerts triage nurses to care anomalies that require further examination. Utilizing the advanced Mednition Clinical Data Engine, KATE integrates clinical knowledge with insights derived from over 10 billion data points to forecast the severity of patients in the emergency department. It seamlessly enhances existing workflows, screens, and documentation processes. The Mednition Clinical Data Engine underpins our offerings, ensuring they are clinically validated and capable of scaling to deliver real-time predictive analytics as well as retrospective analyses on demand. This platform efficiently stores and allows easy access to sanitized, anonymized patient records in a cloud-based repository, facilitating advanced analytics, dashboards, research, and improvements in operations. Additionally, Mednition transforms training into an engaging and effective experience by delivering customized clinical scenarios directly to clinicians' personal devices, specifically tailored to meet their individual needs, ultimately enhancing their practice and decision-making skills.

As the foremost company in health care performance enhancement, it is increasingly essential for health systems to function efficiently while enhancing quality standards. We assist you in recognizing potential areas for growth and evaluating performance metrics to promote advancements throughout your organization. By fostering a culture of excellence and establishing a framework rooted in high-reliability practices, regulatory adherence, and patient safety, you can achieve and maintain outstanding organizational performance. Our tailored solutions enable you to concentrate on your core competency—providing exceptional and cost-effective patient care. Additionally, we empower you to expedite strategies that unlock market growth prospects and formulate effective methods to leverage them. Participants in the Vizient supply chain program benefit from exclusive access to a wealth of supplementary resources and insights related to supply chains. With the industry's most extensive offerings, Vizient ensures unparalleled savings through its supply chain initiatives, further solidifying your operational success. Ultimately, our commitment to innovation and quality positions your organization to thrive in a competitive landscape.

A versatile business intelligence platform designed to deliver comprehensive analysis of operations, sales, inventory, and more within pharmacy and healthcare organizations. Users can access and query various data sources through a user-friendly, centralized web interface. This innovative technology allows for extensive data queries to be executed in minutes instead of hours, enhancing efficiency. It enables concurrent back-end ETL (extract, transform, load) processes and front-end analytics without interference, streamlining overall operations. As your business evolves, this tool adapts to meet growing computational demands through ongoing enhancements and scalable capabilities. Promoting widespread e-payment acceptance among healthcare payers hinges on strategic planning, expertise, and leading through example. Learn how dialysis centers and other renal care providers can achieve financial sustainability by optimizing their revenue cycles effectively. Furthermore, uncover the compelling evidence that supports transitioning members to digital communication methods for improved engagement and efficiency.

Explore how GreenLight's cloud-driven solution seamlessly connects supply chain leaders, healthcare providers, and suppliers to facilitate informed product choices that are both clinically relevant and financially sound for health systems nationwide. By simplifying the purchasing process based on evidence, enhancing the analysis of value, and improving engagement with physicians, this platform opens up access to innovative products and comprehensive evidence regarding new medical technologies. It centralizes all physician selections of medical technology within a single portal, promoting transparency and optimizing clinical decision-making. Furthermore, the platform amplifies awareness of new products, streamlines sales initiatives, and fosters collaboration with your sales team. It also automates value analysis while bolstering communication and teamwork among hospitals and physician stakeholders. Discover how one Integrated Delivery Network (IDN) successfully leveraged the GreenLight platform to revolutionize its approach to value analysis, leading to more effective healthcare solutions. This transformation not only improved operational efficiency but also enhanced the overall quality of patient care.

We deliver practical solutions to pharmacists and safety leaders aimed at enhancing safety, promoting standardization, and optimizing limited clinical resources. Our mission is to empower our partners to harness the potential of their infusion data to enhance safety, promote standardization, and maximize the effectiveness of scarce clinical resources. By integrating technology with a skilled clinical services team and leveraging network benchmarking, we create significant value. The Med O.S. data science platform revolutionizes the analysis of infusion data, facilitates the discovery of new insights, and addresses the constraints of traditional reporting methods. Our dedicated team of pharmacists and data analysts generates actionable interventions that yield considerable benefits. Our partners receive expert human support that goes beyond just a username and password. Additionally, network benchmarking from the preeminent infusion community in the United States aids in sharing trends and best practices while also guiding quality and operational improvements. Overall, our comprehensive approach ensures that pharmacists and safety leaders have the tools and insights necessary to make informed decisions and drive meaningful change.

