Top 3M AM-PPCs Alternatives

While clinical health is crucial, achieving improved outcomes necessitates a more comprehensive approach to care. HELIOS offers an all-encompassing perspective that addresses every facet of a member's well-being. By utilizing this holistic approach, care teams can work together to identify optimal interventions and minimize unnecessary readmissions. VirtualHealth's HELIOS platform fosters exceptional collaboration and coordination between members and their care teams. Additionally, it enhances visibility throughout the entire healthcare organization. By linking the complete care team within a unified ecosystem, our clients can surpass conventional care management methods, enabling them to achieve enhanced efficiency, increased transparency, and significant cost savings. This integrated approach ultimately supports better health outcomes for members.

More than 25 years ago, one of our founders, serving as the IT Director for a prominent behavioral health and residential services organization in New York, recognized the urgent need for improved tracking and reporting of their services, leading him to create a case management system tailored for his agency. As time passed, two additional agencies collaborated in enhancing the software, allowing it to cater to the diverse needs of almost any human services organization across the nation. Currently, Foothold’s dedicated team and innovative software support hundreds of agencies not only throughout the United States but also in Guam and Puerto Rico. By leveraging our technology expertise combined with a deep understanding of human services, we remain committed to empowering agencies to concentrate on their core missions while providing them with the tools they need to succeed. Moreover, we strive to continually innovate and adapt our solutions to meet the ever-changing landscape of human services.

Premier enables healthcare systems to focus on their primary strengths by reducing costs and providing exceptional clinical insights. HealFirst employs the PHMC methodology to simplify the learning curve for organizations striving to improve care delivery, enhance quality and efficiency, enrich patient experiences, boost profit margins, and strengthen the collaboration between hospitals and healthcare providers, all while making strides toward effective population health management. Organizations are equipped to analyze the costs and medical utilization of their ACO populations across key service categories, comparing these metrics with national averages and well-managed benchmarks. This analytic capability allows for quicker implementation of necessary changes within their ACO, targeting both the facility and beneficiary levels. Additionally, the platform supports the swift identification of opportunities and the assessment of ROI, enabling organizations to focus their efforts on areas that offer the greatest potential returns, thereby fostering overall advancements in healthcare outcomes. By leveraging these valuable insights, health systems can significantly enhance their commitment to providing high-quality care to the communities they serve, ultimately leading to a more sustainable healthcare environment. This holistic approach not only addresses immediate challenges but also lays the groundwork for long-term success in health management.

The sophisticated functionalities of the Inovalon ONE® Platform empower our partners and clients to excel by leveraging deep industry relationships, comprehensive primary-source real-world data, cutting-edge analytics, and powerful cloud-based technologies aimed at improving healthcare outcomes and financial efficiency. In today's healthcare landscape, it is essential to integrate and analyze vast quantities of diverse data to derive meaningful insights, which can then be utilized to significantly enhance patient results, operational effectiveness, and the overall economics of healthcare. With analytics and tools utilized by over 20,000 clients, we tap into primary source data from an astonishing 69.5 billion medical events, involving one million healthcare practitioners, 611,000 clinical settings, and 350 million unique patients. This extensive web of data and analytic capabilities plays a pivotal role in promoting innovation and productivity within the healthcare industry, creating a setting where data-driven decisions can lead to remarkable progress. Moreover, as the healthcare landscape continues to evolve, the ability to harness this wealth of information becomes increasingly vital for achieving sustainable improvements in patient care and resource management.

Tackle the intricacies of value-based care irrespective of your current electronic health record (EHR) system. Achieve a well-rounded insight into your patient demographics by integrating data from multiple sources, all presented in an easily digestible visual format. By utilizing data-driven insights, you can improve chronic disease management and ensure seamless care transitions while also focusing on illness prevention, cost reduction, and the enhancement of care management strategies. Foster effective care coordination with proactive tools, such as a pre-visit dashboard, risk assessment features, and automated tracking of admission, discharge, and transfer processes. Activate care management strategies to expand the influence of healthcare providers within the community. Promote vital patient engagement and ensure that meaningful follow-ups occur between appointments. Employ the Johns Hopkins ACG system for effective risk stratification, enabling you to identify patients who are most vulnerable to costly healthcare needs. This targeted approach allows for the efficient allocation of resources to areas where they are critically required. Strive to enhance performance metrics that reflect quality care standards. Successfully participate in value-based payment models while maximizing reimbursement opportunities as you navigate the ever-changing healthcare landscape. By adopting these comprehensive strategies, healthcare organizations can significantly boost patient outcomes, creating a more sustainable and effective care environment that benefits both patients and providers alike. Ultimately, these initiatives not only improve care quality but also contribute to a healthier population overall.

