Alternatives to Optum Performance Analytics

Meeting the objectives of care coordination at a reduced cost is essential for enhancing patient satisfaction and fostering loyalty. However, these objectives are intricate. Your organization requires a population health software solution that offers a collaborative care plan, seamlessly integrated across all healthcare environments, without disrupting users' workflows. It’s vital to utilize automated outreach tools for patients, allowing care coordinators to focus on more strategic responsibilities. Now is the moment to consider Care Director. By implementing Care Director, your team can streamline the coordination of outpatient services, categorize patients into healthy and at-risk groups, and obtain care recommendations driven by actionable clinical insights, leading to timely interventions and better overall population health. Care Director empowers healthcare providers to view a comprehensive care plan directly within their existing workflows, facilitating easy access to information and enabling efficient communication back to care navigators with just a few clicks, ultimately transforming the care delivery process. With this approach, your organization can enhance operational efficiency and deliver a higher standard of care.

Sunwave Health (Sunwave) drives healthy results for behavioral health and Substance Use Disorder treatment providers through a fully integrated solution that supports the entire treatment journey. Sunwave supports traditional capabilities provided by CRM, EMR, RCM, HR, and billing solutions. But we go father to ensure results. As the only 4th generation, fully integrated treatment journey platform, we drive results using complete analytics, on-demand intelligence, and intuitive reporting. There is a reason we are the highest rated in customer satisfaction.

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.

ThoroughCare is an all-encompassing care coordination software platform that aims to improve the delivery of care across numerous healthcare sectors, such as chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness assessments, and advance care planning. This platform empowers healthcare providers to fulfill all service criteria, utilize evidence-based practices, and generate additional revenue while effectively addressing care gaps. By implementing a robust care management strategy, ThoroughCare meticulously monitors quality and performance metrics, consolidates data from various clinical locations to assess patient engagement and outcomes, and generates reports on risk stratification, claims, missed revenue opportunities, encounters, and call performance. The analytics feature of ThoroughCare equips decision-makers with visual insights into operational, financial, and patient data, thus facilitating informed choices. Additionally, the platform seamlessly integrates with electronic health records (EHRs), health information exchanges (HIEs), and remote monitoring technologies, ensuring a holistic approach to patient care. This interconnectedness not only streamlines workflows but also enhances the overall efficiency of healthcare delivery systems.

Transform your healthcare experience with the revolutionary Soliton® AI, which is powered by 30,000 evidence-based rules and advanced machine learning techniques. By automating various healthcare and care management functions, Soliton® equips you with the tools necessary to thrive in a value-based care environment, offering unmatched capabilities. It efficiently analyzes vast amounts of patient data in real-time, leading to enhancements in both clinical outcomes and financial performance, while also supporting a range of Alternative Payment Models (APMs). The solution boosts the effectiveness of telehealth by forecasting billable codes during patient interactions and predicting future healthcare costs through sophisticated risk stratification models. Furthermore, it provides timely clinical decision support to assist in managing intricate patient populations. Soliton® optimizes the patient journey, facilitating seamless transitions from acute to post-acute care through AI-driven care coordination. Moreover, it identifies care gaps, uncovers service and coding opportunities, and generates tailored patient assessments and personalized care plans, while also enabling the creation of custom cohorts for targeted interventions. As a result, Soliton® not only enhances operational efficiency but also elevates the overall quality of patient care.

The Innovaccer Health Cloud will accelerate your transformation. You can unify patient data, create comprehensive financial and clinical insights, and innovate faster. We help providers integrate disparate patient information to provide actionable insights at point of care, collaborate across care teams and achieve better outcomes. We facilitate connectivity and collaboration among payers, providers, members, and members to manage risk and compliance as well as rising member expectations. We assist medtech and biopharma companies to build digital solutions at the intersection of healthcare and better use real-world data throughout the value chain. Transform from silos to an open platform that unifies healthcare data into one longitudinal patient record that allows for whole-person care.

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.

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

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.

