List of the Top Value-Based Care Software in 2025 - Page 2

Revolutionize your healthcare experience with the groundbreaking Soliton® AI, which harnesses the power of 30,000 evidence-based rules alongside cutting-edge machine learning technologies. By streamlining a range of healthcare and management functions, Soliton® provides you with essential tools to excel in a value-driven care setting, showcasing unparalleled capabilities. It processes extensive patient data in real-time, which leads to improvements in both clinical outcomes and financial results while also accommodating various Alternative Payment Models (APMs). The platform enhances telehealth services by anticipating billable codes during patient consultations and estimating future healthcare expenses through advanced risk stratification techniques. Additionally, it offers timely clinical decision support that aids in the management of complex patient populations. Soliton® also enhances the patient journey by ensuring smooth transitions from acute to post-acute care through AI-enhanced care coordination. It effectively identifies gaps in care, reveals service and coding opportunities, and develops customized patient assessments and individualized care plans, all while allowing for the formation of specific cohorts for focused interventions. Consequently, Soliton® not only boosts operational efficiency but also significantly improves the overall quality of care provided to patients, ultimately leading to better health outcomes and satisfaction. Such innovations position Soliton® as a critical asset in modern healthcare delivery.

The Solventum™ 360 Encompass™ System represents a comprehensive, cloud-based solution designed to enhance revenue cycle management for healthcare organizations. This innovative system streamlines workflows for facility and professional services coding by integrating computer-assisted coding (CAC), clinical documentation integrity (CDI), and auditing functions in a seamless manner. By leveraging advanced artificial intelligence (AI), it automates the coding process, reducing the dependency on physical hardware and lowering overall ownership costs. In addition, it fosters collaboration among coding and CDI teams by dismantling silos and promoting a unified approach to clinical documentation. This flexibility enables healthcare entities to focus more acutely on achieving favorable business outcomes, thereby improving both efficiency and accuracy throughout the revenue cycle. The platform’s intuitive interface and powerful capabilities render it a vital asset for contemporary healthcare management, ensuring that organizations can adapt to the evolving landscape of the industry. With its emphasis on integration and user experience, the Solventum™ 360 Encompass™ System is poised to transform how healthcare providers navigate their financial operations.

Imagine an innovative strategy for care management that effectively reduces healthcare costs, minimizes both initial and subsequent hospital admissions, improves star ratings and HEDIS metrics, and enhances overall health quality and outcomes through a mission-driven data platform powered by artificial intelligence. As the healthcare industry shifts toward value-based care, Health EM.AI stands at the forefront, transforming care management and optimizing care delivery by harnessing advanced data utilization and AI technology. By consolidating patient data from diverse care environments and employing AI/ML-based predictive analytics, we provide healthcare organizations with actionable insights that markedly improve care quality. This method guarantees tangible enhancements at the individual patient level, especially in the realms of palliative and chronic care management workflows. The integration of a comprehensive patient 360 data model across all care scenarios drives significant progress in star ratings, risk adjustment, and the successful closure of care gaps. Furthermore, our localized healthcare models analyze over 1,000 clinical and non-clinical factors based on geographical specifics, which further sharpens care effectiveness. Ultimately, this all-encompassing approach not only leads to improved patient outcomes but also cultivates a more streamlined and effective healthcare ecosystem, paving the way for sustainable advancements in patient care.

Lightbeam is dedicated to enhancing population health by transforming data insights into actionable results, effectively addressing care gaps and minimizing risks. This method not only improves the standard of care but also elevates the overall well-being of patients. Through its comprehensive population health management platform, Lightbeam synthesizes diverse data sources to deliver a holistic 360-degree perspective on patients, which is vital for optimizing value-based care outcomes. In today's value-based care environment, effective risk management relies heavily on insights derived from data. Lightbeam's cutting-edge platform uniquely organizes patient data, facilitating the timely and strategic use of pertinent information. The influence of Lightbeam goes beyond merely changing how clients approach value-based care; it has played a crucial role in realizing substantial financial savings, accumulating over 2 billion dollars for clients since its launch in 2014, and its impact is just starting to unfold. Additionally, the technology-enabled services provided by Lightbeam seamlessly enhance these efforts, offering further resources to improve client outcomes. Consequently, organizations that collaborate with Lightbeam are well-positioned to make significant strides in their population health initiatives and achieve sustained success. The partnership with Lightbeam not only fosters growth but also ensures an ongoing commitment to innovation in healthcare management.