Enabling healthcare providers to offer the best patient-centered services can often be a challenging task. Nevertheless, the introduction of TouchWorks® EHR, combined with our expert insights, can make this transition much smoother. This powerful and flexible platform, designed by experts from both the industry and clinical fields, is specifically created for large ambulatory practices. By reducing the number of clicks clinicians need to make, TouchWorks EHR provides them with more freedom in their documentation processes while also delivering structured content and care recommendations, which aids in making well-informed clinical decisions. With a foundation built on standards-based web practices and an emphasis on user-focused design, TouchWorks EHR not only improves workflow efficiency but also elevates the user experience, resulting in a user interface that is more intuitive for clinicians to navigate. Additionally, its robust reporting and analytics capabilities empower organizations to meet quality standards, enhance interoperability, and maximize reimbursement in risk-based agreements, thereby fostering improved care delivery and operational effectiveness. This all-encompassing strategy not only supports your practice in navigating the complexities of the healthcare environment but also positions it for sustained success as the industry continues to evolve. By embracing innovation, your practice can remain at the forefront of patient care excellence.

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.

Our cutting-edge, data-centric strategy, paired with the skills of our dedicated team and the robustness of our offerings, is pivotal in advancing sophisticated Value-Based Care technology. We firmly believe that healthcare is a vital asset and that every individual should be able to fully benefit from their healthcare interactions. This belief drives us to assess and pinpoint patient needs, streamline care coordination, and foster active participation among members as they navigate their healthcare experiences. We also prioritize the importance of generic drug equivalency, develop effective pricing strategies, and supply educational resources for patients to empower them in their health decisions. Furthermore, we oversee processes including referrals, claims, eligibility verification, enrollment, and member incentive programs. Our approach incorporates comprehensive analytics, in-depth reporting, improved patient engagement, and smooth integration with EHR systems, all of which are crucial in enhancing healthcare delivery. Ultimately, our goal is to tailor every service and interaction in a way that significantly improves health outcomes for each individual, thus making a meaningful impact on their lives. Through our commitment to these principles, we strive to redefine the healthcare landscape for the better.

Enhance your case management efforts by collaborating closely with post-acute care providers through a value-based care framework. By harnessing real-time data, you can take prompt actions for each patient in your PAC network, while simultaneously receiving swift support from your acute care partners. This strategy not only improves patient outcomes but also elevates the quality of care, thereby cultivating stronger referral connections. Partnering with Olio can position you for success in navigating the complexities of value-based care. Leadership in population health has aimed to enhance PAC performance by first evaluating the capabilities of their providers, which has led to notable advancements in the industry. Unfortunately, many PAC providers often struggle with inadequate resources, knowledge, or expertise to effectively implement complex population health initiatives, as they are frequently required to achieve more with limited support. Olio plays a pivotal role in modernizing communication within your PAC network, providing your entire team with the essential tools to successfully execute your population health strategy while promoting collaboration among all involved parties. This comprehensive approach ultimately improves patient care and fortifies the entire healthcare continuum, ensuring a more resilient and effective system for everyone involved. By working together, we can create a more efficient healthcare landscape that benefits not only patients but also providers and the broader community.

Elevate your approach to value-based care through groundbreaking solutions aimed at enhancing performance, efficiency, and quality across the healthcare spectrum. Although value-based care offers substantial potential, it can often seem daunting amidst daily operational demands. With the right tools at hand, you can skillfully forecast, analyze, and derive actionable insights to meet your goals effectively. There is no longer a necessity to juggle multiple vendors to improve care delivery and financial results, as we provide all the vital elements needed for a comprehensive transformation of your healthcare organization. Achieving high-performance healthcare hinges on the presence of a robust engine, and Cedar Gate delivers state-of-the-art technology powered by unmatched expert algorithms. Our unwavering commitment drives you toward success each day. By equipping you with all the necessary resources for your value-based care journey, we enable you to concentrate on your aspirations and facilitate a smoother transition. Step into the future of healthcare with assurance, knowing that support and guidance are always accessible to you. The evolution of healthcare awaits, and with our assistance, you can navigate it with ease and confidence.

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.

