Alternatives to NaviNet Open

Effective collaboration in patient care hinges on continuous connectivity and access to the latest information. It has become increasingly crucial to streamline the exchange of this information with insurers. Availity simplifies the process of working with payers, guiding you from the initial verification of a patient's eligibility to the final resolution of reimbursements. Clinicians desire quick and straightforward access to health plan details. With Availity Essentials, a complimentary solution backed by health plans, providers can benefit from real-time data exchanges with numerous payers they frequently engage with. Additionally, Availity offers a premium option known as Availity Essentials Pro, which aims to improve revenue cycle performance, minimize claim denials, and secure patient payments more effectively. By relying on Availity as your trusted source for payer information, you can dedicate your attention to delivering quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions enable providers to seamlessly integrate HIPAA transactions along with other essential functionalities into their practice management systems, ultimately enhancing operational efficiency. This comprehensive approach ensures that healthcare providers can maintain focus on their primary mission: patient well-being.

Over 25 years ago, one of our founders was working as the IT Director of a large behavioural health and residential services agency in New York. Sensing a need for a better way to track and report on their services, he developed a case management system for his agency. Over time, two other agencies joined in and helped expand the software so that it could serve the needs of virtually any human services agency in the country. Today, Foothold’s team and our software support hundreds of agencies across the nation, in Guam, and in Puerto Rico. With our technology expertise and roots in human services, we continue to empower agencies to focus on their missions.

The significance of quality and cost cannot be overstated. As value-based care models become more prevalent, it is essential for hospitals, physicians, employers, and insurance plans to have access to precise and insightful analytics. With Quantros’ exceptional insights, both providers and recipients of care can make informed, data-driven choices. The analytics software from Quantros equips healthcare providers to comprehend, forecast, and enhance their performance effectively. Additionally, it offers healthcare purchasers a transparent view of the reliability with which hospitals and physicians are achieving optimal outcomes and delivering suitable care throughout the healthcare continuum. This level of transparency not only fosters trust but also drives improvements in healthcare delivery.

Health plans today prioritize population health management (PHM) as a critical focus area. The key issue lies in balancing the overall health of the population while still recognizing and addressing the needs of each individual. ZeOmega emphasizes the significance of the individual member in the context of evolving value-based care initiatives. Our Jiva solution for population health management aggregates extensive data at the population level and incorporates analytical tools that allow for real-time identification of ways to enhance care or modify patient behavior. It is designed around five vital pillars that are crucial for successful population health management. ZeOmega’s robust platform provides strategic, high-value solutions aimed at enhancing both individual health outcomes and provider performance. With our deep expertise in the field, we are well-equipped to tackle the intricate challenges presented by population health dynamics, ensuring that both collective and individual needs are met effectively.

Speed up payment processes while minimizing administrative tasks. With over 8,000 payer connections and established collaborations with more than 650 practice management vendors, our claims management solutions lead to a reduction in pending claims and decreased need for manual efforts. Efficiently and accurately send claims for various services, including professional, institutional, dental, and workers' compensation, ensuring prompt reimbursement. Tackle the evolving landscape of healthcare consumerism by delivering a smooth and transparent financial experience. Our patient engagement tools enable you to facilitate informed discussions around eligibility and financial obligations, while also lowering obstacles that could affect patient outcomes, ultimately fostering better healthcare experiences.

Our web and mobile solutions, which are easy to implement, assist physician practices and health systems in extracting deeper insights from healthcare data, synchronizing workflows with value-based care initiatives, and enhancing revenue integrity. Achieving excellence goes beyond just having superior technology. Become one of the many satisfied practices and health systems that trust Ingenious Med as their partner, benefiting from our dedicated and experienced support team along with ongoing product updates that cater to changing demands. Ingenious Med provides mobile and web solutions that enhance physician productivity and hospital efficiency directly at the point of care. We empower health systems and physician groups to boost their revenues, enhance data intelligence, align care with quality standards, and streamline workflows throughout the healthcare landscape. With over two decades of experience collaborating with providers and organizations, we are well-equipped to meet the diverse needs of the healthcare industry. Our commitment to innovation ensures that we remain at the forefront of healthcare technology advancements.

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.