DigiLife is a leader in HIPAA compliant connected healthcare and tele-health solutions. It empowers remote patient monitoring and assisted treatment. Prodoc (a.k.a. DigiCare Live is built on top our proprietary technology platform. It supports basic EHR, practice administration, chronic condition monitoring (via health devices), remote diagnosis via telemedicine and care coordination (via assisted caregivers). It can be used by specialists, physicians, and care institutes that involve one or more clinics. It integrates with many of the most popular EMRs by using FHIR standards for clinical information exchange. It enhances health management by sending custom reminders and smart alerts to patients for lab tests, medicine, or telemedicine visits. It supports the most popular health and fitness devices such as Fitbit and Google Fit, Withing and iHealth. ** You can tailor your order by using custom development options

We offer valuable insights designed to enhance the ways healthcare systems cater to their patients. This commitment to innovation and optimization has led organizations like the Centers for Medicare & Medicaid Services (CMS) and the Defense Health Agency (DHA) to partner with Battelle. Our initiatives span both large and small health systems, aiming to elevate their overall performance. By addressing critical challenges, we strive to keep pace with the growing demand for improved information that informs clinical decision-making right at the point of care. Our solutions not only aim to enhance patient outcomes but also to minimize unnecessary variations in healthcare delivery. Additionally, we analyze the effectiveness of various messaging strategies across different communication platforms and assess the impact of proposed messages and materials. This comprehensive approach ensures that our methods are effective and tailored to meet the evolving needs of the healthcare landscape.

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.

Enable Healthcare’s Electronic Health Records (EHR) is an advanced clinical solution powered by AI that serves both individual practices and extensive multispecialty groups by streamlining comprehensive documentation, administrative processes, and patient engagement within one platform. It offers a visual representation of interactive clinical data to guide treatment decisions for both individual patients and broader populations, while its real-time dictation application enhances efficiency by replacing manual typing with precise voice recognition. Utilizing HPI-based algorithms, the intelligent coding engine automates the identification of codes, incorporates payer-specific coding, and generates alerts for care gaps to ensure better revenue management. With the help of enableAssist, healthcare providers can take advantage of AI-driven charting prompts to quickly create assessment and plan narratives. Additionally, eApredict assesses and presents color-coded risk levels for patients, aiding in prioritization of care. Furthermore, integrated telehealth functionalities support virtual appointments and streamline the process of transition-of-care reviews, making healthcare delivery more efficient than ever.

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

Leverage cutting-edge cloud analytics and data science technologies to examine healthcare data and create innovative AI applications. Develop evidence-based care models that can enhance patient experiences while also boosting clinician satisfaction. Furthermore, aim to lower healthcare costs and improve overall population health outcomes. The Oracle Autonomous Data Warehouse simplifies the complexities associated with managing a data warehouse and creating data-driven applications, addressing critical aspects such as database management and security. You can effortlessly store, manage, and utilize your data through a fully integrated suite of data ingestion, preparation, and machine learning (ML) tools. Transform your insights into actionable evidence-based care and precision medicine frameworks. Equip executives, analysts, and IT personnel with the ability to access business intelligence from any location, whether in an office setting or at healthcare facilities. Accelerate your analytical processes with automated data preparation and embedded ML capabilities, ensuring a streamlined approach to data-driven decision-making. By utilizing these resources effectively, organizations can foster a culture of continuous improvement in healthcare delivery.

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

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

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

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

Welkin is crafted to enhance care coordination by ensuring that the appropriate team member addresses patient needs throughout every stage of their journey. By offering your team members smooth transitions and a tailored experience for each patient they assist, we enable a more personalized approach to care. The full automation of any program not only boosts patient engagement but also reduces the burden of tasks, allowing for a seamless transition to the next phase of care. By outlining processes and escalation protocols that are based on specific outcomes or conditions, your team can focus on what truly matters – providing quality care. It is essential to establish escalation pathways for events requiring monitoring, such as adverse incidents, out-of-range results, particular patient reactions, or insufficient engagement. Moreover, the system can automate internal notifications or initiate emails and SMS alerts to care team members in response to specific actions or inactions, as well as for upcoming or missed appointments. This comprehensive approach ensures that no critical detail is overlooked in the patient care continuum.

