Best Population Health Management (PHM) Software of 2026

Although clinical health is essential, better outcomes require a higher level of care. HELIOS provides a 360deg view that encompasses all aspects of a member’s health. The care team can collaborate to determine the best interventions and reduce avoidable readmissions by using a holistic view of the member. VirtualHealth's HELIOS platform allows for unparalleled collaboration and coordination between the member and their care team. It also provides visibility across the entire healthcare organization. Our clients can achieve more than traditional care management by connecting their entire care team to one integrated ecosystem. This allows them to drive greater efficiency, transparency and cost reduction.

Humhealth supports group of Medicare programs including Chronic Care Management, Remote Patient Monitoring and other programs. Humhealth software promotes the Practices to the next level of patient care.

Finally, an Electronic Health Record system that can be used in hospitals, clinics, and other healthcare facilities. It is easy to set up and maintain, but it doesn't cost much. The iCare Enterprise cloud EHR is a fully integrated system that includes a range of administrative, clinical, and revenue cycle management capabilities. iCare offers a complete solution for billing, clinical, and administrative functionality at a fraction the cost of legacy software. The web-based user interface allows your users to access iCare from any device. It also allows workflows to be customized to fit the needs of clinicians. Legacy EHR systems were built on outdated client/server systems that are expensive, inflexible, slow to innovate, and closed. iCare was designed with the future in view. iCare is the industry's most advanced architecture, intuitive user interfaces and rock-solid performance - there is no other EHR that comes close to it.

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.

Our extensive and adaptable range of solutions and services is built upon a strategic framework aimed at empowering organizations to understand and forecast trends within populations, actively involve individuals, their families, and care teams in proactive measures, and effectively oversee health outcomes for improved well-being. Unlike traditional medicine, which typically concentrates on the individual and equates "health" with the absence of disease, population health management broadens the scope by enhancing initiatives across whole groups and prioritizing the management and prevention of chronic conditions. To successfully oversee the outcomes of population health, it is crucial to address the underlying causes of health issues, allowing for the anticipation, prevention, and management of such challenges before they arise. By integrating clinical data with social determinants of health (SDoH), healthcare providers can gain valuable insights that not only improve individual care but also foster collaborations with communities to promote overall health and wellness. Ultimately, this holistic approach aims to create healthier populations and more effective healthcare systems.

IBM Phytel offers automated solutions for patient engagement that enhance your resources and effectively boost patient outcomes. These tools help identify gaps in care, prioritize patient engagement, and track progress over time. By increasing the number of appointments made and attended, along with annual wellness checks and telehealth sessions, practices can see notable improvements. The system also aids in enhancing performance on essential quality metrics pertinent to MIPS, PCMH, MSSP, and others. In doing so, it allows staff to dedicate their efforts to other pressing care needs while ensuring patients receive timely and relevant information for optimal care. Compatible with any electronic health record (EHR), IBM Phytel’s solutions facilitate collaboration among patients, providers, and care teams to drive better health outcomes. Through evidence-based communication strategies, the platform aims to promote improved health for high-priority patients. Additionally, it enables the implementation of personalized management campaigns for chronic and preventive care, ensuring proactive patient engagement. By utilizing automated, multi-channel appointment reminders, practices can significantly lower the rate of no-shows, ultimately contributing to more efficient healthcare delivery.

Driven by a passion for enhancing health outcomes, we aim to develop cutting-edge solutions and services in population health that elevate care management and enrich the consumer experience. At i2i, we are committed to the belief that superior care translates to a better quality of life for every community. By focusing on innovation, we strive to make a meaningful impact on public health.

Inspirata is a specialized oncology data and analytics platform built to help cancer programs improve care delivery and operational performance. It leverages AI-driven technology to automate cancer casefinding, data extraction, and reporting with high accuracy. The platform supports compliance with regulatory requirements while significantly reducing manual registry work. Inspirata transforms unstructured clinical data into actionable insights that fuel research and clinical decision-making. Real-time data access helps improve trial accrual and ensures equitable patient access to clinical studies. Patient navigation tools support coordinated care from screening to survivorship. By improving efficiency, Inspirata allows staff to focus on higher-value patient and research activities. The platform integrates seamlessly with major EHR and clinical systems. Trusted by hundreds of hospitals, Inspirata delivers measurable improvements in oncology operations. It helps cancer centers maximize impact while minimizing cost and complexity.

Through the utilization of sophisticated analytics on extensive claims and consumer data, Trilliant delivers valuable insights that revolutionize the methods by which health systems enhance their revenue growth strategies. Furthermore, this transformative approach enables organizations to make informed decisions that drive financial success.

Solventum Ambulatory Potentially Preventable Complications (AM-PPCs) Classification System is a clinically designed classification methodology that helps healthcare providers, payers, and researchers evaluate the quality and safety of outpatient procedures. The system identifies potentially preventable complications that occur after elective ambulatory procedures by analyzing sequenced billing data and coded clinical information. AM-PPCs links procedures with related complications that may occur within 30 days after treatment, even when patients receive follow-up care in different healthcare settings. The classification framework covers more than 3,350 procedures grouped into 116 clinically defined procedure categories and identifies complications from over 1,900 diagnoses organized into 70 complication groups. Healthcare organizations can use these insights to track performance by provider, facility, service line, and procedure type. The system also includes benchmarking capabilities based on Medicare, Medicaid, and commercial populations across multiple service lines. By providing structured outcome data and complication tracking, AM-PPCs enables healthcare systems to identify improvement opportunities, enhance patient safety, and better manage outpatient care quality.