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.

PeriWatch Vigilance functions as a proactive early warning system tailored for maternal-fetal health, with the objective of enhancing clinical workflows, delivering consistent care, and facilitating timely interventions throughout labor and delivery. As the only AI-based electronic fetal monitoring analysis tool available for commercial deployment in the United States, it continuously evaluates real-time data, notifying healthcare providers when maternal vital signs, fetal heart rates, or labor progression exceed the predetermined safety limits established by medical organizations. By consolidating critical information into a single view for each patient, this system empowers clinicians to quickly assess whether a patient's situation is worsening. Additionally, it offers a hub view that presents a lively and interactive roster of multiple patients across different locations, featuring color-coded alerts that prompt immediate action. Designed to seamlessly integrate with existing electronic fetal monitoring systems and electronic health records via ADT/HL7 interfacing, PeriWatch Vigilance eliminates the need for costly software upgrades, thereby enhancing patient care management. This cutting-edge approach not only improves monitoring capabilities but also strengthens teamwork among healthcare professionals during pivotal moments, fostering a more responsive and efficient care environment. Ultimately, its implementation could lead to better outcomes for mothers and their newborns, reflecting a significant advancement in maternal-fetal health technology.

Achieving the goals of care coordination while minimizing costs is crucial for improving patient satisfaction and building loyalty. These goals, however, are quite complex. Your organization needs a population health software solution that provides a collaborative care plan, effectively integrated across all healthcare settings, without interrupting the workflows of its users. Utilizing automated outreach tools for patients is essential, as it allows care coordinators to dedicate more time to strategic tasks. Now is the ideal time to explore Care Director. By adopting Care Director, your team can optimize the organization of outpatient services, classify patients into healthy and at-risk categories, and receive care recommendations based on actionable clinical insights, which ultimately promotes timely interventions and enhances overall population health. Care Director enables healthcare providers to access a comprehensive care plan directly within their existing workflows, making it easier to retrieve information and communicate efficiently back to care navigators with just a few clicks. This innovative approach not only transforms the care delivery process but also empowers organizations to improve operational efficiency and elevate the quality of care provided to patients. Moreover, prioritizing such solutions can lead to long-lasting positive outcomes for both patients and healthcare providers alike.

Truity™ emerges as the first-of-its-kind health equity platform in the field, specifically crafted to enable significant clinical, social, and behavioral interventions for diverse populations directly at the point of care, with the goal of improving healthcare outcomes and building trust with patients. By implementing Truity™, healthcare providers are positioned to make meaningful progress towards achieving health equity, which ultimately serves the interests of all stakeholders within the community. Employing advanced explainable AI and machine learning techniques, Truity™ processes individual patient information and correlates it with its proprietary knowledge base, resulting in the creation of more personalized care strategies that address the specific needs of the community and enhance brand reputation. This groundbreaking methodology not only tackles urgent healthcare issues but also fosters enduring partnerships between healthcare providers and the communities they are dedicated to serving, paving the way for a healthier future. Furthermore, it encourages a collaborative environment where patient feedback can continuously refine care practices.

Greenway is dedicated to revolutionizing healthcare by delivering exceptional solutions tailored for practices, patients, and communities. Their all-encompassing, interoperable software platform caters to the varied needs of ambulatory care specialties while ensuring an outstanding client service experience. A dedicated team of clinical, financial, and technological specialists is focused on providing solutions that empower clients to succeed in the ever-evolving healthcare landscape. By emphasizing the importance of emerging client needs and incorporating direct feedback, they are able to consistently improve provider experiences through innovative products and services. Their medical software designed for ambulatory practices stands out for its reliability and user-friendliness, promoting operational efficiency and ease of navigation. With a client-centric approach, they offer a flexible suite of data-driven EHR, practice management, and revenue cycle solutions, enabling practices to effectively maneuver through industry transitions. Greenway's steadfast commitment to integrating comprehensive EHR, practice management, and medical billing systems further cements their position as a frontrunner in the healthcare technology field. This comprehensive strategy guarantees that practices not only adapt to changes but also thrive in delivering high-quality care, ultimately benefiting patients and communities. By continuously refining their offerings, Greenway remains at the forefront of healthcare innovation.