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

To enhance outcomes, it is essential to recognize the whole patient, empower both patients and their care teams, and promote the scalability and efficiency of care management programs. Optum® Patient Care Management enables organizations to proactively and intelligently oversee patient care throughout the healthcare ecosystem, forming sustainable networks that facilitate genuine patient-centered care at every phase of the patient experience. By establishing intelligent workflows, automatically triggering essential tasks, and creating precise interventions along with individualized care plans, Optum Patient Care Management allows care managers to concentrate on critical issues that significantly influence care quality and costs. Through the aggregation and normalization of diverse clinical and claims data, along with an expanding array of sociodemographic, behavioral, and patient-reported information, Optum can provide a comprehensive, 360-degree view of every patient for whom care coordination is being conducted. This holistic approach ensures that care is not only comprehensive but also tailored to meet the unique needs of each patient effectively.

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.

Facilitate connections between healthcare entities such as hospitals, clinics, health plans, and life sciences with app developers and health data partners to create innovative digital services based on FHIR APIs. Enhance both the efficiency and safety of transitions throughout the continuum of care, whether in-patient or out-patient. Offer personalized wellness and prevention strategies tailored to at-risk individuals, fostering proactive health management. Encourage collaboration among patients, healthcare providers, and physicians to effectively address chronic conditions, leading to better management outcomes. Focus on patient-centered digital services that prioritize user experience and safety, while minimizing risks during care transitions. Utilize an enterprise-grade platform capable of managing, securing, and scaling APIs that remain agnostic to FHIR servers. Seamlessly integrate healthcare data from various sources, including internal systems, external partners, or open-source FHIR-ready resources. By swiftly launching digital services like mobile applications, advance the vision of patient-centric healthcare and enhance data interoperability, ultimately improving healthcare delivery for all. This approach not only enhances patient engagement but also drives innovation across the healthcare landscape.

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

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

CareVoyant is an integrated enterprise-scale software platform for Home Health Care Agencies offering one or multiple lines of service, including Private Duty Nursing, Non-Medical, Personal Care, HCBS, and Home Health - under ONE Patient and ONE Employee. CareVoyant's built-in validations and proactive alerts improve your agency's operational efficiency and bottom line through exception-based management. CareVoyant functions - Intake, Authorization, Scheduling, Clinical, Financial, Care Coordination, Reports and Dashboards – improve operational efficiency and bottom line of your home health care agency by eliminating duplicate data entry, streamlining workflow, improving quality of care, and optimizing reimbursement. CareVoyant Scheduling and Clinical functions are integrated and easy to use tools to optimize employee utilization and ensure compliance. eMAR, eTAR, and Electronic Continuous Care Flow Sheets will meet the requirements for Private Duty Nursing Home Care. CareVoyant CV Mobile is an easy to use and integrated platform to meet disparate EVV requirements for multiple states with a standard interface to state aggregators. CareVoyant handles complex billing requirements for all payers.

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.

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.

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

The GuidingCare solution suite offers user-friendly, state-of-the-art tools for data integration and workflow management, designed to enhance the implementation of a person-centered, evidence-based Care Management strategy for various populations. Its advanced features in data analytics, workflow oversight, care coordination, and reporting empower organizations to effectively serve specific groups while ensuring compliance throughout the process. By utilizing GuidingCare, you can optimize coordination across the entire care spectrum, efficiently manage both clinical and behavioral health requirements, automate planning for care and services, and accurately identify and address high-risk populations, thus delivering comprehensive care. Additionally, the suite fosters improved outcomes within a fully integrated, patient-centric ecosystem focused on value-based care. Ultimately, GuidingCare positions your organization to achieve both operational excellence and enhanced patient satisfaction.

CareManager is a versatile population health management platform that operates independently of any specific electronic health record (EHR) systems, offering features such as care coordination, interoperability, analytics, outcomes measurement, and risk stratification. Leveraging cloud technology, this solution effectively minimizes the risk of patient readmission while maintaining high standards of care quality. Providers involved in the program can collaborate using a unified care plan, transfer patient information seamlessly, monitor clinical quality metrics, and handle authorizations and claims throughout their network. By consolidating data, CareManager reveals patterns and outcomes, enabling data-driven decisions in healthcare. With real-time access to up-to-date information, CareManager provides a holistic overview of each patient’s health records, enhancing understanding and transparency regarding activities across the entire care continuum. Additionally, it facilitates the management of patient assignments among various agencies and teams, ensuring coordinated and effective care delivery. This comprehensive approach aims to optimize health outcomes for communities while streamlining processes for healthcare providers.