Accelerate payment procedures while reducing administrative burdens. With a network of over 8,000 payer connections and partnerships with more than 650 practice management providers, our claims management solutions significantly decrease the number of pending claims and lessen the reliance on manual processes. Claims for a wide range of services, such as professional, institutional, dental, and workers' compensation, can be sent efficiently and accurately, ensuring timely reimbursements. Address the changing landscape of healthcare consumerism by providing a seamless and transparent financial experience for patients. Our tools for patient engagement help facilitate informed conversations about eligibility and financial responsibilities, while also minimizing barriers that could negatively impact patient outcomes, ultimately enhancing the overall healthcare experience. By improving transparency and communication, we contribute to a more patient-centered approach in the healthcare industry.

The integration of advanced technologies and centralized data not only boosts individual capabilities but also propels the healthcare sector towards innovation and better health outcomes. Oracle Health is at the forefront of developing a holistic healthcare platform that features smart solutions tailored for data-driven, patient-centric interactions, connecting consumers, healthcare providers, insurers, and public health organizations. With the largest portion of the global electronic health record (EHR) market, we are able to consolidate data, enabling clinicians, patients, and researchers to make impactful decisions that enhance health outcomes worldwide. Acknowledged by IDC MarketScape as the premier provider in revenue cycle management (RCM), we offer timely, predictive, and actionable health insights that facilitate workflow automation, optimize resource utilization, and streamline operations. By fostering innovation and utilizing a flexible infrastructure along with platform resources, we enrich clinical intelligence through our broad and versatile network of partners and technologies, all while aiming to build a healthier future for everyone. This cohesive strategy not only boosts the effectiveness of healthcare delivery but also fortifies the relationships within the entire health ecosystem, ultimately creating a more interconnected healthcare environment. In this way, we are not just improving health outcomes, but also transforming the very landscape of healthcare itself.

Join our network to improve care coordination across diverse communities. Watershed Health provides an all-encompassing care coordination platform that empowers healthcare professionals to deliver integrated services, ultimately resulting in enhanced patient outcomes. With our solution, critical patient information is available in a single location, enabling more informed clinical decisions. Stay updated with real-time patient data from all care team members as it becomes available. Uncover essential insights into key patient demographics to support value-based care and enhance strategies for managing population health. As healthcare providers work together and exchange information, Watershed Health utilizes transparent, real-time quality metrics to assess and inspire care coordination initiatives. Furthermore, our platform incorporates screenings for social determinants of health (SDOH) and connects patients with local resources tailored to their individual needs. Our solution integrates effortlessly into existing tools, systems, and workflows, significantly streamlining the implementation process. By becoming a part of Watershed Health, you will not only enhance care delivery but also contribute to a community committed to improving health outcomes for all stakeholders involved, thereby fostering a collaborative environment that prioritizes patient welfare.

ThoroughCare is a comprehensive care coordination software that seeks to enhance the quality of care across various healthcare sectors, including chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness checks, and advance care planning. By empowering healthcare providers to meet all service requirements, adopt evidence-based practices, and increase revenue, the platform effectively addresses gaps in care. Through the implementation of a strong care management strategy, ThoroughCare diligently tracks quality and performance indicators, gathers data from diverse clinical sites to evaluate patient engagement and outcomes, and produces reports on risk stratification, claims, missed revenue opportunities, and call performance. The analytics component of ThoroughCare provides decision-makers with visual representations of operational, financial, and patient-related data, thus enabling more informed decision-making. Furthermore, the platform integrates effortlessly with electronic health records (EHRs), health information exchanges (HIEs), and remote monitoring technologies, which fosters a comprehensive approach to patient care. This interconnected framework not only optimizes workflows but also significantly improves the overall efficiency of healthcare delivery systems. As a result, ThoroughCare stands out as a vital tool for enhancing patient outcomes and streamlining healthcare processes.

