Alternatives to InterQual AutoReview

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.

Each record signifies an individual, and every data point holds the potential to significantly impact a person's life, representing an opportunity for understanding and action. Thus, our mission is to foster enhanced health outcomes by refining the management of health information. Over the past four decades, Ciox has played a pivotal role in transforming the healthcare sector through superior health information management and the seamless exchange of health data. Our extensive involvement with medical records spans various industries, empowering us to innovate workflows, enhance access to clinical information, and boost the precision and movement of health data. We assist our clients in safeguarding, organizing, and utilizing health information effectively to achieve improvements in operations, maximize revenue, and ensure better outcomes for patients. Additionally, Ciox HealthSource serves as a fully scalable clinical data platform that harnesses Artificial Intelligence to deliver higher-quality data, alleviate administrative tasks, and enhance financial performance. This integration of technology not only streamlines processes but also sets a new standard for excellence in health information management.

We enhance the efficiency of numerous healthcare facilities globally, simultaneously improving the experiences of both staff and patients. Our solution streamlines ambulatory care pathways, providing patients with greater peace of mind. With LGI eClinibase, visibility into patient care pathways is significantly increased, and waiting times are curtailed by sharing detailed information about each care episode. Transitioning from paper to digital allows for rapid access to data regarding referrals, waiting lists, and appointments. Users can generate lists and summaries from multiple clinical administrative systems regarding all episodes of care. The platform facilitates management of referrals, appointments, and patient communications across the entire facility, ensuring a cohesive workflow. Additionally, it offers automatic suggestions to correct patient records and identifies duplicate entries efficiently. Furthermore, it oversees the professional activities agenda, encompassing intake management, appointments, clinical documentation, and statistical reporting for the MSSS, thereby optimizing operational effectiveness throughout the healthcare system.

Our state-of-the-art technology, powered by artificial intelligence (AI), transforms both organized and disorganized healthcare information into a dependable, high-quality, standardized dataset that can be utilized throughout your organization. By facilitating near real-time access to data from various systems, our solutions alleviate the strain of manual data abstraction, enabling your administrative and clinical teams to reclaim valuable time for quality improvement and research endeavors. Our suite of products and services empowers you to gather, assess, and utilize your data effectively, irrespective of the data source, therapeutic area, organizational department, or pre-existing reporting, business intelligence, or analytics tools. Atlas leverages both human knowledge and AI capabilities to streamline the challenging process of uncovering and interpreting patient data for clinical registries. Meanwhile, Cartographer efficiently searches, evaluates, and interprets patient data across multiple platforms, standardizes that information into a uniform format, and offers pertinent data insights. Ultimately, our innovative solutions not only enhance operational efficiency but also support informed decision-making throughout your organization.

Prioritizing the front end is essential for enhancing the overall patient financial experience and optimizing revenue cycle outcomes. By implementing cohesive front-end solutions, organizations can effectively address deliverability issues, significantly reducing the occurrence of returned mail and unpaid invoices. It is crucial to minimize input errors by accurately verifying patient identity and demographic details. Additionally, confirming insurance eligibility at the point of service plays a vital role in maximizing revenue while ensuring compliance with regulations. To streamline processes, automating prior authorization from start to finish within seconds can lead to improved efficiency. Furthermore, automating notifications guarantees that payers receive timely updates regarding inpatient hospital admissions. Clear and precise communication of patient out-of-pocket expenses also contributes to better financial transparency. By assessing patients' propensity to pay and their eligibility for financial assistance, hospitals can enhance their collections. Once a secondary concern, patient access is now recognized as a pivotal element in healthcare facilities. Our adaptable platform harnesses the power of integrated data from various verification sources, coupled with intelligent guidance, to create a comprehensive solution. This integration not only fosters better patient access but also drives overall organizational effectiveness.

TAGNOS enhances the capabilities of healthcare professionals, enabling them to deliver superior patient care. By focusing on timely surgical starts, increasing room turnover, and maximizing scheduling efficiency, healthcare workers can perform more procedures safely and effectively. Additionally, TAGNOS addresses patient satisfaction by minimizing the rates of those leaving without being seen (LWBS), speeding up treatment times, and improving communication within and between departments. The system also promotes better asset management, reduces waste, eliminates unnecessary search times, and streamlines work orders while optimizing supply levels. With TAGNOS OR Orchestration, healthcare providers are empowered to conduct more surgeries safely and efficiently, thanks to real-time situational awareness and performance insights driven by data. Ultimately, the implementation of OR Orchestration not only enhances operational efficiency but also significantly improves the overall patient experience through timely and effective care delivery.