E-HAS serves as a comprehensive Online and Offline Hospital Administration and Management Information System tailored for healthcare organizations. This system boasts data warehousing and business intelligence features aimed at fostering sustainable growth within hospital operations while automating processes to reduce labor costs and enhance precision. Notably, E-HAS introduces a responsive design that is unprecedented in any Health Information System, along with support for mobile and tablet applications. Its architecture is versatile enough to accommodate various hospital types, whether specialty or general, and offers the capability to function online or offline, especially beneficial for networks of distributed hospitals. Furthermore, the data mining features empower healthcare professionals to make informed decisions. E-HAS stands out as a groundbreaking solution, encompassing a full suite of features that streamline hospital management, all while ensuring a rapid return on investment. This innovative approach not only enhances operational efficiency but also positions healthcare organizations for future success.

AIDA enhances value-based care by establishing robust communication channels among providers. These adaptable channels facilitate connections with nearly any downstream provider and offer in-depth insights regarding the strengths and growth areas within your network. It also allows for customized placement solutions for all patients, including those with complex needs. Ensuring secure communication and seamless data exchange with all downstream providers is a priority, along with providing comprehensive analytics that contribute to effective value-based care. Our application is specifically designed for integration with Epic, allowing users to take advantage of three key features: the elimination of user provisioning challenges through single sign-on (SSO), the ability to utilize AIDA as a fully integrated component within the Epic interface, and direct access to all patient records through APIs. This last advantage paves the way for entirely standardized and paperless referral packets, which can be tailored according to the type of Care Provider, thereby removing the need for outdated practices such as faxing, printing, and manual file handling. With AIDA, healthcare providers can streamline their workflows and enhance overall patient care.

Responding, recovering, and thriving in the aftermath of Covid-19 requires a robust approach. By utilizing a flexible platform equipped with powerful tools, healthcare providers can enhance patient engagement effectively. It is essential to virtualize care across the entire continuum and cater to diverse patient populations. Organizations should shift towards unified care models that harmoniously integrate both virtual and in-person services. Spark Health offers a comprehensive suite of solutions tailored for various clients who oversee patients within multiple payment frameworks. They play a critical role in linking the healthcare ecosystem, promoting seamless virtual and in-person care, and facilitating the transition to innovative value-based healthcare. This integration connects all stakeholders in the healthcare ecosystem, including patients, providers, families, communities, and systems, along with EMRs, devices, and remote patient monitoring tools. Communication is streamlined through secure methods such as talk, text, video, notifications, alerts, patient and provider portals, and permission-based access. Additionally, they promote engagement across a variety of platforms, ensuring compatibility with web, apps, wearable technology, iOS, Android, Alexa, and Google Home, thus enhancing the overall patient experience and accessibility to care. Ultimately, this comprehensive approach is crucial for fostering resilience and adaptability in today's healthcare landscape.

In alignment with our dedication to enhance the healthcare experience for all, we have partnered with NextGen Healthcare to boost productivity, elevate clinical care standards, and enrich patient interactions, all while prioritizing strong financial results and guiding providers towards value-based care. By opting to implement patient self-scheduling for your available appointments, you will be pleasantly surprised by the significant reduction in both staff workload and operational costs. Medfusion’s patient portal empowers patients to manage routine tasks online, while also streamlining workflows for your practice. This solution not only facilitates secure communication between patients and providers but also functions as a personal health record that integrates across different electronic medical records (EMRs). Whether your goal is to enhance efficiency, foster patient engagement, or provide patients with round-the-clock access to back-office services like billing and scheduling, Medfusion stands ready to assist. Additionally, it helps ensure compliance with Meaningful Use, MACRA, and MIPS standards, making it an invaluable asset for modern healthcare practices.

Introducing Optimum, an innovative solution designed to enhance hospital operations by improving workflow automation and achieving superior financial outcomes for patient care. This platform allows for the intelligent and secure exchange of data. With the increasing emphasis on value-based care, there is a growing demand for enhanced security, expedited access to essential information, and more efficient methods for care coordination. Optimum facilitates seamless care transitions and fosters open communication among various healthcare systems using multiple data sources, including HL7, all while ensuring peace of mind. Isn't it important for denial claim management to prevent missed payments and minimize uncollected claims? We believe it is. Optimum empowers healthcare providers to effectively address issues such as missing or duplicate information early in the billing cycle, enhancing efficiency and timeliness. Furthermore, Cantata Health Solutions provides top-tier electronic health record and financial management software tailored for hospitals, skilled nursing facilities, and assisted living communities, ensuring they can meet the complex demands of modern healthcare. By utilizing these advanced solutions, healthcare providers can significantly improve their operational capabilities and patient satisfaction.