Our platform streamlines complex parameters, raw data, and technical terminology, ensuring easy understanding for users of all backgrounds. At Syntax, we are at the forefront of revolutionizing value-based care and incentive systems. By leveraging our expertise in advanced analytics and collaborative tools, our SaaS-based enterprise solution empowers payors and providers to adeptly maneuver through the complex healthcare landscape. We simplify the intricate structures of value-based care, improving processes and removing barriers that hinder collaboration. Our dedication to transparency and trust promotes seamless cooperation among all parties involved, ultimately enhancing outcomes and transforming healthcare delivery. Whether through the standardization of contracts, incentive modeling, or fostering open collaboration, our goal is to make value-based care more accessible, effective, and impactful for everyone involved. We firmly believe that implementing these principles can contribute to a healthier future for all, creating a system where quality care is prioritized and everyone benefits. In doing so, we aim to inspire a collective movement toward a more efficient healthcare ecosystem.

Greenspace Health is dedicated to transforming behavioral healthcare through state-of-the-art technology solutions that facilitate Measurement-Based Care (MBC). Their platform enables healthcare providers to streamline the collection of patient-reported outcome measures, featuring intuitive dashboards that illustrate symptom changes to inform clinical decisions and enhance therapeutic relationships. Organizations benefit from customized data insights, which empower them to assess service effectiveness, drive innovation, and uphold a high level of care. For healthcare systems, Greenspace's solutions improve care coordination, encourage provider collaboration, and optimize resource allocation by identifying service gaps and reducing expenses. Moreover, their platform supports both clients and patients in tracking their progress, increasing engagement, and leading to better clinical outcomes. Greenspace's commitment to safeguarding privacy and security is highlighted by their adherence to SOC 2 Type II standards. In addition to these advantages, their pioneering methodologies not only elevate the quality of care but also contribute to a more streamlined healthcare system overall. This comprehensive approach positions Greenspace Health as a leader in the integration of technology and behavioral health services.

Our innovative platform was developed by healthcare professionals, integrating feedback from medical experts across the country, which has led to our continual recognition as a leading EHR by Black Book™ for outstanding performance, reliability, support, and customer service. Our acclaimed cloud-based EHR software enables healthcare providers to offer care in a more streamlined and efficient way. With over two decades of experience in the healthcare field, we have refined our knowledge to better assist our clients. Since our launch in 1999, we have continuously enhanced our platform through extensive collaboration with both our providers and specialized industry partners. Today, we provide more than just EHR software; we act as a crucial ally in the transition to value-based care. Our main goal is to arm practices with cutting-edge healthcare technology that optimizes clinical workflows, reduces operational expenses, and enhances the relationship between providers and patients. By consistently evolving to meet the changing demands of the healthcare landscape, we ensure that our solutions remain effective in improving patient care and outcomes. We are committed to fostering a healthcare environment where both providers and patients can thrive together.

Evolent Care Partners, a healthcare provider based in the Midwest, has achieved notable progress in both clinical and administrative performance, securing the impressive position of third nationally for total shared savings and the percentage of savings relative to benchmarks. By equipping independent primary care physicians with vital resources and capital, Evolent Care Partners enables them to successfully navigate and flourish under two-sided payer contracts, thus reducing their financial risks. In the realm of oncology and cardiology, New Century Health improves cost-effectiveness and care quality by utilizing clinical evidence to guide treatment decisions, an approach that garners support from both payers and providers. Additionally, Evolent Health Services enhances the efficiency of health plan operations with a comprehensive suite of services built on a modern, integrated platform and a commitment to strategic partnership. The organization also promotes the exploration of insights and updates related to value-based care, population health, and health plan management, reflecting its dedication to healthcare transformation. Overall, through these collective efforts, Evolent aspires to create a more streamlined and effective healthcare environment for all stakeholders involved.