An all-encompassing and adaptable toolkit that empowers healthcare professionals to evaluate, review, document, and monitor patient conditions is essential for effective patient care. The HCS Assessments Design Kit offers users the ability to develop or modify clinician-level documentation in accordance with current or anticipated workflows. For facilities that still rely on paper records or alternative electronic health records, this kit provides the adaptability needed to replicate existing documentation while ensuring data is captured accurately and discretely. Users can choose from a comprehensive library of pre-existing assessments, create custom assessments, or utilize a combination of both methods. These assessments can be employed either as a singular documentation event or for continuous documentation, with options that allow facilities to determine whether data entry is mandatory or optional. Various methods for data entry, including text inputs, drop-down selections, radio buttons, and multi-select options, facilitate straightforward customization and enhance workflow efficiency. Additionally, a brief overview of the available templates is presented below.

CareStat represents SHP's all-encompassing analytics solution for post-acute care, effectively connecting acute care providers, ACOs, payers, and physician groups with skilled nursing facilities and home health agencies. Our mission is to collaboratively enhance the management of patient outcomes, operational efficiency, utilization, and partnerships between post-acute providers. Utilizing SHP's exclusive readmission algorithms, CareStat integrates real-time OASIS and MDS data to facilitate patient management throughout the entire care continuum. This implementation not only aims to minimize readmissions and shorten hospital stays but also to foster better collaboration and improve referral practices, ultimately leading to heightened patient satisfaction. By streamlining the data transfer process for quality and outcome metrics, we help organizations save valuable time. In a metrics-driven landscape, your organization understands the necessity of actionable insights, and achieving your goals demands the right tools and expertise to function optimally. Overall, CareStat is designed to empower providers with the insights they need to drive better patient care outcomes.

A data-driven solution for managing claims and remittances specifically designed for healthcare providers looking to streamline their workflows, enhance resource efficiency, minimize denial rates, and expedite cash flow. Boost your initial claim acceptance rate significantly. Our all-inclusive edits package ensures you remain compliant with evolving payer guidelines and regulations. Increase your team's efficiency with user-friendly, exception-based workflows and automated procedures. Your personnel can conveniently utilize our adaptable, cloud-based platform from any device. Effectively manage your secondary claims volume through the automated creation of secondary claims and explanations of benefits (EOB) derived from the primary remittance advice. Leverage predictive artificial intelligence to identify and prioritize claims that require attention, allowing for quicker error resolution and minimizing denials before submission. Achieve a more efficient claims processing experience. Additionally, print and distribute primary paper claims, or compile and send collated claims along with EOBs for secondary submissions. This holistic approach not only enhances operational efficiency but also promotes better financial performance for healthcare providers.

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.

Connexall is a hospital-wide event management and control platform. It was ranked number one in the 2015/2016/2017 awards and 2018 Best in KLAS Awards. It acts as a backbone to clinical workflow by communicating the correct information to the right person at the right time on the right device. The Class II medical device software, based on more than 20 years worth of R&D, is completely vendor-neutral. Connexall has offices located in Canada, Brazil, Portugal, Hong Kong, and the United States. It works with more than a thousand of the most innovative and renowned hospitals and health systems around the globe.

Our comprehensive platform provides fully integrated health plan solutions that add value and reduce the complexities of healthcare for employers, members, providers, and payers alike. Valenz combines member-focused services with insights derived from data, creating connections through personalized assistance that leads to high-quality care and enhanced outcomes. We prioritize early and frequent engagement through effective education, support, and services designed to prevent more severe and costly health issues down the line. By choosing Valenz, you can foster a healthier member population while consistently achieving cost savings for both plans and members year after year. To access the transparency and tools necessary for making quality-driven, cost-effective decisions, let’s discover your pathway to more efficient healthcare today. Additionally, the Valenz healthcare ecosystem optimization platform features a suite of fully customizable solutions that are all integrated within a single strategic framework, providing in-depth visualization of cost, quality, and utilization opportunities, ensuring you are equipped to navigate the healthcare landscape effectively.

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

VitalHub offers a suite of solutions focused on Patient Flow, Operational Visibility, and Patient Journey Optimization, specifically tailored for intricate hospital systems and integrated health settings. Our innovative technologies enable frontline staff, healthcare providers, and management to enhance the patient experience while achieving greater operational efficiency, ultimately leading to safer care outcomes. We provide tools that streamline various aspects of healthcare, including patient flow management, perioperative processes, demand and capacity planning, virtual consultations, clinic administration, and the overall patient journey. By enhancing transparency and communication, our solutions offer real-time visibility across the entire system, ensuring integrated information is available for coordinated care and optimizing patient transitions. Furthermore, VitalHub’s Electronic Health Record (EHR) offerings extend beyond conventional clinical data collection, delivering a comprehensive and holistic perspective of patients and clients right at the point of care, which fosters better decision-making and improved health outcomes. Through these advancements, we aim to transform healthcare delivery into a more efficient and patient-centered experience.