The Talix platform facilitates advanced workflow applications designed for risk-bearing healthcare organizations to thrive in a value-based care environment. Our solutions for both payers and providers depend on sophisticated technologies that operate seamlessly and efficiently across large scales. We have developed the Talix Platform to accommodate the requirements of thousands of users globally, ensuring simultaneous access. Additionally, our architectural design supports a variety of SaaS applications, optimizing the processing of millions of patient records and encounter data. The Talix Platform consists of a network of interconnected technology components, which are essential for driving scalable software solutions for healthcare providers and payers. These components serve as foundational elements for artificial intelligence (AI), enhancing the platform's capabilities and effectiveness in the healthcare sector. Ultimately, the integration of these technologies positions the Talix Platform as a leader in the evolution of healthcare workflows.

Achieving significant advancements in both clinical and administrative outcomes, Evolent Care Partners, a healthcare system in the Midwest, has earned the distinction of being ranked third nationally for both total shared savings and the percentage of savings against benchmarks. By providing independent primary care physicians with essential capital and resources, Evolent Care Partners empowers them to engage in and thrive under two-sided payer contracts while mitigating their financial exposure. New Century Health enhances cost-effectiveness and quality of care in oncology and cardiology by leveraging clinical evidence to inform care decisions, a process that enjoys support from both payers and providers alike. Furthermore, Evolent Health Services streamlines health plan operations through a suite of comprehensive services backed by a modern, integrated platform and a genuine model of strategic partnership. Additionally, the organization encourages exploration of insights and news related to value-based care, population health, health plan administration, and various topics concerning the transformation of healthcare. Through these initiatives, Evolent aims to foster a more efficient and effective healthcare landscape.

blueBriX delivers unique digital health solutions designed to empower healthcare systems to excel in value-based care, prioritizing accessibility, cost-effectiveness, equity, and quality.

Your aim is to provide outstanding care for your patients, and that aligns perfectly with our mission. Aledade equips primary care practitioners with advanced data analytics, intuitive guided workflows, unmatched knowledge of regulations, robust relationships with payers, and dedicated local support from knowledgeable professionals. We strive to simplify the process for your primary care practice or community health center to engage in value-based care, thereby enhancing patient outcomes and fostering a cost-efficient, high-quality healthcare system for your community. Independent primary care providers and community health centers interested in participating in the Medicare Shared Savings Program, in addition to other governmental initiatives or various commercial contracts, have the opportunity to join an Aledade accountable care organization (ACO) alongside fellow healthcare providers in their area. Together, we can transform healthcare delivery and make a meaningful impact on the lives of patients.

Remote Patient Monitoring (RPM) enables individuals to utilize connected medical devices for routine assessments and transmit the results to their healthcare providers. By enhancing access to medical care and lowering healthcare delivery expenses, RPM assists safety-net providers in moving beyond sporadic patient visits to establish an ongoing, real-time patient record, thereby transforming healthcare practices from a reactive to a proactive approach that supports value-based care (VBC). Through Care Management services, patients with complex medical needs can receive continuous, patient-centered care. Those grappling with chronic conditions who participate in these initiatives experience better health results due to consistent care coordination, uninterrupted communication with their healthcare providers, and regularly scheduled telehealth consultations. Additionally, the implementation of telepharmacy plays a pivotal role in improving patient outcomes by ensuring that individuals adhere to their medication regimens, including specialized treatments. Moreover, these innovations in healthcare delivery systems contribute to a more holistic approach to patient wellness, fostering an environment where proactive management can significantly reduce the potential for health complications.

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.

