Alternatives to Health Intelligence Analytics

HRA® (Healthcare Research & Analytics) is a comprehensive market research firm specializing in the healthcare sector, offering exclusive access to a proprietary panel that includes physicians, payers, patients, caregivers, pharmacists, and other essential stakeholders to enhance your brand strategy. With over 100,000 community-based healthcare professionals and influential opinion leaders contributing valuable insights on critical issues, HRA® ensures you receive the information necessary for your success. Drawing on more than 75 years of collective experience in collaboration with healthcare companies, HRA® delivers insights and guidance essential for pre-launch, launch, and post-launch phases. The agency supports your commercial objectives by developing brand strategies, executing them, and providing real-time evaluations of stakeholder attitudes and behaviors. HRA® offers tailored strategic solutions to a diverse range of healthcare clients, combining clinical knowledge with commercial acumen and innovative strategies to keep you at the forefront of the healthcare landscape. Their commitment to understanding the dynamics of the healthcare community positions them as an invaluable partner in navigating industry challenges.

HealthNexus is at the forefront of transforming healthcare through groundbreaking innovations. Our platform is designed to be medically proficient, ensuring that all pertinent information is considered and utilized. Experience reliable results delivered more swiftly and at a lower cost. With access to billions of meticulously organized and integrated data points, we provide profound and accurate real-world insights and outcomes for patients, providers, and payers alike. This encompasses a range of elements, including social determinants of health (SDOH) for patients and providers, Risk Adjustment Factors (RAF), Hierarchical Condition Categories (HCC), and associated quality scores. You can easily generate a variety of detailed reports, ranging from standard templates to tailored complex queries, enhancing your ability to uncover insights throughout the healthcare landscape. Our collaboration with PurpleLab facilitates access to an extensive array of medical terminology and concept groups, empowering you to effectively oversee and manage your organization's medical terminology reference data. This comprehensive approach ensures that you remain informed and equipped to make data-driven decisions in an ever-evolving healthcare environment.

We are entering a transformative phase in predictive analytics, particularly focusing on healthcare data management, through innovative machine learning tools and tailored applications specifically for the healthcare sector. Lumiata’s advanced cost and risk forecasting capabilities consistently surpass traditional techniques, revolutionizing risk management and care delivery within the healthcare landscape. Whether it’s underwriting, care management, or pharmaceuticals, Lumiata provides comprehensive solutions. Our sophisticated applications and data science tools foster an adaptable and cooperative alliance with payers, providers, and digital health entities. Discover the promise of AI innovation with us, as we empower your data science teams with essential ML productivity tools. The journey begins with our unique data preparation and cleansing methodology, where raw data is seamlessly ingested, purified, and structured into an accessible format that is primed for machine learning applications, ensuring that your organization can leverage the full potential of its data.

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.

Value-driven care relies heavily on timely, precise, and trustworthy information. Utilize the Minerva Healthcare Data Platform to consolidate both clinical and claims information from various systems into a centralized FHIR® repository. With its foundational design based on FHIR® and a commitment to being vendor-neutral, Minerva compiles data from your care delivery network, facilitating data exchange, enhancing analytical capabilities, and ensuring compliance with Cures Act requirements. The platform offers a suite of ready-to-use data connectors that enable swift data ingestion from diverse clinical and claims sources. Take advantage of established healthcare standards and tailor-made data formats to incorporate information in real-time or through batch processing. By integrating data from your clinical network alongside that from your payers, you can create a comprehensive view of your patients' information, ultimately leading to improved care outcomes. This holistic approach not only streamlines operations but also fosters a deeper understanding of patient needs.

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

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

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 Aetion Evidence Platform® provides essential real-world evidence tailored for life sciences companies, payers, and risk-bearing providers. Our mission is to tackle significant healthcare inquiries: identifying the most effective treatments, determining their ideal patient populations, and establishing the optimal timing for their application. This approach directly translates into improved decision-making. Serving as a collaborator to many of the leading 20 global biopharma companies, prominent payers, and the FDA, Aetion plays a pivotal role in shaping the most vital decisions within the industry. Our transparent analytical methods facilitate advancements in product development, commercialization strategies, and payment innovations, steering healthcare into a new age. By transitioning the use of real-world evidence from merely descriptive analytics to deriving causal insights, the Aetion Evidence Platform is at the forefront of this evolution. Furthermore, we provide timely answers within a matter of days or weeks, delivering the swift results necessary to enhance both clinical and financial outcomes. Make the most of your available data by transforming it into actionable insights that can be utilized immediately for better healthcare solutions.