Effectively overseeing patient care requires a balanced mix of clinical expertise and technological tools. In a field often characterized by high labor demands, these tools should not only facilitate and improve care management processes but also enhance the financial health of the organization. AveCare offers a comprehensive solution that integrates care management functions—including care management (CM), disease management (DM), and utilization management (UM)—streamlining workflows and providing robust management capabilities at a competitive price point, enabling organizations to maximize both clinical and financial resources while elevating the quality of care and patient outcomes. The platform allows for the exchange of data from a variety of sources such as eligibility, claims, pharmacy, diagnostic tests, lab results, predictive analytics, decision support systems, and electronic faxing. Designed for integration, it seamlessly combines case management, disease management education, and utilization management functions into one cohesive system. Users can access a centralized view of all relevant CM, DM, and UM activities related to each patient, ensuring that care is coordinated and informed by comprehensive data. This holistic approach not only streamlines operations but also fosters better communication among healthcare providers.

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.

We collaborate with governmental bodies and humanitarian organizations to create health information systems that prioritize human needs and are open-sourced. By extracting valuable insights, we empower health workers, decision-makers, and patients throughout Africa. Our expertise lies in digital health information systems tailored for low-resource settings across the continent. We concentrate on both enterprise software and hardware for healthcare facilities. Our process encompasses everything from initial design and development to implementation, training, and ongoing support. Looking ahead, we aim to incorporate data analysis for better management of scarce resources. We firmly believe that strong health systems, coupled with the sharing of crucial information, can significantly enhance global health outcomes. Our approach involves strengthening local health systems by engaging communities to address their specific needs. We are dedicated to investing in and creating systems that are accessible for low-income nations, thereby helping to build their capabilities for self-sustained solutions. As an African non-profit organization, we are committed to improving global health through the development of information systems, fostering partnerships, and enhancing local capacity, ultimately striving for a healthier future for all. By nurturing local expertise, we ensure that solutions are not only effective but also sustainable in the long term.

Transforming fragmented health data into meaningful insights is at the heart of what we do. Clarify Health's analytics platform cuts through the confusion, enabling organizations to excel in a post-pandemic landscape. We provide accurate insights into the performance of healthcare providers, the experiences of patients, and the adoption rates of therapies. With our state-of-the-art analytics software, you can confidently enhance physician performance, align patients with suitable care options, and adeptly manage value-based agreements. Harness insights that can expedite product launches and foster growth, while showcasing real-world effectiveness and facilitating outcomes-based contracts. Accurately pinpoint leading physicians and facilities, offer a more tailored experience to members, and optimize value-based interactions. Our timely insights are generated through a multitude of predictive models, organizing data into real-time analyses that drive measurable return on investment. Fueled by extensive data and cutting-edge technology, we are dedicated to transforming health data into tangible results that make a difference in patient care. In this rapidly evolving healthcare environment, our platform empowers stakeholders to make informed decisions that lead to better health outcomes.

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

Inventory management holds critical significance across various sectors, but it is particularly vital in the medical device sector, where individual products can carry a price tag of thousands of dollars and surgical loaner kits can reach tens of thousands. By efficiently tracking, managing, and utilizing field inventory, medical device manufacturers and healthcare facilities can enhance their sales revenue, minimize inventory capital outlay, and reduce operational costs. Medical Tracking Solutions, Inc. (MTS) was founded by a skilled group of industry experts specializing in medical device sales, distribution, logistics, loaner kit processing, and software development. Currently, both manufacturers and hospitals can utilize MTS's proprietary software, iTraycer, independently, or they can opt for a comprehensive service where MTS collaborates with logistics companies to provide a complete solution for case scheduling and the management of medical device field inventory. This dual approach allows for flexibility and efficiency, catering to the diverse needs of the medical device industry.