The well-being of your organization is intrinsically linked to the health of its workforce. By harnessing the strengths of integrated data—ranging from consumer behavior and pharmacy information to clinical insights and financial metrics—we can identify both population-level and individual opportunities for enhancement. This is the essence of CareEngine technology. Our approach involves translating and analyzing this wealth of information through evidence-based clinical analytics that have been peer-reviewed, enabling us to pinpoint areas for care improvement. We focus on identifying programs, creating a cohesive digital experience, and providing actionable insights for both coaches and clinicians, ensuring that members receive prioritized health interventions. Our ability to integrate with provider EMR systems and offer Care ConsiderationSM alerts empowers healthcare providers. We have a particular expertise in reaching out to and supporting disengaged and vulnerable members who face a multitude of medical, behavioral, and social challenges. This positions us uniquely to make a significant impact on both health outcomes and healthcare costs. Furthermore, ActiveHealth has maintained full accreditation from URAC in health utilization management since 1992, underscoring our commitment to excellence in this field. Our dedication to innovation and quality care continues to drive us forward.

Microsoft Cloud for Healthcare serves as an all-encompassing platform aimed at revolutionizing the healthcare sector by utilizing AI-driven solutions, integrating data, and ensuring secure, interconnected experiences. This platform assists healthcare providers, payors, and life sciences entities in enhancing patient care, optimizing operations, and bolstering research efforts. It provides resources for protecting confidential information, streamlining clinical processes, and fostering better patient engagement. By harnessing actionable insights derived from integrated clinical and operational data, Microsoft Cloud for Healthcare empowers organizations in the healthcare field to achieve favorable results, boost efficiency, and lower expenses. Ultimately, this innovative platform is pivotal in shaping the future of healthcare delivery.

Enhance your ability to manage risks and deliver superior care to your community through the disease prediction models offered in CARE™. We provide a comprehensive perspective of medical claims data at a national scale, which can be tailored to meet the specific needs of our clients at a granular level. Our sophisticated models sift through billions of medical claims to pinpoint risk indicators for early disease development or the necessity for surgical interventions. Armed with this vital information, healthcare providers can initiate diagnoses and treatments earlier, which has the potential to save lives. While our prediction models are trained on extensive national data, they can also be applied to your own EHR, population health platform, or member claims database for a more personalized approach. Additionally, our physician matching feature aids in aligning patients with the most suitable providers, thereby enhancing their care journey towards optimal treatment outcomes. By utilizing clinically significant data, our advanced disease prediction models identify individuals who are at risk of developing a condition, empowering you to proactively engage with them and commence treatment before the situation escalates. This proactive engagement not only improves patient outcomes but also enhances the overall efficiency of healthcare delivery.

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.

Assisting healthcare organizations in unifying essential patient, clinical, and administrative information, while ensuring its protection and easy accessibility for staff to achieve a comprehensive view. Break down your data silos by consolidating patient and administrative data from across the entire healthcare organization. Maximize your healthcare data storage capabilities by effectively using all available storage resources and minimizing overall ownership costs. Protect your healthcare data while guaranteeing efficient restoration in the event of cyber threats, data loss, corruption, or disasters. Improve patient care and outcomes by equipping your staff with straightforward access to a complete view of a patient’s medical history. Phase out outdated or legacy applications while still keeping access to the data they hold, thereby conserving time, finances, and resources. Additionally, embrace a digital transformation of your entire clinical testing procedures to expedite testing operations on a larger scale. This holistic approach not only enhances operational efficiency but also fosters a culture of innovation within the healthcare environment.

Our comprehensive primary source dataset stands out as the most extensive and varied resource available for researchers and analysts in the healthcare sector, enabling them to gain profound insights aimed at enhancing both health outcomes and economic efficiency. Propel the future of healthcare by utilizing pertinent data extracts that encompass a wide spectrum of care, featuring detailed provider identification, a comprehensive view of the patient journey, and the capability to securely connect with external data sources. Boost research efforts and elevate healthcare outcomes with longitudinally linkable, deidentified real-world data that is crucial for informed decision-making. We conduct over 1,100 rigorous data integrity checks to guarantee both consistency and precision, employing industry-standard methodologies for quality assurance and seamless integration. Uncover innovative insights through rich and pertinent real-world data. Additionally, harness custom extracts from both open and proprietary primary sources to expedite research processes and enhance clinical outcomes alongside provider performance. Our commitment to data quality and relevance ensures that healthcare professionals can make the best decisions possible.

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.

The Digital Health Indicator (DHI) serves as a benchmark for evaluating the advancement of a comprehensive digital health ecosystem. This ecosystem connects healthcare providers and teams with individuals, allowing them to effectively manage their health and wellness through secure and private digital tools, accessible at any time and place care is required. The operational and care delivery practices are focused on achieving outcomes, driven by data and real-world evidence, to ensure exceptional quality, safety, and sustainable performance. Grounded in the principles and evidence outlined in the HIMSS Digital Health Framework, the DHI assesses four key areas that facilitate your organization's journey toward digital health transformation. Establish governance that fosters a sustainable workforce by utilizing outcomes data, ensuring that information flows seamlessly in real-time across the healthcare system. Additionally, it emphasizes the importance of proactively addressing population health outcomes, leveraging comprehensive analytics for informed decision-making, while also maintaining real-time tracking capabilities to enhance overall care delivery. This multifaceted approach not only supports the present needs but also lays a foundation for future advancements in digital health.