Retrieving a patient's medical records is now just a search away, thanks to the PRISMA health information search engine, which consolidates data from primary care providers, specialists, clinics, urgent care centers, and hospitals into a comprehensive, searchable timeline of a patient’s health. Our Customer Success Stories showcase how our healthcare IT is being utilized in real-world scenarios, highlighting how eClinicalWorks customers are enhancing value-based care and overall healthcare outcomes. With a dedicated team of 5,000 employees, eClinicalWorks is committed to advancing healthcare in collaboration with our clients. Over 130,000 physicians across the United States, along with more than 850,000 medical professionals worldwide, depend on our EHR software for thorough clinical documentation as well as solutions that encompass telehealth, population health, patient engagement, and revenue cycle management. As a privately held company focused on innovation and excellence, our primary goal is to equip our customers with secure, cloud-based solutions that meet their evolving needs. Our commitment to improving healthcare continues to drive every aspect of our operations.

Enhancing the financial and operational processes within your practice presents a significant challenge. You aim to optimize provider schedules, boost reimbursement rates, thrive in alternative payment models and value-based care, reduce claim inaccuracies, and ensure secure data access, all while striving to deliver exceptional patient care. This multifaceted task can be daunting; however, aligning with a knowledgeable partner equipped with the necessary resources can help you enhance performance effortlessly. The Practice Management system facilitates seamless scheduling and registration, allowing for immediate access to referrals and eligibility checks. Through Practice Management, your staff can efficiently handle walk-ins, cancellations, and regular appointments. Additionally, the patient-focused ledger provides a comprehensive solution for account management, enabling you to view service and payment history, detailed reimbursement notes, and collection activities all within a single interface. This streamlined approach ensures that both administrative tasks and patient care can be managed more effectively, ultimately leading to improved outcomes for both the practice and its patients.

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.

The Amadeus Digital Care Record (DCR) offers a thorough solution that aims to give healthcare professionals a consolidated perspective of patient data right when it is needed. By merging information from various healthcare systems into a Health Information Exchange, the platform generates a comprehensive, up-to-date profile for every patient. This efficient methodology enhances clinical decision-making and boosts productivity, while also alleviating clinician fatigue by minimizing redundant tasks. Furthermore, the Amadeus DCR incorporates analytical tools and care coordination features, which play a crucial role in promoting improved patient outcomes by detecting risks at an early stage and facilitating effective care throughout the entire patient journey. Ultimately, this integrated system not only optimizes workflow but also fosters a more patient-centered approach in healthcare delivery.

Our platform simplifies all parameters, raw data, and technical jargon, ensuring clarity regardless of your background. At Syntax, we lead the charge in transforming value-based care and incentive structures. Utilizing our proficiency in advanced analytics and collaborative platforms, our SaaS-driven enterprise solution equips payors and providers to confidently navigate the intricate healthcare environment. We demystify the complex frameworks of value-based care, enhancing processes and eliminating obstacles that impede collaboration. Our commitment to transparency and trust fosters seamless cooperation among all stakeholders, ultimately improving outcomes and reshaping healthcare delivery. Whether it's through standardizing contracts, modeling incentives, or promoting open collaboration, our mission is to make value-based care more accessible, efficient, and impactful for all involved. We believe that by putting these principles into practice, we can create a healthier future for everyone.

Enhance your value-based initiatives by swiftly evaluating and comprehending the expenses associated with episodes of care. Foster provider participation and engagement by facilitating discussions rooted in data and evidence regarding overall episode costs as well as the specific practice patterns of individual providers. Propel enhancements in cost and quality by addressing discrepancies in care delivery and performance among providers. Utilize analytics to empower value-based strategies, offering insights that assist in refining network structures and advancing clinical transformations. Discover opportunities for value-based care by analyzing episode costs, using clinically validated definitions for episodes. Engage providers in value-focused conversations by examining patterns of utilization, costs, and variations in care. Employ episode analytics to refine network designs, reshape clinical guidelines, and boost consumer engagement effectively. Simplify the process of creating episode budgets by establishing average costs per episode alongside the related clinical services, ensuring a comprehensive understanding of financial requirements. This focused approach not only drives efficiency but also lays a strong foundation for sustainable improvements in healthcare delivery.