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

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

Tynet EHR software offers an exceptionally user-friendly solution for home health care, ensuring compliance and readiness for PDGM to enhance patient outcomes. With robust ADL capabilities operational daily, it guarantees optimal care for all users. The system efficiently schedules, tracks, and documents clinical activities for all essential disciplines within the IDG/IDT framework. Choosing the appropriate EHR for home health can lead to improved client health, increased clinician satisfaction, and a more streamlined, profitable practice. Tynet EHR features intuitive tools that assess caregiver availability and client needs, facilitating appointment setting and schedule management. By leveraging data for personalized care decisions, it fosters connections between organizations and payers, enabling informed choices at a larger scale. This approach not only improves the accuracy of claims but also protects against denials and adjustments, ensuring pristine reporting. Additionally, it enhances care coordination by providing accessible, real-time patient information whenever and wherever needed, ultimately prioritizing client satisfaction. With Tynet EHR, home health agencies can focus on delivering quality care while maintaining efficient operations.

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.

Duplicate patient records lead to mistreatment and soaring costs. At 4medica, we assist in transforming health data errors into dependable data quality, enabling you to function at peak efficiency and deliver more impactful care to those who require it most. Our data quality platform significantly enhances your data health, making the concept of “one patient, one record” achievable. Consider us the headquarters for Health Data Quality (HDQ). Health data quality refers to the evolution of health data over time—its accuracy, location, and timing—and its overall utility. High-quality data is essential for our healthcare system, particularly as it increasingly shifts towards digital recording and storage. By refining data to be more sophisticated and applicable, you can unlock improved care coordination, deeper clinical insights, and ultimately, a healthier community, fostering a more effective healthcare environment. As we navigate this complex landscape, prioritizing data quality remains paramount for achieving health equity and better 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.

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

Address the complexities of value-based care regardless of your existing EHR system. Gain a comprehensive understanding of your patient demographics through consolidated data from various sources, presented in an intuitive visual format. Leverage data-driven insights to enhance the management of chronic diseases and facilitate smoother transitions in care, while also working to prevent illnesses, reduce costs, and enhance care management initiatives. Promote effective care coordination through tools designed for a proactive mindset, including a pre-visit dashboard, risk assessment capabilities, and automated monitoring of admission, discharge, and transfer activities. Activate care management strategies to broaden the reach of healthcare providers. Encourage essential patient interactions and ensure meaningful follow-up between visits. Utilize the Johns Hopkins ACG system for risk stratification to pinpoint patients most at risk for high-cost healthcare utilization. Efficiently allocate resources to areas where they are most urgently needed. Aim to elevate performance metrics related to quality care. Engage successfully in value-based payment initiatives and maximize reimbursement opportunities as you navigate this evolving landscape. By implementing these strategies, healthcare organizations can improve patient outcomes and foster a more sustainable care environment.

DrCloudEHR is a specialized digital health platform created to transform whole-person care and raise the benchmarks for value-based healthcare services. By effectively merging clinical, executive, and financial information, it leverages actionable insights for improved decision-making. This innovative system significantly boosts care coordination, simplifies operational processes, and promotes a cohesive and efficient network for healthcare delivery. Its all-encompassing strategy is specifically crafted to enhance healthcare accessibility, support patient recovery, and improve therapeutic results, ultimately leading to a groundbreaking shift in how healthcare is delivered and managed. By prioritizing the integration of various healthcare facets, DrCloudEHR aims to create a more holistic approach to patient care.

The advanced features of the Inovalon ONE® Platform enable our clients and collaborators to thrive by utilizing extensive industry connections, vast primary-source real-world data, advanced analytics, and robust cloud-based technologies to enhance healthcare outcomes and economics. Central to modern healthcare is the necessity to consolidate and scrutinize vast amounts of varied data, extract valuable insights from these analyses, and apply this knowledge to effect significant improvements in patient outcomes, operational performance, and healthcare economics. With analytics and capabilities employed by over 20,000 clients, we draw upon the primary source data from more than 69.5 billion medical events, encompassing one million healthcare professionals, 611,000 clinical environments, and 350 million distinct patients. This extensive network of data and analytics is crucial for driving innovation and efficiency in the healthcare sector, fostering an environment where informed decisions lead to substantial advancements.

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

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

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