AssureCare, a privately-owned company specializing in healthcare technology, offers cutting-edge care management solutions tailored for commercial entities and health services providers. Their primary platform, MedCompass, is utilized by healthcare professionals throughout the United States, facilitating comprehensive care management for millions of patients. By enhancing workflow efficiency and automating various processes, MedCompass significantly changes the landscape of healthcare management. This innovation empowers care professionals to make more informed decisions, leading to reduced costs and a markedly enhanced quality of care. Renowned for its modular and integrated solutions, AssureCare excels in improving patient outcomes while minimizing the unnecessary expenses associated with managing population health. The company's commitment to innovation continues to set new standards in the healthcare technology sector.

Humhealth offers a variety of Medicare programs, such as Chronic Care Management and Remote Patient Monitoring, along with additional services. Their software is designed to elevate healthcare practices, enhancing the overall quality of patient care. By utilizing these innovative tools, providers can improve patient outcomes and streamline their operations.

LexisNexis Health Equity and Inclusion Insights provides a comprehensive and practical dataset that zeroes in on the social determinants of health (SDoH) at an individual level. This crucial information enables healthcare organizations to improve population health, drive clinical research forward, and engage in initiatives designed to foster health equity. By identifying barriers to care, this solution plays a significant role in optimizing service delivery while promoting more equitable healthcare options and developing varied clinical research programs. It offers de-identified datasets that can seamlessly integrate with other datasets using LexisNexis Gravitas, a sophisticated tokenization tool that employs a referential data layer to accurately match de-identified records from different origins. The pursuit of health equity fundamentally relies on the capacity to identify health obstacles and predictors of negative health outcomes, which allows for tailored interventions that have the potential to benefit individual patients significantly. Through this emphasis on precision and actionable insights, there is a strong potential for achieving enhanced health outcomes not just for individuals but for entire communities as well, creating a ripple effect of positive change in public health.

Our versatile and comprehensive array of solutions is designed within a strategic framework that empowers organizations to analyze and predict trends within communities, engage individuals along with their families and care teams in proactive initiatives, and enhance health management for better overall well-being. In contrast to traditional healthcare, which often focuses solely on the individual and associates "health" with merely the absence of illness, population health management expands this perspective by implementing strategies that benefit entire communities while emphasizing the importance of preventing and managing chronic diseases. To effectively manage population health outcomes, it is essential to tackle the root causes of health challenges, enabling healthcare providers to anticipate, prevent, and mitigate issues before they occur. By merging clinical data with social determinants of health (SDoH), healthcare professionals can uncover critical insights that not only elevate individual care but also pave the way for collaborative efforts with communities to enhance overall health and wellness. This holistic strategy ultimately aspires to cultivate healthier populations, and more efficient healthcare systems, while fostering a culture of preventive care and community engagement.

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.

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.

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 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.

Epion’s platform for patient engagement incorporates various solutions for patient access, check-in, and telehealth, fostering smooth interactions with patients throughout every stage of their healthcare experience—before, during, and after their medical appointments. Patients now expect to receive care that actively connects with and involves them in their daily lives. To fulfill this expectation, healthcare organizations must adopt the right tools and automation strategies to improve engagement, boost satisfaction, and maximize return on investment. With a strong commitment to revolutionizing healthcare, Epion concentrates solely on developing cutting-edge digital access solutions that yield better clinical outcomes and financial performance. Acting as a trusted partner for healthcare providers, we support the advancement of your value-based care goals while delivering outstanding customer service and a wide array of resources. This unwavering devotion to quality is one of the driving factors behind the growing popularity of our platform among medical practices across the nation, including everything from small, individual offices to expansive health systems. By prioritizing enhancements to patient experiences and outcomes, Epion not only strengthens its role in the healthcare technology arena but also contributes to the overall improvement of health services and patient satisfaction globally.

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.

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.

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.

IBM Phytel provides automated solutions aimed at enhancing patient engagement, which in turn optimizes resources and significantly improves patient outcomes. These innovative tools are designed to identify care gaps, set priorities for patient engagement, and monitor progress over time. By effectively increasing the number of scheduled and attended appointments, as well as annual wellness checks and telehealth consultations, healthcare practices can experience notable advancements. The system also plays a crucial role in improving performance on key quality metrics related to MIPS, PCMH, MSSP, and other standards. As a result, staff can focus their attention on other urgent care needs while ensuring patients receive timely, relevant information for the best possible care. IBM Phytel’s solutions are compatible with virtually any electronic health record (EHR), fostering collaboration among patients, healthcare providers, and care teams to achieve better health outcomes. The platform employs evidence-based communication strategies to enhance health for high-priority patients effectively. Furthermore, it supports the rollout of personalized management campaigns for chronic and preventive care, promoting proactive patient engagement. By implementing automated, multi-channel appointment reminders, healthcare practices can substantially decrease the occurrence of no-shows, leading to a more streamlined and efficient healthcare delivery process. This comprehensive approach not only addresses immediate patient needs but also lays the foundation for long-term health management and improved overall wellness.