Achieve a comprehensive overview of your practice's entire operation with insightful medical billing reports, analytics, and scalable healthcare business intelligence that empower you to make informed decisions based on data. Keep track of your business’s financial well-being across various practices from a singular dashboard, seamlessly connecting relevant data such as phone system metrics, time clocks, clinical information, and accounting records. Access a range of reports, from those tailored for managers to those designed for executives, all without the need for any technical expertise. You have the option to create personalized visualizations or select from over 250 pre-designed reports. Business forecasting utilizes anticipated revenue alongside fixed costs related to your billing processes, while what-if simulations allow you to explore potential adjustments within single or multiple practices. By integrating various data sources into one cohesive application, you can generate both shared and private reports, fostering a secure environment for users to innovate and explore with defined access levels. This holistic approach not only enhances operational efficiency but also drives strategic growth for your practice.

ContinuumCore serves as the dashboarding platform for Continuum Health. When utilized alongside Intellium, it opens up comprehensive access to a flexible datamart. As the requirements and data landscape shift, ContinuumCore adapts accordingly, ensuring that clients can continuously leverage fully-optimized data management solutions. With the integration of over 100 connectors into a unified data warehouse and the regular addition of new data connectors, ContinuumCore simplifies access to all clinical and financial information while minimizing the impact on source systems in a controlled and planned manner. Users can categorize their data by topics for streamlined usage. Moreover, the platform offers agnostic data that facilitates smooth querying across various sources, complemented by dictionary-based data documentation that provides clear definitions for quick understanding and efficient searches. ContinuumCore employs data normalization to unify values and utilizes data validation techniques to identify issues. Additionally, it includes tools for data enhancement, well-defined processes, and customizable report builders to meet diverse analytical needs. Overall, ContinuumCore stands out as a comprehensive solution that meets the evolving demands of modern healthcare data management.

When individuals are dealing with a common cold or managing long-term illnesses such as diabetes or heart disease, they frequently have inquiries and concerns that require attention, as well as guidance to help ensure they comprehend and stick to their treatment plans. Health Dialog presents a collection of tailored population health solutions designed to tackle these challenges, empowering your members to enhance their overall health while simultaneously decreasing costs. Our team of healthcare professionals provides personalized health coaching through targeted outreach to assist members in better managing chronic conditions, including asthma, diabetes, and heart disease. We pinpoint members who may be at risk of not following their treatment plans, identify the most effective ways to engage them, and offer education to promote consistent medication adherence. Additionally, your members can benefit from round-the-clock access to a live registered nurse who is available to deliver clinical advice, refer them to necessary services, teach vital skills, and provide pertinent educational resources to support their health journey. This comprehensive approach not only enhances member engagement but also fosters a more informed and health-conscious community.

Truveta operates as a health data and analytics platform focused on leveraging information to enhance patient lives. By consolidating de-identified electronic health records from more than 30 healthcare systems, it provides researchers with access to a rich array of patient data, which includes clinical notes, imaging, and genomic information. This vast repository represents data from upwards of 120 million patients, giving a well-rounded perspective on healthcare delivery throughout the United States. The Truveta Studio, which serves as the platform's analytics hub, equips researchers with sophisticated tools like notebooks and dashboards, all maintained within a secure and HIPAA-compliant framework. With daily updates to its data, the platform guarantees that insights into patient care and outcomes are both current and relevant. Furthermore, Truveta's dedication to data integrity is showcased by its implementation of the Truveta Language Model, an advanced AI framework that efficiently translates EHR data into precise and reliable data points for the advancement of medical research. This commitment not only enhances research capabilities but also fosters a deeper understanding of healthcare trends and patient needs, ultimately contributing to improved health outcomes.

Intus Care serves as an innovative healthcare analytics platform that amalgamates healthcare data to uncover risks, illustrate trends, and enhance care efficiency, all within a remarkable timeframe of just six weeks. By empowering care providers to reduce high-risk incidents, Intus Care also furnishes executives with essential tools for making data-informed decisions. Our ICS specialists collaborate closely with your organization's leadership and staff to elevate both participant experiences and overall outcomes within your PACE program. With a genuine commitment to people, the Intus Care team is motivated by the diverse needs of patients, families, and caregivers. Our objective is to spark data-driven transformations that facilitate high-value, multidisciplinary care specifically tailored for older adults who are particularly vulnerable to hospitalizations, readmissions, and the development of chronic illnesses. Additionally, we focus on reducing overall costs through early detection of patient risks while improving organizational performance through comprehensive trend analysis and the identification of best practices. By fostering a culture of continuous improvement, Intus Care aims to redefine how care is delivered across the healthcare landscape.