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.

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.

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.

Sift clarifies the complexities of healthcare payment processes by embedding actionable insights into revenue cycle operations, enabling healthcare organizations to enhance payment results and minimize collection costs. By providing healthcare providers with crucial information on denial management, Sift empowers them to safeguard their receivables and expedite cash inflows. It compiles insurance claims and patient financial information into a secure, HIPAA-compliant, cloud-based database, ensuring a reliable source of information regarding healthcare payments. Furthermore, Sift addresses the disconnects between a provider's electronic health records, clearinghouse, workflow management tools, and patient interaction platforms. By consolidating data from these various sources, Sift creates a distinctive and proprietary dataset that offers comprehensive oversight of payment processes. Utilizing a range of data science methods, Sift delivers thorough and cohesive recommendations for managing denials, evaluating payers, enhancing patient collections, and improving patient acquisition strategies, ultimately leading to better overall financial performance for healthcare practitioners. This innovative approach not only streamlines operations but also fosters a more efficient healthcare payment ecosystem.

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

Enhance your financial performance by centralizing the automation of patient cost estimates, identifying payer underpayment issues, and optimizing contracts all within a single platform. Detect and analyze trends related to insurance company underpayments to ensure your chargemaster is set for maximum efficiency. Delegate investigations and appeals to your team while monitoring their progress seamlessly in one dashboard. Evaluate and compare performance metrics across different payer contracts to negotiate terms more effectively and from a position of strength. Accurately project patient out-of-pocket expenses, instilling confidence for upfront deposits. Facilitate direct online payments for upfront deposits, enhancing patient convenience. Hold insurance providers accountable for the full amounts due, empowering you in contract discussions. Minimize bad debt and reduce the costs associated with collections, while also decreasing the number of days in accounts receivable. This streamlined approach not only improves financial outcomes but also enhances patient satisfaction and trust in your services.

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.

Stratasan’s Analytics Platform equips hospital executives and strategic planners with comprehensive and current insights into the healthcare landscape. Rather than spending precious hours sifting through data, you can focus your efforts on crafting effective strategies and making informed decisions. This platform supports high-level strategic conversations, ensuring that all team members are aligned and informed. With a shared understanding of analytics, your team can swiftly make real-time decisions. Create and distribute strategic presentations on market intelligence and key initiatives in mere minutes instead of the weeks it typically takes. Analyze reimbursement rates by payer and track trends across various service lines. Approach negotiations with confidence, advocate for acquisition targets that hold the greatest potential for success, and perform thorough evaluations of the ROI when considering entry into new markets. This streamlined process enhances collaboration and drives better outcomes for your organization.

Surpass consumer expectations for care while fostering unprecedented growth and loyalty. Press Ganey's cutting-edge Consumer Experience technology is set to transform patient acquisition, retention, and reputation management within your healthcare organization. The recent acquisition of SPH Analytics (SPH), a frontrunner in measuring and enhancing member experience in the health insurance sector, marks a pivotal moment for Press Ganey. By integrating its premier patient experience data with SPH's comprehensive member experience insights, Press Ganey aims to create a cohesive understanding of provider and payer dynamics, ultimately leading to improved healthcare outcomes. Your dedicated Press Ganey success team will be available to support and guide you at every phase of the journey. Our ongoing commitment to investing in advanced technology and exceptional talent ensures that our clients remain leaders in the healthcare industry, equipped to meet future challenges effectively. Together, we can pave the way for a more integrated and responsive healthcare system.

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.