Since joining the Netsmart family in 2017, the DeVero software has been effortlessly woven into Netsmart’s offerings, leading to a remarkable, cloud-based platform that integrates diverse care settings. The myUnity® solution merges the most effective features of both Netsmart and DeVero’s top-tier home care, hospice, and senior living services into a single, streamlined enterprise platform. Designed specifically for value-based care, this cutting-edge platform includes analytics, connectivity, population health management, and electronic referral management to cater to your unique requirements. Delve into the Netsmart solutions that are crafted to boost the operational efficiency of your home health organization, maintain compliance, and adapt to the changing healthcare landscape. Furthermore, explore how Netsmart’s hospice solutions adeptly navigate regulatory and payment complexities, allowing you to focus on enhancing patient welfare. If you're keen on experiencing our home care and hospice offerings directly, please fill out the form to get started. By adopting these innovative tools, your organization can not only keep pace with industry changes but also enhance overall performance and patient satisfaction. Embrace the future of healthcare with resources designed to help your organization flourish.

The Amadeus Digital Care Record (DCR) provides a comprehensive solution designed to equip healthcare providers with a unified view of patient information precisely when it is required. By integrating data from a variety of healthcare systems into a Health Information Exchange, this platform creates an all-encompassing, current profile for each patient. This streamlined approach not only enhances clinical decision-making and increases efficiency but also reduces clinician burnout by cutting down on repetitive tasks. In addition, the Amadeus DCR features analytical tools and care coordination capabilities that are instrumental in improving patient outcomes by identifying risks early and supporting effective care throughout the patient’s journey. By facilitating collaboration among healthcare teams, this integrated system ultimately enhances workflow and encourages a more patient-focused methodology in healthcare delivery. Consequently, the DCR represents a significant advancement in the way patient care is administered, making it a vital asset in modern healthcare environments.

Harris CareTracker differentiates itself as a top-tier software solution for healthcare, equipping medical practices and clinics with cutting-edge tools and technologies. This all-encompassing platform offers key functionalities, including Electronic Health Records (EHR), Practice Management, Revenue Cycle Management, Electronic Prescriptions, Patient Portal, and Telemedicine capabilities. Focused on both ease of use and ongoing enhancements, Harris CareTracker optimizes practice workflows, improves the quality of patient care, and boosts overall operational efficiency. By continuously adapting to the evolving needs of healthcare providers, it ensures that users stay ahead in a competitive landscape.

Clinithink distinguishes itself as a leading technology company within the healthcare industry, specializing in artificial intelligence innovations that transform unstructured medical data into meaningful insights. Their proprietary platform, CLiX, utilizes Clinical Natural Language Processing (CNLP) to interpret complex clinical narratives, which in turn enables healthcare providers to enhance patient outcomes and boost operational efficiency. Clinithink offers tailored solutions across diverse sectors such as life sciences, revenue cycle management, and population health, effectively addressing challenges like patient cohort identification, reimbursement optimization, and disease progression tracking. With its state-of-the-art technology, Clinithink has garnered trust from major pharmaceutical and healthcare organizations worldwide, solidifying its position as a frontrunner in healthcare AI and digital health advancements. Additionally, the CLiX platform excels at recognizing a broad spectrum of complex clinical concepts, including certainty, severity, laterality, and temporality, which significantly improves its effectiveness in various clinical environments. As the healthcare landscape continues to evolve, Clinithink is dedicated to refining its technology to adapt to the shifting requirements of the industry, ensuring it remains at the forefront of innovation. This commitment to continuous improvement positions Clinithink as a critical partner in the quest for better healthcare solutions.

Medbridge offers a groundbreaking collection of online resources tailored for healthcare providers and individual clinicians, shaping the future of the industry by ensuring that organizations can effectively address the diverse needs of patients throughout their care journey with optimal timing and precision. Featuring educational materials and engagement tools for both practitioners and patients, along with comprehensive reporting capabilities for organizations, Medbridge provides a unified online platform that enhances accessibility and efficiency, positioning itself to significantly advance population health worldwide. This innovative approach not only streamlines processes but also empowers healthcare professionals to deliver superior care.