Create, enhance, sustain, and market your network all through a single integrated platform. Utilize competitive insights to bolster your market position effectively. Standardize and refine provider information to facilitate easier searches. Evaluate network performance using metrics related to accessibility, cost, and quality. Provide engaging and feature-rich solutions for provider searches. Gain a deeper understanding of your network's financial health. Construct and improve networks that are competitive, accessible, and provide high value to capture market share and fulfill the needs of your members. Monitor competitor movements and market prospects to sharpen your network strategy, pinpoint optimal providers to stay competitive, and convey the strengths of your network. Simplify your provider directory, plan design, and benefit consulting through quicker and more dependable provider network data. Design tailored networks that align with each client's specific objectives, risk tolerance, and desired provider access, ensuring a comprehensive approach to network management. This complete suite of features not only enhances operational efficiency but also strengthens your overall market presence.

We developed Viewics to address the challenge of making healthcare data more insightful and relevant. Our platform is designed with safety and security in mind while possessing the capability to revolutionize organizations. The Viewics Platform serves as a comprehensive healthcare analytics solution that reveals actionable insights, enabling enhancements in patient care, operational efficiency, and financial performance both in the lab and throughout the healthcare spectrum. With preconfigured alerts for key laboratory performance indicators, users receive proactive notifications when important thresholds are reached, resulting in greater transparency and control. Customized dashboards cater to individual user preferences, showcasing only the most pertinent data to enhance user experience and encourage ongoing engagement with the platform. Additionally, integrated workflows foster collaboration by offering shareable dashboards and the ability to add annotations, which facilitate actionable, data-driven insights. The platform allows for the analysis of data from various sources, encompassing both laboratory settings and external environments, ultimately leading to improved decision-making and outcomes in healthcare. By harnessing these capabilities, organizations can significantly elevate their operational standards and patient care quality.

No doctor should have to navigate through mountains of chaotic patient information. Our streamlined and user-friendly platform effectively structures even the most intricate cases, ensuring that fast evaluations and proactive treatment are accessible to all. It provides a thorough, concise, and context-aware clinical summary. Navina seamlessly integrates with your electronic health records, as well as claims data and a variety of patient information. This actionable synthesis at the point of care enhances the quality of treatment while also boosting reimbursement rates. It is all too common for essential data to be lost within the depths of the EHR system. By leveraging AI technology, Navina brings that vital information to the forefront and displays it in a clear and intuitive manner. In addition, we utilize data analytics to identify and propose potential diagnoses and offer other clinical insights derived from often overlooked discharge documents, laboratory results, and various other records. Ultimately, our goal is to empower healthcare professionals with the tools they need to provide the best possible care.

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.

Atropos Health delivers immediate access to evidence derived from real-world data, effectively bridging the gaps in the healthcare and life sciences sectors. This innovative approach has been shown to enhance clinical outcomes, speed up research initiatives, and improve operational efficiency. By swiftly converting medical data into actionable real-world evidence, Atropos Health reduces the time needed for research from months to mere minutes. Central to its offerings is a generative evidence acceleration operating system that can securely incorporate and structure medical data for future applications. With robust analytics tools, users can generate evidence on demand, utilizing either their own data following a quick setup or tapping into our extensive global evidence network, which includes over 160 million patient records and a library of 10,000 prior studies. Partnering with Atropos Health allows leading health systems and life science organizations to fast-track research, refine clinical trials, enhance clinical decision-making, manage care variation effectively, and much more. Together, we are reshaping the future of healthcare through data-driven insights and collaborative innovation.

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

Interpreta’s Clinical Action serves as a comprehensive platform for managing quality and risk interventions throughout the year, boasting NCQA certification in HEDIS and California IHA AMP since 2015. By leveraging HEDIS, state-specific metrics, and HCC formulations, Clinical Action offers an extensive library of quality and risk measures, all accessible via a cloud-based platform that seamlessly integrates with various provider groups and health plan ecosystems. The platform streamlines workflows by automating the processing of structured medical, lab, and pharmacy claims data, while also enhancing the environment for unstructured supplemental data, which aids in code capture and integrates with advanced artificial intelligence and machine learning capabilities, including natural language processing. Moreover, Clinical Action features customizable population management tools that facilitate care gap analytics, enabling healthcare providers to analyze data from a broad population health perspective down to individual members, thereby improving in-office preparation for physicians. This flexibility ensures that healthcare professionals can tailor their approach to meet the specific needs of their patients effectively.