Empower strategic decision-making and foster enhanced collaboration among diverse functions within the healthcare ecosystem. The Incedo™ Healthcare Management Platform presents a robust solution for medical management, seamlessly fusing care management, utilization management, care coordination, and healthcare navigation efforts to boost operational effectiveness and improve patient outcomes. It strengthens communication and teamwork among Care Management, Clinical, and Utilization Management teams by providing a unified view of the member care plan, ensuring a smooth transition between Utilization Management and Care Management. The platform's advanced data capabilities streamline data collection and ensure compliance with CMS regulations through a versatile data repository that can be tailored for detailed data tracking and reporting. Additionally, it promotes system interoperability, enhancing the overall integration within healthcare systems. By implementing this innovative platform, organizations can significantly upgrade their operational processes and patient care quality.

CaseTrakker offers a holistic care management solution that guarantees your team has access to the latest information and essential tools for effective member management. Their all-encompassing care management software features a wide array of tools addressing every aspect of health management, including care management and utilization review, among others. With these products, organizations can optimize their core business processes and enhance productivity while maintaining high-quality care management results. Additionally, CaseTrakker portals deliver customized, secure, browser-based access to all CaseTrakker data. These portals create a personalized experience, fostering collaboration among members, providers, clients, and care management teams, accessible from any device, ensuring seamless communication and coordination. This integration of technology not only improves efficiency but also strengthens the overall care management framework.

Collective aggregates patient information into a streamlined alert system, enabling emergency department providers to make quick and well-informed decisions that enhance patient outcomes. Alerts regarding patients who exhibit patterns of excessive service use or intricate needs are dispatched immediately upon their registration—additionally, these notifications reach other members of the care team, allowing for timely interventions and guiding patients toward more suitable care options to prevent inappropriate use of emergency services. Collective's notifications are integrated seamlessly into various systems, regardless of the electronic health record used, or can be delivered through alternative methods such as fax, network printers, email, or text messages. This adaptability to the distinct requirements and workflows of each facility fosters collaboration among providers, equipping them with a unified strategy—ensuring that the collective support remains with the patient at every step of their journey. Ultimately, this approach not only enhances communication but also promotes a more efficient use of healthcare resources.

The process we follow for setup is straightforward and efficient. We take the initiative to incorporate our HIPAA-compliant software and services seamlessly into your current workflow. This software is designed to analyze your patient population, pinpointing individuals who might be eligible for Chronic Care Management (CCM) and various preventive programs. Our combination of a dedicated care team and advanced software can handle tasks like enrollment and eligibility verification, patient outreach cycles, and meticulous record management, among other functions. With our integrated approach, we stay closely attuned to the needs of your patients, ensuring timely responses. Our user-friendly, one-click interface provides physicians with essential information about patients requiring urgent care. This is how our system operates:

The Care Management Suite represents a comprehensive, data-informed solution for managing care, featuring a suite of tools and processes designed to enhance visibility across the entire spectrum of high-risk and at-risk patient populations. By enabling more efficient and patient-focused workflows, the suite aims to elevate the quality of care delivered while simultaneously lowering overall healthcare costs. Through the use of data analytics, the Care Management Suite identifies areas for improvement throughout the care process, thus driving better clinical, operational, and financial results. This solution is comprised of three key applications: Population Builder™: Stratification Module, Population Care Workflow, and Population Care Insights, each playing a vital role in the care management process. The suite offers a cohesive, end-to-end workflow that encompasses everything from patient enrollment and ongoing care management to patient record-keeping and collaboration among care team members, ultimately saving time and enhancing the standard of care delivered. Additionally, its analytics-driven Data Operating System platform consolidates various claims and electronic medical record data, creating a holistic view of each patient. By leveraging these insights, healthcare providers can make more informed decisions aimed at improving patient outcomes.

Claims processing can stretch over several months, making it increasingly challenging to control associated costs by that time. A mere few minutes of delay in recognizing patient activity can lead to an unwarranted and expensive hospital admission, which is crucial in the realms of care coordination and achieving success in value-based contracts. MemberMatch delivers these critical insights instantly, equipping care teams with timely intelligence that enables them to proactively and efficiently address active care episodes. This approach assists risk-bearing organizations in enhancing both the quality of care and the financial implications of member interactions throughout the care continuum, ultimately resulting in improved patient outcomes and a healthier financial situation for the organizations accountable for their well-being. By facilitating connections between your care team and the clinical staff involved, essential context can be provided to improve the quality and cost-effectiveness of encounters, helping to prevent unnecessary admissions to out-of-network facilities and redundant testing. In essence, this real-time data empowers healthcare providers to make informed decisions that can significantly benefit both patients and their organizations.