Premier empowers health systems to concentrate on their core competencies by lowering expenses and delivering unparalleled clinical insights. HealFirst. The PHMC methodology streamlines the learning process for organizations aiming to enhance care delivery, elevate quality and efficiency, improve patient experiences, increase profit margins, and foster better alignment between hospitals and clinicians, all while progressing towards successful population health management. Organizations gain the ability to visualize the costs and medical usage of their ACO populations across essential service categories in comparison to national averages and well-managed benchmarks. This capability enables them to implement changes more rapidly within their ACO at both the facility and beneficiary levels. Moreover, the platform facilitates the rapid classification of opportunities and assessment of ROI, ensuring that organizations can prioritize efforts in areas that promise the highest potential returns, thus driving overall improvement in healthcare outcomes. By harnessing these insights, health systems can ultimately advance their mission of delivering quality care to their communities.

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.

MEDITECH’s Cloud Platform empowers organizations of all sizes to enhance their Expanse EHR by integrating various specialties, enabling connections to remote locations, and safeguarding patient information. Communication with your community remains seamless and accessible through Expanse Virtual Care and the Patient and Consumer Health Portal, even when physically apart. Additionally, providers can access essential data during unexpected outages thanks to High Availability SnapShot. Clarity is paramount for care teams addressing population health, and with MEDITECH Expanse Population Health, you will be equipped with the necessary tools to gain a comprehensive understanding of your patient demographics — their histories and future pathways. Furthermore, this platform offers capabilities to assist individual patients in managing their health risks throughout different life stages, ensuring that their care journey is well-supported regardless of the circumstances. Ultimately, this comprehensive approach not only enhances patient care but also strengthens the overall healthcare system.

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.

Authorize, claim processing and payment are available at the point-of-care. Improve care coordination and improve outcomes for lower medical costs while streamlining administrative processes. Engage providers at point of care to share and capture data in real time, resulting in an unprecedented exchange of health information. We work with our clients to develop risk management strategies that produce better outcomes at lower costs. We aim to improve the user experience of everyone in the ecosystem. To optimize clients' resources, we deliver a minimum of a 3:1 ROI. Conexia has created a core technology platform (ONE), which can be customized to meet the different regulatory requirements and operational processes of each client in each geographic region. Our initial implementation is usually an overlay on the existing technology ecosystem of the payer to create real-time processes.

The SCIOVantage solution suite empowers organizations to enhance their decision-making processes by integrating various data sources and providing insightful perspectives that illustrate past events, forecast future occurrences, and recommend actions to attain the best possible outcomes. By uniting different data streams, it helps users understand trends and make informed choices that align with their strategic goals.

PopulationManager®, a robust platform for health analytics and data visualization, received the top customer rating in the 2017 KLAS™ Population Health Management Performance Report. This innovative tool emphasizes enhancing quality at the patient level and consolidating various measures within an individual healthcare provider organization. Its swift implementation and user-friendly design are instrumental in improving care quality and patient wellness, alongside bolstering the financial stability of healthcare providers. With its effective approach, PopulationManager is revolutionizing the landscape of healthcare management.

SCORE+™ is an adaptable solution that enables the development and execution of a strong, scalable HEDIS strategy by offering extensive reporting, workflow automation, and NLP-driven insights. This platform is crafted to provide health plans with the detailed visibility and transparency necessary to enhance their operational pace, ultimately expediting their progress toward quality enhancement. By pinpointing the most suitable providers for engagement and closing significant gaps, it minimizes provider friction while boosting collaboration. Additionally, it offers a range of self-service features, such as Rule authoring and Audit 360, which contribute to time efficiency and facilitate swift decision-making. The BI-Clinical powered Measure Engine is designed for flexibility, allowing it to operate in alignment with business needs, delivering measure outputs that come with thorough audit capabilities and are available in multiple formats to foster effective collaboration and drive quality advancements. By leveraging these innovative tools, health plans can significantly enhance their overall performance.

Inspire and enable people to take charge of their physical and mental wellness, overall well-being, and financial health by promoting initiatives that minimize health risks and decrease overall healthcare expenses. By fostering a sense of ownership, individuals can be better equipped to make informed choices that enhance their quality of life.

Aerial™, our SaaS solution certified by HITRUST CSF®, enhances the provision of tailored, predictive, and prescriptive next-best actions for healthcare providers, patients, and their support teams. This innovative approach surpasses the capabilities of traditional EMR, registration, financial, and claims systems, leading to enhanced care, reduced expenses, and better health outcomes. Built on a sophisticated modular architecture, Aerial enables organizations to select the specific components that align with their individual business needs, while also offering the adaptability to incorporate additional features as their operations evolve and expand. This level of customization and flexibility is essential for modern healthcare environments.