Medisolv offers a wide range of quality management solutions tailored for healthcare providers, including hospitals and clinicians. Our flagship platform, ENCOR, stands out as an award-winning, all-encompassing quality solution designed to streamline operations. As a dedicated healthcare quality data management firm, Medisolv equips organizations with a comprehensive Quality management software that simplifies core measure abstraction and facilitates electronic measure capture across both hospital and outpatient settings. This software enables effective data aggregation from diverse sources and ensures seamless submission to various reporting entities, such as CMS, TJC, state agencies, payers, and organizations like ACOs. With ENCOR, healthcare facilities gain access to up-to-date eCQM performance data, empowering them to enhance their outcomes while simplifying compliance with regulatory programs. Additionally, ENCOR enhances the chart abstraction process by providing daily updated data and automatically pre-filling patient information, making it easier for hospitals to fulfill their reporting obligations efficiently. Ultimately, our software is crafted to support healthcare institutions in navigating the complexities of quality reporting and achieving their performance goals more effectively.

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.

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.

Built upon FHIR v4, this solution utilizes native FHIR data models and a RESTful API to ensure compliance with USCDI v1, effectively storing and providing complete USCDI v1 data to both patients and partners. It allows for the secure export of electronic health information, promoting safe access for patients. By integrating your EHR, payer systems, or any health information technology into fhirstation, you can achieve immediate compliance with the Final Rule. Fhirstation serves as a comprehensive, scalable, and secure multi-tenant Software as a Service (SaaS) platform tailored for electronic health record (EHR) vendors, health plans, hospitals, providers, and other organizations that are required to deliver patient data in accordance with the USCDI v1 FHIR v4 API and the electronic health information export mandates of the HHS final rule and CMS interoperability guidelines. This platform effectively dismantles barriers to information sharing by facilitating data exchange among patients, health IT developers, health systems, EHR vendors, and payers. Additionally, fhirstation is designed to be SMART on FHIR ready, paving the way for innovative patient access applications in the future while fostering a collaborative healthcare ecosystem.

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

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.

EMCsoft's Claims Management Ecosystem guarantees that healthcare providers and billing companies submit accurate claims to insurance payers for effective claim processing. This system combines our adaptable claims processing software, Claim Agent, with a comprehensive methodology known as the Four Step Methodology, seamlessly integrating into your claim adjudication workflow. By implementing this strategy, we enhance, facilitate, and automate your processes to optimize claim reimbursements. For an insightful overview of Claim Agent's features and its integration into your claims process, you can request our complimentary online demonstration. Claim Agent efficiently manages the scrubbing and processing of claims, ensuring a smooth transition from provider systems to insurance payers in a timely and cost-effective manner. The software is designed to be compatible with any existing system, ensuring a swift and straightforward implementation. Furthermore, we offer tailored edits, bridge routines, payer lists, and workflow configurations that cater specifically to each user's requirements, enhancing the overall claims management experience. This personalized approach enables healthcare providers to focus more on patient care while we take care of the complexities of claims processing.

eClaimStatus offers a straightforward, practical, and efficient real-time system for Medical Insurance Eligibility Verification and Claim Status solutions that enhance healthcare delivery environments. As healthcare insurance providers continue to lower reimbursement rates, it becomes essential for medical professionals to keep a close eye on their revenue streams and minimize any potential loss and payment risks. The issue of inaccurate insurance eligibility verification is responsible for over 75% of claim denials and rejections from payers. Additionally, the costs associated with re-filing rejected claims can reach between $50,000 to $250,000 in lost annual net revenue for each 1% of claims that are denied (according to HFMA.org). To address these financial challenges, it is crucial to have a user-friendly, budget-friendly, and efficient Health Insurance Verification and Claim Status software. eClaimStatus was specifically developed to tackle these pressing issues and improve overall financial performance for healthcare providers. With its comprehensive features, eClaimStatus aims to streamline the verification process, ultimately enhancing the efficiency and profitability of healthcare practices.