We provide a diverse array of thorough products and solutions, developed by experts in the field who elevate online systems, data, and tools to an advanced level. Our budget-friendly system is designed to enhance patient flow, thereby boosting productivity, performance, and the overall patient experience. Spend more time focusing on your patients instead of managing your computer tasks. Our solution effectively reduces absenteeism, presenteeism, and disability challenges within your organization. With our system, you can make a significant impact by enhancing the monitoring and promotion of your services. We are committed to assisting you in caring for the elderly population. The tools we provide are essential for improving both the effectiveness and efficiency of your operations. Our team conducts in-depth analyses and develops tailored solutions that meet your specific needs. As healthcare technology specialists, we comprehend and communicate in the language of healthcare. Our platform minimizes administrative tasks, allowing you to dedicate more time to patient care. We believe that any technological advancement that contributes to human betterment should be shared for the collective good. Together, we can create a healthier future for everyone.

By offering a groundbreaking array of solutions and the most integrated care collaboration network available, we are pursuing a holistic approach to healthcare that is transforming expectations and altering the landscape of the industry. This journey toward more informed decision-making and improved outcomes is anchored in a commitment to ongoing dialogue, teamwork, and innovation. This dedication is the cornerstone of our mission, enabling us to achieve significant results across diverse care environments. Empower yourself to choose the best care paths and proceed with confidence, leveraging real-time insights and the nation's most extensive care collaboration network. Efficiently pinpoint the best course of action with streamlined solutions that enhance workflows and accelerate patient treatment. Minimize risks, reduce expenses, and hasten the shift to value-based care through access to previously unavailable proactive intelligence. Bring the concept of whole-person care to life by integrating essential context that encompasses both physical and mental health experiences, ensuring comprehensive support for patients’ well-being. This holistic approach guarantees that every individual receives the tailored care they deserve, addressing all facets of their health journey.

A hospital management system offers a modern and automated approach to overseeing hospital operations, moving away from traditional methods. It efficiently handles essential functions such as inpatient and outpatient management, billing, laboratory testing, bed allocation, financial accounts, and human resources. Additionally, it facilitates the easy generation of various reports—daily, weekly, monthly, semi-annual, and annual—covering sales, revenue, patient statistics, laboratory tests, and bed occupancy based on your specifications. Accessing these reports is as simple as clicking a few options within the software. Importantly, administrators have the capability to monitor all activities and personnel through this system. The inclusion of an internal messaging feature fosters seamless communication among staff members. Ultimately, clinic management software not only keeps you aligned with current trends but also empowers you to manage your healthcare business operations digitally and with remarkable efficiency. This comprehensive system enhances overall productivity and collaboration within the hospital environment.

Forge deep and impactful connections with individuals using a premier digital-first platform. Achieve wellness visit rates that exceed the national average annually. Icario operates as a health action enterprise, meaning you only incur costs based on actual results. By leveraging comprehensive data about the whole person, behavioral insights, and a variety of digital engagement channels, Icario enables you to establish personal connections effectively. We understand individual preferences for interaction and the motivations that inspire them to take health-related actions. As individuals make proactive health choices, healthcare organizations also experience significant improvements. Icario integrates your data with ours to develop a holistic view of individuals, transforming mere data points into real, relatable people. Our unique research on behavior, combined with quantitative analysis, enhances your understanding of individuals from a clinical standpoint to a more personal level. Tailored, smart pathways ensure that the most appropriate messages and outreach strategies are delivered to each person, ultimately encouraging the desired health behaviors. With Icario, you’re not just engaging with data; you’re cultivating relationships that foster better health outcomes for everyone involved.

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.

HolCare EHR+ is an advanced cloud-based electronic health record system tailored to address the requirements of mental health organizations, telepsychiatry practices, research institutions, and innovative care models. The use of Measurement-Based Care (MBC) has demonstrated significant improvements in patient care, enhanced treatment responses, and better decision-making for clinicians, ultimately leading to improved health outcomes. Nonetheless, the lack of direct integration with an EHR can make MBC implementation difficult and may hinder overall productivity. HolCare EHR+ effectively addresses this issue by incorporating fully integrated MBC, enabling seamless collection of essential measures that enhance patient care. Furthermore, its HL7 FHIR native support facilitates the incorporation of various third-party health technologies. This standardization avoids the pitfalls of costly and time-consuming custom integrations, allowing for a more efficient platform that can exchange both clinical and non-clinical data with collaborative partners, thereby streamlining workflows across the health care ecosystem. Ultimately, HolCare EHR+ empowers organizations to adopt a more holistic approach to patient management and care delivery.