In our commitment to improving the healthcare experience for everyone, we have collaborated with NextGen Healthcare to enhance productivity, raise the standards of clinical care, and improve patient interactions, while also focusing on achieving strong financial outcomes and guiding providers toward value-based care. By adopting patient self-scheduling for your available appointments, you may find a notable decrease in staff workload and operational expenses. The Medfusion patient portal enables patients to handle routine tasks online and simultaneously optimizes workflows for your practice. This innovative solution not only ensures secure communication between patients and providers but also acts as a personal health record that is compatible with various electronic medical records (EMRs). Whether your aim is to improve efficiency, encourage patient engagement, or offer patients 24/7 access to back-office services like billing and scheduling, Medfusion is prepared to support your needs. Furthermore, it helps maintain compliance with Meaningful Use, MACRA, and MIPS standards, making it an essential component for contemporary healthcare practices. By leveraging these advanced solutions, practices can not only streamline operations but also provide a higher quality of care to their patients.

For a company that prioritizes value-driven healthcare, having an effective communication strategy through a flexible and scalable platform is vital for achieving success. NaviNet Open is recognized as one of the leading collaboration tools in the United States, significantly enhancing provider engagement and generating dependable, actionable insights across the entire healthcare delivery spectrum. This secure multi-payer system not only facilitates better communication but also increases operational efficiency, lowers costs, and improves provider satisfaction. It allows for real-time sharing of important administrative, financial, and clinical information between payers and providers. At NantHealth, ensuring security is a top priority; our commitment to HIPAA compliance and foundational values has maintained our EHNAC HNAP accreditation since 2006. Furthermore, NaviNet Open's HITRUST certification illustrates adherence to essential regulations and industry benchmarks. This platform effectively reduces risks linked to third-party privacy, security, and compliance, providing a solid framework for all users involved. By focusing on both security and efficiency, we are cultivating a culture of trust and collaboration within the healthcare ecosystem, which ultimately benefits all stakeholders. Such an integrated approach is pivotal for adapting to the evolving demands of the healthcare landscape.

Modern health plans are increasingly placing emphasis on population health management (PHM) as a vital priority. The central challenge is achieving a balance between the health of the entire population and the specific needs of individual patients. ZeOmega highlights the importance of recognizing each member's unique circumstances within the framework of advancing value-based care models. Our Jiva solution for population health management brings together comprehensive data at the population level and features analytical capabilities that facilitate the timely identification of strategies to improve care or influence patient behavior. It is structured around five essential pillars that are integral to effective population health management. ZeOmega’s powerful platform delivers strategic, high-impact solutions that aim to improve not only individual health outcomes but also the performance of providers. Furthermore, with our extensive expertise in this domain, we are adept at addressing the complex challenges posed by population health trends, ensuring that the needs of both communities and individual patients are met with precision and care. By focusing on these dual objectives, we can enhance the overall effectiveness of healthcare delivery systems.

Our user-friendly web and mobile solutions enable physician practices and health systems to gain deeper insights from their healthcare data, align workflows with value-based care objectives, and improve revenue integrity. Achieving true excellence entails more than just possessing advanced technology; it requires a reliable partnership. Join the ranks of numerous satisfied practices and health systems that have chosen Ingenious Med as their trusted ally, enjoying the advantages of our committed and skilled support team along with continuous product enhancements tailored to evolving needs. Ingenious Med specializes in solutions that not only boost physician productivity but also enhance hospital efficiency right at the point of care. By empowering health systems and physician groups, we help them increase their revenues, enhance data intelligence, align care with established quality standards, and optimize workflows across the healthcare sector. With a rich history spanning over twenty years of collaboration with various providers and organizations, we are adept at addressing the varied requirements of the healthcare landscape. Our unwavering dedication to innovation guarantees that we consistently stay ahead in the realm of healthcare technology advancements, ensuring that our partners thrive in an ever-evolving industry.

Our electronic health record and behavioral health billing solutions were crafted to enable practices to focus on what matters most—providing exceptional patient care. As the field of behavioral healthcare evolves through the implementation of value-based care and the growth of teletherapy, we stand ready to help you rethink care models that meet your clients' needs effectively. It’s a moment for advancement, and we can achieve this together. Discover how a long-term psychiatric treatment and residential rehab facility revamped its approach to patient care with NextStep’s assistance. Learn about the remarkable business growth one outpatient behavioral health practice experienced after collaborating with us. Additionally, see how our cutting-edge technology has empowered the behavioral health industry to thrive. Following that, we would be eager to show you how we can elevate your practice to unprecedented heights. At NextStep Solutions, our steadfast commitment to our clients is grounded in three fundamental values: passion, people, and products. By concentrating on these elements, we not only aim to meet but to surpass the expectations of those we serve, fostering a culture of continuous improvement and innovation in the healthcare sector. This dedication to excellence ensures that our clients are always at the forefront of quality care delivery.