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.

myUnity®, - Leveraging the most strategic elements of the Netsmart market-leading senior living, hospice, and home care solutions into a unified enterprise platform. All your post-acute care settings can be accessed from a single location or across hundreds. It is user-friendly and gives your clinical staff the right information at the right moment so they can concentrate on patient care. This platform is designed to provide value-based care through connectivity, analytics, population health management and electronic referral management.

MDLand’s array of products is designed to enhance workflow efficiency for both medical professionals and their support teams, ultimately saving time and reducing redundant tasks. The iClinic® offers a comprehensive and certified electronic health record (EHR) system that streamlines processes, minimizes time dedicated to data entry, and equips you to fulfill quality payment program standards and earn additional incentives, allowing you to concentrate more on patient care. As an ONC certified EHR vendor, MDLand supports healthcare providers in achieving meaningful use, adhering to MACRA/MIPS, and participating in various value-based payment initiatives. This software package includes a user-friendly EHR, electronic billing, payment processing, and an assortment of patient engagement tools all conveniently accessible. Transitioning from a fee-for-service model to a value-based reimbursement system means that healthcare providers have the opportunity to increase earnings by delivering high-quality care. By leveraging MDLand’s innovative solutions, you can focus on what truly matters—enhancing patient outcomes and satisfaction.

Streamline your case management initiatives with post-acute care providers while implementing a value-based care model. Obtain real-time insights and take timely action for every patient within your PAC network, while also receiving prompt assistance from your acute care partners. Enhance both patient outcomes and quality of care, fostering stronger referral relationships in the process. Join Olio to ensure your success in navigating value-based care. Leadership in population health has sought to boost PAC performance by initially assessing their providers, leading to significant industry advancements. Unfortunately, many PAC providers lack the necessary resources, expertise, or knowledge to effectively carry out your intricate population health initiatives, as they are often expected to perform more with limited means. Olio assists in modernizing communication across your PAC network, equipping your entire team with the tools needed to successfully implement your population health strategy while enhancing collaboration among all stakeholders. Ultimately, this approach not only benefits patients but also strengthens the entire healthcare ecosystem.

Mosaic offers exceptional insights into comprehensive market performance metrics that span various provider categories, enabling you to assess risks prior to engagement, enhance relationships, and succeed in the current value-driven healthcare environment. In the endeavor of constructing and sustaining a robust network, the effectiveness of your team is heavily influenced by any underperforming partners. Uncover strategies to tackle deficiencies and capitalize on potential opportunities. Set and accomplish targeted objectives, such as incorporating new provider types or establishing a preferred provider group. Work alongside providers to elevate quality, optimize utilization, and manage costs effectively. Ultimately, achieve a reduction in the overall cost of care while simultaneously enhancing patient outcomes, ensuring a win-win situation for all stakeholders involved. By leveraging these insights, you can foster a culture of continuous improvement and adaptability in your healthcare network.

Let therapists be focused on patients, quality, and outcomes. Net Health Therapy for Skilled Nursing Facilities provides contract therapy companies, skilled nurses facilities (SNFs), assisted-living facilities (ALFs), and continuing care retirement communities with the best therapy management software in the industry. You can focus on your patients with simplified billing, clinical, and operational workflows. A powerful outcome-driven recommendation engine allows therapists to create patient-centric care plans that maximize patient outcomes. Net Health Therapy is the best option to meet the needs of value-based care.

Optimized workflows in operations, clinical practice, and billing enable you to prioritize patient care effectively. Additionally, an advanced outcomes-focused recommendation system empowers therapists to create individualized care plans that achieve optimal results for each patient. Net Health Therapy stands out as the premier choice for addressing the challenges of value-based care. Enjoy comprehensive features designed to enhance the efficiency, productivity, and quality of therapists and staff alike. With user-friendly admissions, effortless one-click scheduling, compliance notifications, and customizable workflows, transitioning and managing patient care becomes seamless. Equip therapists with the essential tools they need to ensure high-quality care, maintain compliance, and improve patient outcomes. Notably, the platform includes the top-rated clinical content library in the industry, offers flexible mobility options, provides offline access, and incorporates compliance measures, all while the recommendation engine supports the formulation of patient-focused care plans, including specific treatment objectives and interventions, making it an invaluable asset in modern healthcare.