Since its inception in 1992, Orion has been dedicated to delivering technology solutions and professional services aimed at enhancing workflows within the addictions and mental health fields. The premier software offering from Orion, the cloud-based AccuCare EHR, was developed by a skilled team of clinicians and engineers focusing on optimizing essential aspects of agency operations, such as clinical care, financial management, billing, administrative tasks, and research analysis. AccuCare offers a comprehensive suite of features, including tailor-made screenings and assessments, admission and discharge processes, treatment planning, progress notes, telehealth services, e-prescribing capabilities, scheduling, electronic billing, and custom reporting functionalities. Additionally, the AccuCare Web-Based Practice Management System is backed by a team of dedicated specialists who are prepared to address any inquiries regarding system usage in relation to existing documentation and billing procedures. Included in the subscription are customer support services, as well as regular automatic updates and upgrades that incorporate real user feedback, ensuring that the software remains responsive to the needs of its users. This commitment to continuous improvement and user satisfaction highlights Orion's dedication to advancing the effectiveness of mental health and addiction services.

Envolve is committed to transforming healthcare by leveraging strategic partnerships and extensive experience to deliver value-based and cost-effective care solutions. The services offered by Envolve MSO equip organizations with essential strategies, skilled personnel, and streamlined processes aimed at implementing value-driven, affordable healthcare and facilitating genuine transformation in the sector. As a prominent provider of healthcare management services, we infuse innovation and expertise to enhance performance within outcomes-oriented and value-based reimbursement frameworks. Our comprehensive healthcare management services improve both quality and efficiency in care delivery through top-tier business administration services, effective data usage, clinical excellence, and robust operational support. By investing in pioneering benefit designs across a variety of products nationwide, Envolve significantly contributes to publicly funded, marketplace, and commercial programs that enhance individuals' health and overall quality of life. This commitment to innovation and improvement positions Envolve as a leader in reshaping the future of healthcare for all.

Personify Health stands as a pioneering personalized health platform, delivering integrated solutions that encompass health, wellness, and navigation services. Established from the merger of Virgin Pulse and HealthComp in November 2023, the company seeks to streamline the healthcare experience by offering personalized, interconnected, and user-centric services. Their all-encompassing platform features various offerings, including health plan management, comprehensive wellbeing initiatives, and care navigation assistance, all crafted to encourage individuals to take a more active role in their health journey. Through the use of data-driven personalization and scientifically-supported strategies, Personify Health not only aids businesses in maximizing their healthcare investments but also enhances health outcomes for their members. By focusing on individual needs and preferences, Personify Health is setting a new standard in the healthcare industry.

Specialty and rare diseases often encompass patient populations that are not clearly defined, including individuals who remain undiagnosed or face misdiagnoses, along with healthcare providers who may lack knowledge about these conditions and their various manifestations, resulting in treatment pathways that are poorly understood. IPM.ai operates as an Insights-as-a-Service (IaaS) firm, dedicated to empowering leading life sciences organizations to gain deeper insights into patient care and enhance the quality of life for those affected through the development, clinical research, and commercialization of therapeutic solutions. By predicting market size, analyzing the competitive landscape, and estimating potential return on investment, companies can optimize their commercialization strategies. Additionally, the platform identifies undiagnosed and misdiagnosed individuals who could benefit from early disease interception and therapeutic measures. It employs statistical models to gauge the prevalence of specific diseases within certain patient populations at any given moment. Furthermore, IPM.ai helps pinpoint physicians who are adept at diagnosing and treating these ideal patients, while also influencing other healthcare providers to enhance overall patient outcomes. This comprehensive approach ultimately aims to bridge the gap in understanding and addressing the needs of those with rare diseases.

As technology advances and treatment options grow increasingly complex, the demand for cohesive solutions and access to information becomes vital. We stand by your side as a comprehensive partner throughout the clinical journey, enabling you to deliver exceptional care while maintaining the highest standards of quality and safety. Whether your focus is on creating today's treatments or pioneering tomorrow's breakthroughs, you will face the shared challenge of preventing contamination. Our commitment is to assist you in fostering a research or production environment that is both efficient and free from contaminants. To guarantee optimal performance, cutting-edge medical equipment requires a blend of intelligent financial strategies and proactive maintenance. We provide you with complete financial oversight and reassurance, permitting you to concentrate on the crucial mission of saving lives. As a top-tier medtech company, our dedicated team channels all talents and resources toward empowering our clients to maximize their life-saving potential. Ultimately, our goal is to ensure that your innovations can thrive in a safe and supportive atmosphere.