Enhance the effectiveness of your value-based initiatives by quickly assessing and understanding the costs linked to episodes of care. Encourage active participation from providers by initiating discussions that are grounded in data and evidence concerning total episode costs and the individual practice patterns of providers. Drive improvements in both cost efficiency and quality by tackling inconsistencies in care delivery and performance across different providers. Leverage analytics to support value-based strategies, delivering insights that aid in optimizing network configurations and fostering clinical advancements. Identify potential avenues for value-based care through a thorough analysis of episode costs, utilizing clinically validated definitions to frame these episodes. Involve providers in discussions centered on value by scrutinizing patterns of utilization, expenses, and differences in care practices. Use episode analytics to fine-tune network designs, update clinical guidelines, and enhance consumer engagement in a meaningful way. Make the process of budgeting for episodes more straightforward by determining average costs per episode along with relevant clinical services, ensuring a clear understanding of financial responsibilities. This targeted strategy not only promotes operational efficiency but also establishes a solid groundwork for long-term enhancements in healthcare delivery, ultimately leading to better patient outcomes and satisfaction. Strengthening the collaboration between stakeholders will further amplify the impact of these initiatives in the healthcare sector.

myUnity® - Integrating the key components of Netsmart's top-tier solutions for senior living, hospice, and home care into a cohesive enterprise platform. Access to all your post-acute care settings is streamlined, whether from a single site or across numerous locations. The platform prioritizes user-friendliness, ensuring that clinical staff receive essential information precisely when needed, allowing them to focus on delivering quality patient care. It aims to enhance value-based care through improved connectivity, analytics, management of population health, and efficient electronic referral processes, ultimately transforming how care is delivered. By fostering better communication and data sharing, myUnity® empowers healthcare providers to make informed decisions and improve patient outcomes.

Therapists should prioritize their patients, the quality of care, and the overall outcomes. Net Health Therapy for Skilled Nursing Facilities delivers top-tier therapy management software tailored for contract therapy companies, skilled nursing facilities (SNFs), assisted-living facilities (ALFs), and continuing care retirement communities. This innovative solution allows you to concentrate on patient care with streamlined billing, clinical processes, and operational workflows. Additionally, its robust outcome-driven recommendation engine empowers therapists to develop individualized care plans that enhance patient outcomes significantly. To meet the demands of value-based care effectively, Net Health Therapy stands out as the premier choice in the industry. By adopting this software, facilities can ensure they are providing the highest standard of care while improving their operational efficiency.

Presenting Optimum, a groundbreaking platform aimed at streamlining hospital operations through enhanced workflow automation and improved financial performance in patient care. This solution enables secure and intelligent data exchange, crucial in a landscape increasingly focused on value-based care. As the demand for heightened security, quick access to vital information, and efficient care coordination grows, Optimum rises to the occasion by ensuring smooth transitions in care and promoting transparent communication across diverse healthcare networks, leveraging various data sources, including HL7, all while providing peace of mind. The significance of effective denial claim management cannot be understated, as it plays a critical role in preventing lost payments and reducing uncollected claims. Optimum equips healthcare providers to tackle challenges like missing or duplicate information proactively during the billing process, thereby boosting efficiency and ensuring timely resolutions. In addition, Cantata Health Solutions offers exceptional electronic health record and financial management software designed specifically for hospitals, skilled nursing facilities, and assisted living communities, empowering them to navigate the complexities of contemporary healthcare. By adopting these cutting-edge solutions, healthcare providers can profoundly enhance their operational effectiveness and elevate patient satisfaction levels, ultimately leading to a more cohesive healthcare environment. This commitment to innovation positions Optimum as a vital asset in the pursuit of excellence in healthcare delivery.