Become a part of our network to enhance care coordination throughout various communities. Watershed Health offers a comprehensive care coordination platform that enables healthcare providers to deliver integrated care, ultimately leading to better patient outcomes. With our system, you can access vital patient information all in one place, facilitating more informed clinical decisions. Receive timely updates on patient data from all members of the care team as it is generated. Identify crucial insights into significant patient demographics to promote value-based care and improve population health management strategies. As healthcare providers collaborate and share information, Watershed Health employs clear, real-time quality metrics to evaluate and motivate care coordination efforts. Additionally, our platform allows for screening of social determinants of health (SDOH) and connects patients to local resources that can help meet their specific needs. Our solution seamlessly fits into existing tools, systems, and workflows, significantly reducing the time and effort required for implementation. By joining Watershed Health, you're not just enhancing care; you're also fostering a community dedicated to improving health outcomes for everyone involved.

Doctors enter the medical profession without the intention of mastering coding practices. We are revolutionizing the revenue cycle's future through autonomous coding driven by artificial intelligence. Our platform is currently utilized by over a dozen leading healthcare organizations and systems, encompassing more than 200 hospitals and 50,000 healthcare providers. CodaMetrix’s advanced coding AI system effectively converts clinical data into precise medical codes essential for patient care and the revenue cycle, accommodating both fee-for-service and value-based care frameworks. The automation process is seamless, transparent, and fully traceable. By utilizing CodaMetrix's innovative, multi-specialty autonomous medical coding platform, we harness AI to continuously analyze and utilize clinical evidence found in electronic health records. Our system autonomously converts clinical notes into billing codes that fulfill coding standards, ensuring that claims accurately reflect the intricate and comprehensive nature of each patient’s care episode, significantly alleviating the burden on human coders while enhancing efficiency. As a result, healthcare providers can focus more on patient care instead of administrative tasks.

Our cutting-edge platform was crafted by healthcare providers, incorporating insights from medical professionals nationwide, leading to our consistent recognition as a top-tier EHR by Black Book™ for excellence in performance, dependability, support, and customer service. Our celebrated, cloud-based EHR software empowers providers to deliver care in a more effective and efficient manner. With over twenty years of experience in the healthcare sector, we have honed our expertise to better serve our clients. Since our debut in 1999, we’ve refined our platform through significant collaboration with both our providers and specialized industry vendors. Today, we offer more than just EHR software; we serve as a vital partner in the journey toward value-based care. Our primary objective is to equip practices with state-of-the-art healthcare technology that improves clinical workflows, lowers operational costs, and strengthens the provider-patient dynamic. By continuously adapting to the evolving needs of the industry, we ensure our solutions remain relevant and effective in enhancing patient care.

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

Time by Infian offers innovative solutions designed to enhance the efficiency of clinical operations, enabling dialysis providers to transition towards value-based care models. With its user-friendly interface and straightforward navigation, this platform consolidates essential care information into a single accessible location, streamlining patient rounds significantly. The system incorporates various checks and balances, ensuring that actions are executed correctly and supporting adherence to orders, policies, and procedures. Additionally, Time by Infian features dashboards that facilitate quick, interactive assessments of clinical data, presented as Key Performance Indicators (KPIs). These visual representations are intuitive and easy to comprehend, allowing users to analyze extensive care data effectively, thereby promoting informed decision-making. By leveraging these tools, healthcare providers can optimize their workflows and improve patient outcomes.

When it's time to connect with your patients, Navigesia is here to assist you. Our platform provides real-time patient data collection alongside a variety of clinical decision support tools, enabling you to deliver Value-Based Care effectively within your practice. We offer an innovative solution that allows patients to use electronic tablets in the waiting area to fill out forms and health-related surveys. This not only enhances the patient experience but also streamlines your practice's operations. By integrating patients into the software as a valuable resource, you can effortlessly gather the high-quality information that matters to you. Embrace creativity to leverage the insights gained for improving your practice. Engage in data-rich reporting incentives and start reaping the rewards of the valuable insights your patient data can provide. Don't miss out on potential revenue; optimize your operations and maximize the benefits of your efforts. By doing so, you'll create a more efficient and rewarding environment for both your patients and your practice.