Achieve a significant edge over competitors with AxisCore™, utilizing cutting-edge and modular technology that enables effortless automation of your health plan administration. Bid farewell to the challenges posed by outdated core administrative processing systems (CAPS) and welcome our comprehensive solution. Designed with precision to enhance benefits administration, streamline healthcare claims processing, and improve overall management of health plans, AxisCore™ equips your organization to excel in the ever-evolving healthcare environment. With its user-friendly interface and robust features, AxisCore™ ensures that your team can focus on delivering exceptional care and service.

For thirty years, health systems have depended on TeleTracking’s operational platform to effectively manage bed availability and monitor patient progress from initial access through to discharge and into post-acute care settings. TeleTracking fosters comprehensive situational awareness across the system and provides operational insights that simplify processes and enhance efficiency. Our unique methodology, combined with unmatched expertise in patient flow, guarantees that you achieve your long-term objectives while prioritizing the delivery of high-quality care to patients. Ultimately, TeleTracking is dedicated to preserving lives, allowing caregivers to reclaim their time, and ensuring that patients enjoy a favorable experience by facilitating access to the appropriate level of care when and where it is required. Additionally, in light of the financial challenges currently confronting health systems, TeleTracking aids in the enhancement of care delivery without incurring extra costs, requiring additional space, or increasing inventory demands. By integrating innovative solutions, TeleTracking empowers health systems to thrive in a competitive landscape, all while maintaining a steadfast focus on patient-centric care.

Numerous patients are in urgent need of your home health services, yet many doctors who could refer them are not doing so. This situation is likely a result of your sales and marketing teams not accessing the 75% of Medicare claims that correspond to office visits. It is essential to showcase your capability to reduce expenses while enhancing patient outcomes. For instance, Home Health Agency A can swiftly illustrate its superior performance over Home Health Agency B concerning hospitalization and readmission statistics. Marketscape for Home Health empowers you to transform your sales and marketing approach, ensuring that you target the most promising physician and facility referral sources. Our innovative technology and dedicated support enable you to efficiently assess your standing against competitors based on various metrics, including hospitalization and readmission rates, diagnostic categories, acuity levels, time to initiate care, overall care costs, and numerous other quality indicators. By leveraging this information, you can strategically align your efforts to maximize referrals and ultimately improve patient care.

AssureCare, a privately-held healthcare technology company, provides innovative care management solutions for commercial and health and human service providers. AssureCare's flagship platform, MedCompass is used by healthcare providers across the United States to provide end-to-end care management for millions. MedCompass transforms healthcare management through streamlining workflows and automating processes. This allows care professionals to make better decisions and achieve lower costs and a significantly improved quality of care. AssureCare is a leader in the development of modular, seamless solutions that improve patient outcomes and reduce unnecessary costs associated with population health management.

We offer privacy-conscious DTC and HCP segments that excel in audience quality and yield significantly better results than traditional targeting methods. Recognizing that each therapy and brand possesses its own unique qualities, we do not subscribe to the conventional condition-based segmentation approach. Our focus is on comprehending your specific challenges and business objectives to create tailored audiences that effectively address your needs. Whether you are an established market leader, a newcomer grappling with adherence issues, or strategizing to promote multiple products, our expertise can help you achieve measurable outcomes. We uphold the highest industry standards for performance metrics, as verified by independent sources. Furthermore, if you provide us with your Audience Quality (AQ) benchmark at the outset, we commit to meeting or surpassing it. Enhanced AQ translates to increased engagement, improved conversion rates, and ultimately greater script lift, while also enhancing therapy adherence and maximizing patient lifetime value. Our operations strictly adhere to all applicable laws, regulations, and guidelines to ensure complete compliance. Partner with us to transform your audience strategies and drive exceptional results in your marketing efforts.

Our innovative virtual therapy and coaching services are designed to alleviate stress, anxiety, and depression, while our accessible self-care resources empower you to cultivate resilience and navigate daily hurdles. By employing evidence-based methods, you will acquire skills to effectively manage your emotions and gain a sense of control in the face of life's challenges. Tailored cognitive behavioral therapy programs, crafted by top mental health experts, ensure that your experience is both personalized and effective. We utilize predictive analytics to identify individuals requiring assistance, thereby enhancing engagement through targeted marketing strategies. With our advanced technology platform, clinicians can optimize costs by aligning members with the most appropriate treatments for their needs. AbleTo’s integration into your health plan’s current care framework is seamless, providing the assurance that you are only charged when our services yield tangible benefits. Additionally, our commitment to continuous improvement ensures that we adapt to your evolving needs over time.

