Best Population Health Management (PHM) Software of 2025 - Page 2

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.

Our innovative data-driven approach, combined with the expertise of our talented team and the strength of our products, drives the transformation of advanced Value-Based Care technology. We hold the conviction that healthcare is an invaluable resource, and everyone deserves to maximize the benefits of their healthcare experience. This involves stratifying and identifying patient needs, coordinating care efficiently, and actively engaging members throughout their healthcare journey. We also focus on generic drug equivalency, pricing strategies, and providing educational materials for patients. In addition, we manage referrals, encounters or claims, eligibility, enrollment, and member reward programs. Comprehensive analytics, detailed reports, enhanced patient engagement, and seamless EHR integration are also key components of our approach to healthcare improvement. Ultimately, our mission is to ensure that every interaction and service is tailored to enhance health outcomes for individuals.

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.

Truity™ stands out as the pioneering health equity platform in the industry. Designed to facilitate impactful clinical, social, and behavioral interventions for various populations right at the point of care, it aims to enhance healthcare outcomes while fostering trust among patients. By utilizing Truity™, healthcare organizations are empowered to make strides towards advancing health equity, ultimately benefiting all community stakeholders involved. Leveraging explainable AI and machine learning technologies, Truity™ analyzes individual patient data and aligns it with its unique knowledge database, leading to the development of more effective care plans tailored to the needs of your community, which in turn enhances brand equity. This innovative approach not only addresses immediate healthcare challenges but also promotes long-term relationships between providers and the communities they serve.

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.

PeriWatch Vigilance serves as an automated early warning system for maternal-fetal health, aiming to improve clinical workflow, ensure consistent care, and support prompt interventions during labor and delivery. Being the sole AI-driven electronic fetal monitoring analysis solution available for commercial use in the United States, it persistently assesses real-time data, alerting healthcare professionals when maternal vital signs, fetal heart rates, or labor progression surpass predefined safety thresholds set by medical institutions. This system gathers essential information into a unified view for each patient, enabling clinicians to swiftly determine if a patient's condition is deteriorating. Moreover, it features a hub view that showcases a dynamic and interactive list of multiple patients across various locations, complete with color-coded alerts for immediate attention. Furthermore, PeriWatch Vigilance is designed to integrate effortlessly with current electronic fetal monitoring systems and electronic health records through ADT/HL7 interfacing, thus eliminating the need for expensive software upgrades while enhancing overall patient care management. This innovative approach not only optimizes monitoring capabilities but also reinforces collaboration among the healthcare team during critical moments.

LexisNexis Health Equity and Inclusion Insights offers an extensive and actionable dataset focused on the social determinants of health (SDoH) at the individual level. This valuable information empowers healthcare organizations to enhance population health, advance clinical research, and pursue initiatives aimed at promoting health equity. By highlighting obstacles to care, the solution aids in refining care delivery and fostering more equitable healthcare choices, alongside developing diverse clinical research programs. It supplies de-identified datasets that can be integrated with other such datasets through LexisNexis Gravitas, a tokenization tool that utilizes a referential data layer for accurately matching de-identified records from various sources. Achieving health equity hinges on the ability to pinpoint health barriers and predictors of adverse health outcomes, allowing for targeted interventions that can positively impact individual patients. Ultimately, this focus on precision and actionable insights can lead to improved health outcomes across entire communities.

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

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.

NeuroFlow is a digital healthcare company that combines workflow automation, consumer engagement solutions and applied AI to promote behavioral integration in all care settings. NeuroFlow's cloud-based suite of HIPAA-compliant tools simplifies remote patient monitoring, allows risk stratification, and facilitates collaborative care. NeuroFlow allows health care organizations to bridge the gap between mental health and physical health, improving outcomes and reducing costs.

Artemis serves as a vital link between data analysis and effective benefits decision-making. Our innovative tools and dedicated support empower benefits teams to advocate for enhanced programs that cater to their members' needs while steering their overall benefits strategy. Whether you seek ready-to-use insights or tailor-made analyses, we provide solutions to your most challenging benefits inquiries. Discover pre-packaged insights and quick solutions to maximize your budget effectively. Artemis unveils critical answers effortlessly, eliminating the need for extensive research. Additionally, for those requiring more profound insights, our custom analytics tools offer an engaging experience akin to a "Choose Your Own Adventure" story for navigating benefits data. Our user-friendly tools facilitate the development of a robust benefits strategy, providing the necessary evidence to endorse new initiatives, assess expenses, and present your case to stakeholders confidently. Monitor the effectiveness of your programs closely; whether implementing a wellness initiative or modifying a formulary, you can gain clarity on what truly benefits you and your community. Moreover, our comprehensive platform ensures that you remain informed about emerging trends and evolving needs within your population.

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.

Providers and healthcare plans are facing increasing demands to enhance the quality and affordability of comprehensive care for their most vulnerable and complex patient populations. We are here to assist in addressing the cumbersome processes, fragmented care teams, and isolated data systems that hinder the delivery of integrated care for the whole individual while adapting to new value-based care requirements, including those pertaining to behavioral health and social determinants of health. Currently, our nation allocates $33 billion each year to preventable hospital admissions stemming from inadequate care coordination and management of transitions, highlighting the urgent need for effective solutions. CareEmpower stands out as a comprehensive solution unlike any other care navigation system you've experienced. Whether your organization seeks to swiftly advance its Medicare Advantage program or establish a strong population health initiative for at-risk groups, CareEmpower offers the essential tools required. It effectively stratifies and prioritizes care opportunities for these vulnerable populations, ensuring that their needs are met in a timely and efficient manner. With our innovative approach, the path to better care coordination is clearer than ever.