We support the shift towards value-based healthcare by assessing a range of treatments, medications, processes, and costs, which assists hospitals, life sciences companies, and insurance providers in identifying treatment approaches that result in the best patient outcomes. Our CRCA™ P&T platform empowers P&T committees to make data-informed improvements in quality measures, including average length of stay (ALOS) and 30-day readmission rates. Moreover, our cutting-edge POP-BUILDER Rx™ solution presents comparative insights between selected groups and CRCA's vast database of real-world data, which includes over 140 million longitudinal patient records. In addition, our drug remittance dashboard thoroughly examines and reports on drug remittance details across various payer categories, with a focus on high-cost medications down to the National Drug Code (NDC) level. We also enable hospital finance teams to effectively monitor and improve service line costs, profitability, productivity, and revenue cycle performance through our detailed analytics and reporting, along with the support of our Agilum Healthcare Intelligence team. This ensures healthcare providers can make well-informed decisions that enhance their operations and patient care. By integrating these diverse resources, we create a comprehensive understanding of the complex financial and clinical environment in which healthcare providers function, ultimately aiming to improve overall healthcare delivery.

AIDA transforms value-based healthcare by creating strong communication links among medical professionals. These versatile connections can easily engage with almost any downstream provider, offering critical insights into both the strengths and areas for improvement within your network. It provides personalized placement solutions for every patient, even those with intricate needs, while maintaining secure communication and data exchange with all downstream partners. Furthermore, AIDA supplies comprehensive analytics essential for the progression of value-based care. Specifically designed for seamless integration with Epic, the application boasts three major features: it streamlines user provisioning via single sign-on (SSO), allows AIDA to operate as a cohesive experience within the Epic system, and facilitates direct access to all patient records through APIs. This final feature enables entirely standardized and paperless referral packets, which can be customized based on Care Provider type, thus removing the tedious tasks associated with faxing, printing, and handling physical documents. By optimizing these workflows, AIDA not only boosts operational efficiency but also plays a crucial role in enhancing the coordination of patient care, leading to better health outcomes. The overall impact of these improvements creates a more effective healthcare environment, benefiting both providers and patients alike.

Arcadia distinguishes itself as a leading cloud-based healthcare data platform specifically engineered for advanced analytics. Through its sophisticated data architecture, healthcare providers can enhance patient outcomes, reduce medical expenses, and accelerate innovation, thus embracing a forward-thinking strategy within the sector. In the rapidly evolving healthcare landscape, the timely delivery of insights to the right stakeholders is critical, as it can influence life-saving choices. Therefore, the effective utilization of data is essential for achieving success in healthcare, as it boosts the efficiency of care teams and ultimately results in improved patient experiences. Nevertheless, numerous healthcare organizations struggle to fully exploit their data resources. Forward-thinking leaders in healthcare understand that the diversity of data mirrors the myriad of individuals it serves. In the absence of a robust architecture, valuable data risks becoming trapped, stagnant, and devoid of purpose. As a result, these leaders seek out Arcadia’s innovative data platform to enhance outcomes, amplify their impact, and quickly provide insights to numerous users within their organizations, ensuring that every data point is maximally leveraged. This integration not only strengthens care teams but also cultivates an atmosphere of ongoing improvement and innovation in healthcare delivery, ultimately transforming the way care is administered and experienced.

The Talix platform is engineered to support sophisticated workflow applications tailored for healthcare organizations that assume risk, enabling them to excel in a value-based care landscape. Our offerings for both healthcare payers and providers leverage advanced technologies that function smoothly and effectively at scale. We have designed the Talix Platform to meet the diverse needs of a vast user base worldwide, allowing for concurrent access by numerous users. Furthermore, our architectural framework is adaptable, accommodating various SaaS applications and streamlining the processing of millions of patient records and encounter data. The Talix Platform is composed of a network of interconnected technological components that are vital for delivering scalable software solutions to healthcare stakeholders. These foundational elements bolster the platform's capabilities in artificial intelligence (AI), enhancing its overall performance and efficiency within the healthcare industry. Consequently, the seamless integration of these innovative technologies firmly establishes the Talix Platform as a frontrunner in the transformation of healthcare workflows, paving the way for future advancements in the sector. Through constant evolution and adaptation, we ensure that our platform remains at the forefront of healthcare solutions.