Therap stands out as the foremost provider of electronic documentation and record-keeping solutions for long-term care services catering to individuals with Intellectual or Developmental Disabilities. This comprehensive web-based application suite is meticulously crafted to meet the diverse needs of organizations that assist these individuals, encompassing aspects such as planning, documentation, reporting, communication, and billing across various environments, including home and community-based services (HCBS). By leveraging secure cloud technology, the Therap system enhances service quality in settings like day programs, assisted living facilities, ICF/IID facilities, community support programs, and state agencies. It facilitates effortless daily communication and reporting among states, administrators, healthcare providers, case managers, quality assurance teams, and families, ensuring that everyone involved is well-informed and connected. Ultimately, Therap's innovative approach fosters a more coordinated and efficient support system for those with intellectual and developmental disabilities.

Get your office functioning smoothly in no time. Whether it's to inform someone about a patient's arrival, to remind a team member of a task, or to signal that a room is prepared for a provider, a single click on a Light is all that’s required. BlueNotes are designed to be felt first by those who will actually utilize them. The system goes beyond mere technology displayed on a screen; it is an experience. In musical terms, blue notes represent the subtle tones that exist between standard notes on a scale. While they can be perceived in music or singing, they defy traditional notation. Blue notes embody the essence of soul, distinguishing classical compositions from contemporary ones. Our BlueNotes encompass far more than just messaging; they transform into the dynamic pulse of an office, ensuring that everyone is aware of where compassion is needed at any given moment. Ultimately, this system fosters a culture of awareness and empathy within the workplace.

The SMAF tools have been consolidated into a single, shareable information system, enabling automated calculations of SMAF profiles. This system offers reports that aid in analyzing results and creating assistance plans, making it straightforward for healthcare professionals to use. Additionally, it enhances networking and service organization without requiring any software installation. The iSMAF, marking the fifth significant version of our software, operates as web-based software that digitizes established clinical tools and processes linked to the SMAF tool. Specifically designed for Quebec, the iSMAF edition features the PRISMA-7, the SMAF evaluation grid, the social-SMAF, a generator for Iso-SMAF profiles, and a care table. Furthermore, it provides various functions that allow clinicians and managers to produce reports on specific subjects or groups, facilitating a comprehensive understanding of the establishment, the progression of profiles over time, or comparisons between different groups based on their profiles. This integration represents a significant advancement in streamlining the management of health assessments and planning.

An integrated hospital management system serves as a comprehensive solution for all operational tasks within a healthcare facility, with a strong emphasis on creating a paperless environment while streamlining management processes. By leveraging current technology trends, we ensure that users can access the system from any device, thereby enhancing overall efficiency. The system is designed to reduce the workload for clients, enabling them to perform their duties more effectively and achieve faster, more accurate results. To utilize the hospital software application, users simply need a web browser and an internet connection, which allows for accessibility across a vast array of devices and locations worldwide. This approach makes the Software as a Service (SaaS) model significantly more convenient compared to traditional software installations, ultimately improving the way healthcare organizations operate. Our commitment to innovation positions us to meet the evolving needs of the healthcare industry.

TreeAge Pro stands out as the premier software for constructing decision trees, Markov models, and simulations based on events. For over three decades, TreeAge Software, LLC has been at the forefront of decision analysis and health economics. Our dedicated team, consisting of scientists, engineers, trainers, and support staff, has evolved in tandem with the decision analytics community to develop and enhance our flagship product, TreeAge Pro. Based in Williamstown, Massachusetts, TreeAge Software, LLC operates as a privately owned entity. This powerful tool allows users to generate decision trees of any complexity for a variety of decisions. The versatility of TreeAge Pro extends across multiple sectors, including healthcare, legal, oil and gas exploration, management consulting, finance, and education. With a proven track record, TreeAge Software has garnered the confidence of over fifteen thousand modelers across the globe, spanning regions such as the United States, Europe, Latin America, Asia, Australia, and Africa. The software not only facilitates complex analyses but also empowers users to make informed decisions in their respective fields.

We collect and examine information from various sources, including socioeconomic factors, electronic health records, and biological samples such as breath, blood, saliva, stool, urine, DNA, sweat, hair, and vital signs. This health information holds numerous insights about your well-being. Thanks to recent developments in artificial intelligence, machine learning, and powerful computing capabilities, we can integrate data from different origins, giving your physician a thorough understanding of your health risk factors. Our models undergo continuous retraining using anonymized health information securely linked to our database. Utilizing large data sets enhances the precision of our data models, significantly improving AI's ability to identify health risks earlier than conventional approaches, which could be life-saving. While most physicians focus primarily on diagnosing existing conditions, our machine-learning models emphasize prevention and risk evaluation, ensuring a proactive approach to healthcare. This shift in focus allows us to address potential health issues before they develop into more serious concerns.