Maximize the potential of your data to enhance the experiences of both your clinic and your patients. InSightive converts your oncology data into actionable insights that can be implemented immediately. By normalizing and structuring your data through oncology-specific relationships, you can achieve greater clarity and precision. Utilizing industry-leading Tableau visualization, our platform offers analytics tailored to the oncology field, boosting clinical performance significantly. InSightive can be accessed through ARIA, a standalone desktop application, or virtually any web browser. Kickstart your journey with readily customizable templates that focus on payer mix, referral sources, and operational efficiency. Swiftly aggregate activity data to uncover valuable operational insights, enabling you to examine your information in innovative and meaningful ways. Experience rapid query results that allow for treatment or policy adjustments within hours instead of days. This empowers your patients to benefit from the collective experiences of previous patients. Additionally, our data specialists are available to assist you in seamlessly incorporating Varian into your existing workflow, ensuring that you can leverage the full power of your oncology data for improved patient care. With InSightive, the future of oncology data management is at your fingertips.

The diversion of controlled substances can occur at any point within the pharmaceutical supply chain, with a significant prevalence in hospital pharmacies and healthcare settings. HelioMetrics Healthcare Rx Drug Diversion Analytics Software is designed to enhance the detection of drug diversion activities, streamline investigations, and minimize the financial repercussions associated with such diversions in the healthcare sector. Headlines frequently highlight the ongoing "opioid epidemic," showcasing widespread issues of healthcare professionals and pharmacists misappropriating these and other medications. In extreme instances, the actions of some healthcare workers have led to serious public health threats, including concerns regarding HIV and Hepatitis C transmission. Numerous cases have escalated into legal disputes, resulting in hospitals facing extensive lawsuits from former patients affected by this situation. Additionally, the consequences are compounded by significant fines imposed by the DEA, underscoring the gravity of the situation. The dangers posed by drug diversion extend beyond patient safety, presenting substantial financial challenges for healthcare organizations and necessitating immediate attention and action.

Prognos stands as the leading provider of specialized lab data, now enhanced by a comprehensive ecosystem of healthcare data assets tailored to address even the most intricate inquiries. Pioneering the market, Prognos established a seamless integration of various lab data types, unlocking their full analytical potential through a robust platform. Currently, this platform connects millions of medical and prescription claims, and its sources continue to expand daily. With access to billions of data points, users can explore harmonized lab data covering 325 million patients, alongside both open and closed medical claims as well as prescription claims. The Prognos Marketplace serves as a user-friendly healthcare data marketplace designed to streamline the data selection and contracting process, allowing users to easily curate and acquire the health data they require at their convenience. This innovative approach empowers businesses to begin with patient-centric data that aligns with their specific operational needs, ensuring they have the right information at their disposal to drive informed decisions. In this way, Prognos not only enhances data accessibility but also fosters a deeper understanding of healthcare dynamics.

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.

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.

The Turquoise Health Enterprise platform offers a wide-ranging array of solutions centered on healthcare price transparency and the management of contracting processes, featuring modules like Clear Rates Data, which compiles an extensive dataset of over a trillion records related to providers, payers, professionals, drugs, and devices for both institutional and professional services. In addition, it incorporates Clear Contracts, a cloud-based application designed to facilitate the creation, negotiation, and storage of contracts for both payers and providers. This platform also provides Compliance+ to aid organizations in adhering to the requirements for machine-readable files and Good Faith Estimate regulations, along with Analytics tools that allow users to benchmark and investigate market-level rate data. Furthermore, it offers Custom Rates extracts specifically designed for niche healthcare segments, Standard Service Packages comprising pre-assembled bundles of frequently performed procedures, and Search and Care Search dashboards that assist in the discovery and comparison of rates. Additionally, the Turquoise Verified program empowers both providers and payers to efficiently publish and manage their price transparency information, ensuring that all stakeholders benefit from accessible and reliable pricing data.

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.

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.

Truven, part of Merative, provides a robust range of healthcare analytics and member engagement solutions designed to improve both health outcomes and financial performance. Their services include data-driven tools, benchmarks, consulting, and research, offering tailored solutions for healthcare organizations across the industry. With over four decades of expertise, Truven supports health plans, employers, government agencies, providers, and life sciences companies in achieving their operational and clinical goals. Their solutions focus on enhancing patient safety, optimizing workflows, and delivering actionable insights to drive better decision-making and healthcare management.