Acuity Advanced Care™ is a versatile on-premise population health platform tailored to meet the varied requirements of case, utilization, disease, and population health management initiatives. This system empowers organizations by granting them total control over their environments, allowing for customization to fit each organization's distinctive care model. Notably, over 90% of clients utilizing Acuity Advanced have achieved NCQA or URAC accreditation, or both. The platform combines the advantages of on-premise flexibility with comprehensive database access, ensuring that organizations maintain control over data storage. Ideal for customers with skilled IT teams, Acuity Advanced Care allows for effective setup, security, and management of intricate systems. Chordline Health stands out as a premier software provider catering to health plans, TPAs, ACOs, and other organizations that assume financial risk. The Chordline team, composed of US-based clinicians and developers, is celebrated for their exceptional managed care expertise and commitment to customer service, further enhancing the overall experience for users. This dedication to quality ensures that clients receive the support they need to thrive in an evolving healthcare landscape.

Biofourmis is an innovative company focused on transforming care delivery through technology, collaborating with health systems, hospitals, and payers to enhance the overall patient experience. Their advanced connected platform facilitates customized and scalable care that transcends conventional healthcare environments. By providing solutions tailored for high-quality care within patients' homes, Biofourmis ensures that individuals receive support where they need it most. The platform boasts a seamless integration of ongoing and episodic data collection, FDA-approved AI-driven analytics, and coordination of in-home services, all aimed at managing patient needs and optimizing health outcomes. With partnerships spanning over 50 global health systems and payers, Biofourmis is dedicated to broadening access to care and effective treatments within local communities. Furthermore, the company actively tackles pressing challenges faced by the healthcare and pharmaceutical sectors, addressing issues that arise from drug development all the way through to the delivery of care. By bridging these critical gaps, Biofourmis contributes significantly to the evolution of healthcare solutions on a global scale.

Clinithink stands out as a premier technology firm in the healthcare sector, focusing on artificial intelligence solutions that convert unstructured medical information into valuable insights. The company's proprietary CLiX platform leverages Clinical Natural Language Processing (CNLP) to decipher intricate clinical narratives, which empowers healthcare providers to improve both patient outcomes and operational productivity. Clinithink delivers customized solutions across various domains, including life sciences, revenue cycle management, and population health, effectively tackling issues such as identifying patient cohorts, maximizing reimbursement, and monitoring disease progression. With its cutting-edge technology, Clinithink has earned the confidence of top pharmaceutical and healthcare entities globally, establishing its leadership in the realm of healthcare AI and digital health progress. Moreover, the CLiX platform is adept at comprehending a wide array of unique and intricate clinical concepts, including but not limited to certainty, severity, laterality, and temporality, further enhancing its utility in clinical settings. As the demand for innovative healthcare solutions grows, Clinithink remains committed to advancing its technology to meet the evolving needs of the industry.

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.

Spotlight leverages advanced machine learning techniques to enhance risk insights and seamlessly integrate them into any clinical workflow or technology platform. In contrast to many competitors that depend solely on outdated medical claims data, which can be as old as 90 days, we utilize a thorough and current data set. Our approach incorporates real-time clinical, billing, and claims information, along with proteomic and metabolomic data, enabling us to extract valuable insights from cellular mechanisms and metabolic pathways. Unlike other providers that offer a singular model based on a limited data set, HBI adapts to the diverse data you possess—leveraging any and all available information to fine-tune and enhance our established models. Furthermore, we ensure continuous improvement by recalibrating annually or whenever your data set evolves, guaranteeing optimal results tailored to your populations at all times. This commitment to data adaptability sets us apart in delivering relevant and precise insights for healthcare professionals.

Enhance collaboration among a network of healthcare providers with Healthy Planet, which allows integration of data from any EHR that meets standard specifications or other compatible sources. Develop a comprehensive longitudinal care plan that is available to patients, healthcare providers, care managers, and affiliated organizations. Equip external providers with resources via a web-based care management platform to identify and address care gaps effectively. Empower patients by granting them access to vital health and wellness resources, and enrich their experience with features like appointment scheduling, virtual visits, remote monitoring, and telehealth services. Leverage advanced analytics and machine learning to improve health outcomes, while utilizing claims-based analytics to optimize spending and identify emerging trends in healthcare. By fostering a more interconnected care ecosystem, we can ensure that all stakeholders are working towards enhanced patient well-being and efficient resource allocation.

Enhance your shift towards value-based care with innovative solutions designed to boost performance, efficiency, and quality in healthcare. While value-based care presents a significant opportunity, it can often feel like a challenge during daily operational activities. With the appropriate tools at your disposal, you can effectively anticipate, model, and generate actionable insights to achieve your objectives. There's no longer a need for multiple vendors to enhance care delivery and improve financial outcomes. We provide the essential components to transform your healthcare organization comprehensively. Achieving high-performance healthcare is contingent upon having a powerful engine. Cedar Gate supplies cutting-edge technology founded on unparalleled expert algorithms. Every day, our commitment is to propel you towards success. You can maintain your focus on achieving your goals, as we equip you with all the resources necessary for your value-based care journey, ensuring a smoother transition. Embrace the future of healthcare with confidence, knowing that support is always within reach.