By combining cutting-edge navigation technology with top-tier primary care services, we aim to lead and expand value-based care within the commercial sector. Over the past ten years, we have focused on data aggregation, system integrations, and the refinement of machine learning models to create a highly personalized navigation experience that enhances member engagement and drives better health outcomes. Our platform consolidates health and wellness benefits into a user-friendly digital resource that is available every day of the year. Additionally, we offer personalized advocacy that enhances the digital experience for your members, allowing them to manage their health and wellbeing in a way that suits them best—utilizing digital tools when convenient and accessing human support when necessary. As healthcare costs rise, placing a significant financial strain on employers, we collaborate closely with you to enhance health results within your workforce, reduce expenditures, and achieve savings for your organization. Together, we strive to create a healthier future while ensuring financial sustainability for your business.

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.

Our electronic health record and behavioral health billing services were designed to allow practices to prioritize what is truly important—delivering outstanding patient care. As the landscape of behavioral healthcare transforms with advancements in value-based care and the rise of virtual teletherapy sessions, we are here to assist you in reimagining the models of care that effectively address your clients' requirements. It’s time for progress. Together. Discover how a long-term psychiatric treatment and residential rehabilitation facility transformed its patient care approach with the help of NextStep. Find out how one outpatient behavioral health practice experienced significant business growth after forming a partnership with NextStep. Explore how our innovative technology has empowered the behavioral health sector to flourish. After that, let us demonstrate how we can elevate your practice to new heights. At NextStep Solutions, our unwavering dedication to our clients is founded on three core principles: passion, people, and products. By focusing on these areas, we ensure that we not only meet but exceed the expectations of those we serve.

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.

Leveraging AI as a foundational strategy for payers, providers, and pharmacy benefit managers involves developing cloud-based products and platforms that enhance operational efficiency. A "healthcare digital platform" represents the amalgamation of various applications and cutting-edge technologies to deliver customized healthcare solutions that positively influence business results, marking a progressive and expedited shift away from traditional core administration processing systems (CAPS). To gain insights into how digital platforms and emerging technologies can help meet business goals, as well as their effects on healthcare payer key performance indicators (KPIs) and the overall appeal of these platforms, Infosys collaborated with HFS to survey 100 C-suite healthcare payer executives across the United States. This initiative aims to shed light on the evolving landscape of digital healthcare solutions and their potential for transforming industry practices.

PLEXIS offers a comprehensive suite of top-tier applications designed to equip payers with the advanced capabilities required for contemporary core administrative systems. These applications encompass functionalities such as real-time benefit management, adjudication, automated EDI transmission, and self-service customer portals, ensuring that PLEXIS Business Apps meet all your needs. The Passport feature facilitates crucial connections between core administration and claims management systems, PLEXIS business applications, custom applications, and existing internal systems. Its adaptable API layer allows for real-time integration with various portals, automated workflow tools, and business applications, ensuring that connectivity knows no bounds. By employing this centralized, modern core administration and claims management platform, you can enhance workflows effectively. This approach enables the efficient processing of claims while simplifying the complexities associated with benefit administration, resulting in a swift return on investment and the ability to provide exceptional customer service. Ultimately, PLEXIS empowers organizations to thrive in an increasingly complex healthcare landscape.

Organizations in the life sciences sector, regardless of their size or complexity, depend on the ICyte platform to enhance pharmaceutical market entry and therapy commercialization processes. The ICyte platform equips biotech and pharmaceutical manufacturers with exceptional services that include the aggregation of channel and patient data, management of contracts and pricing, gross-to-net forecasting, and accrual systems, as well as expert solutions for launch and pricing transparency. By utilizing ICyte, both pharmaceutical and biotech firms can significantly enhance their market access capabilities by swiftly converting patient, payer, complex transaction, and channel data into practical insights. Additionally, ICyte offers analytics-as-a-service, facilitating the deployment of standardized models and metrics as a unified service across various applications, data streams, and analytical uses. The platform integrates key performance indicators (KPIs) tailored specifically for life sciences organizations. Furthermore, it features advanced analytics tools, including forecasting, scenario modeling, and a recommendation engine powered by machine learning, which aid companies in making data-driven decisions. Ultimately, ICyte is positioned as a comprehensive solution that not only simplifies processes but also empowers organizations to navigate the complexities of the pharmaceutical landscape effectively.

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