Utilize Amazon Comprehend Medical to derive insights from unstructured data, facilitating efficient search and query processes. Forecast health-related trends through Amazon Athena queries, alongside Amazon SageMaker machine learning models and Amazon QuickSight analytics. Ensure compliance with interoperable standards, including the Fast Healthcare Interoperability Resources (FHIR). Leverage cloud-based medical imaging applications to enhance scalability and minimize expenses. AWS HealthLake, a service eligible for HIPAA compliance, provides healthcare and life sciences organizations with a sequential overview of individual and population health data, enabling large-scale querying and analysis. Employ advanced analytical tools and machine learning models to examine population health patterns, anticipate outcomes, and manage expenses effectively. Recognize areas to improve care and implement targeted interventions by tracking patient journeys over time. Furthermore, enhance appointment scheduling and reduce unnecessary medical procedures through the application of sophisticated analytics and machine learning on newly structured data. This comprehensive approach to healthcare data management fosters improved patient outcomes and operational efficiencies.

At Carevoyance, we provide an integrated set of tools and healthcare data that eliminate the need for separate healthcare lists and data integration costs. Each engagement comes with the most current healthcare data available, ensuring you always have access to fresh information. To maintain this freshness, we constantly gather and integrate data from hundreds of diverse sources related to physicians and facilities into a unified, searchable analytics platform. This system enhances your sales operations and marketing workflows, ultimately boosting your commercialization efforts. Rather than seeing healthcare data as a mere endpoint, we focus on fostering collaboration through our workflows, analysis, and reporting features, enabling your commercialization team to discover new insights that drive market growth. Additionally, our experts will collaborate with your team to identify and refine pertinent healthcare codes, develop precise search queries, and produce insightful, visually appealing reports tailored to your needs. By partnering with us, you gain not only data but also strategic support aimed at expanding your market presence effectively.

The MedeAnalytics platform is constructed on a robust base of innovation in advanced analytics. It features strong data orchestration, user-friendly visualizations, predictive analytics, benchmarking, and guided analysis, equipping you with the insights necessary to revolutionize healthcare. With its platform-as-a-service (PaaS) capabilities, you have the flexibility to create your own applications tailored to your needs. Additionally, our scalable solutions, designed specifically for the healthcare sector, provide the actionable insights essential for driving excellence throughout the industry. Addressing the urgent challenges in healthcare requires an understanding gained from real-world experience. MedeAnalytics is steered by a team of professionals with deep expertise in healthcare, hailing from prestigious organizations such as Huron Consulting, Accenture, Trizetto, and PricewaterhouseCoopers, ensuring a wealth of knowledge is applied to every solution. Their commitment to innovation and excellence sets a high standard in the analytics landscape.

The comprehensive platform utilizes top-tier cloud technologies to modernize the healthcare data landscape, guarantees interoperability, reduces overall ownership costs, and provides both scalability and adaptability. With Abacus Insights’ personalized data management services and a strong focus on customer needs, the challenges of change management are significantly reduced, allowing you to concentrate on enhancing robust analytical capabilities that meet your business goals. The platform features a Unified Data Foundation, which securely enhances the quality of healthcare data through standardization, facilitating the effortless distribution of real-time data to users. Additionally, industry-leading healthcare professionals are available to support the optimization of your data management processes. This approach accelerates the creation of enterprise data warehouses, operational data stores, data marts, and data lakes, ultimately granting you confidence with expert assistance for business users while also fostering a culture of data-driven decision-making.

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

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.

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

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

Our robust platform enables real-time de-identification, allowing for the swift sharing and examination of imaging, physicians' notes, device information, medical records, laboratory results, and more. The concept of reinventing access involves a complete overhaul of the traditional model. Instead of removing data from the system, we create an invitation for med-tech and life sciences organizations to engage within the secure, dedicated environment of healthcare providers. We equip scientists with the necessary tools to scrutinize the data, ensuring that healthcare providers retain ultimate authority. By fostering a collaborative network that includes academic healthcare institutions, community health centers, specialized practices, med-tech firms, pharmaceutical companies, and researchers, we are driving innovation forward. This collaboration enhances the benefits for all involved, while reinforcing a commitment to security and privacy. Throughout this process, healthcare providers have absolute control over who accesses their data at all times, ensuring transparency and trust in every interaction. Moreover, this approach not only streamlines operations but also cultivates a culture of continuous improvement and shared knowledge.