A significant portion, over 70%, of healthcare information resides in clinical documents like patient charts, discharge summaries, clinician notes, and reports, which enables our advanced Natural Language Processing and AI Engine to extract crucial concepts, attributes, and contextual details that enhance business insights, refine billing processes, evaluate and categorize patient risks, compute quality metrics, and collect patient sentiment and outcome information. By leveraging previously underutilized data sources, you can greatly advance your clinical research or business intelligence initiatives. Our extensive database encompasses thousands of clinical concepts, such as genomic biomarkers, symptoms, side effects, and medications, which facilitates the identification of disease characteristics and risk factors from clinical documents, thus improving patient stratification and raising the quality of care provided. Additionally, we prioritize the anonymity of data subjects by implementing effective document de-identification techniques, ensuring their privacy while still maintaining the data's utility. This dual focus on privacy and comprehensive data empowers healthcare organizations to make well-informed decisions grounded in the most extensive information available, ultimately leading to better patient outcomes and a more efficient healthcare system.

Enhancing strategic decision-making and encouraging better collaboration across various sectors of the healthcare ecosystem is essential. The Incedo™ Healthcare Management Platform offers a comprehensive solution for medical management by integrating care management, utilization management, care coordination, and healthcare navigation, all aimed at improving operational efficiency and patient outcomes. This platform fosters enhanced communication and teamwork among Care Management, Clinical, and Utilization Management teams by delivering a consolidated view of the member care plan, which ensures a seamless transition between different management areas. Its sophisticated data capabilities simplify data collection and maintain compliance with CMS regulations through a flexible data repository designed for meticulous data tracking and reporting. Moreover, it facilitates interoperability within systems, thereby promoting better integration across healthcare services. By adopting this cutting-edge platform, healthcare organizations can not only refine their operational workflows but also elevate the quality of care provided to patients. Ultimately, this innovation represents a significant advancement in the pursuit of effective healthcare management.

When facing common illnesses like the cold or chronic conditions such as diabetes and heart disease, individuals often have many questions and concerns that require careful attention and guidance to help them understand and adhere to their treatment regimens. Health Dialog offers a range of customized population health solutions aimed at addressing these issues, thereby empowering members to improve their health while also reducing costs. Our dedicated team of healthcare professionals delivers personalized health coaching through targeted outreach, assisting members in managing chronic conditions effectively, including asthma, diabetes, and heart disease. We identify members who may struggle with following their treatment plans, determine the best strategies to engage them, and provide education to encourage consistent medication adherence. Furthermore, members have access to a live registered nurse 24/7, who can offer clinical advice, refer them to essential services, teach critical skills, and provide relevant educational resources to aid in their health journey. This all-encompassing strategy not only boosts member participation but also cultivates a well-informed and health-focused community, ultimately leading to better health outcomes for all involved. By actively engaging individuals in their health management, we create an environment where proactive care becomes the norm.

The Innovaccer Health Cloud is designed to propel your transformation journey forward. By consolidating patient information, it enables the generation of in-depth financial and clinical insights while fostering quicker innovation. Our platform assists healthcare providers in merging various patient data sources to deliver actionable insights directly at the point of care, ensuring improved collaboration among care teams and ultimately enhancing patient outcomes. We enhance connectivity and teamwork among payers, providers, and members, allowing for effective risk management, compliance adherence, and meeting the growing expectations of members. Additionally, we support medtech and biopharma companies in developing digital solutions that bridge the gap between healthcare and the optimization of real-world data throughout the entire value chain. This transformation shifts the focus from isolated systems to a unified platform, creating a comprehensive longitudinal patient record that promotes holistic care for individuals while streamlining healthcare delivery. Embrace this shift to realize the full potential of integrated healthcare.

Data has a remarkable ability to save lives during emergencies and enhance the resilience of communities. Geospiza SWIFT™, our cutting-edge web application for workflow and decision support, guarantees that high-quality data is both readily available and actionable for communities, regardless of their size or financial resources. This platform effortlessly combines over 1,000 diverse datasets and models, providing clear and actionable insights that empower informed decision-making while also allowing for the evaluation of effectiveness over time. Through Geospiza SWIFT™, organizations dedicated to public safety, disaster management, and homeland security can expedite their evidence-based decision-making processes. By leveraging a vast range of mapped data sources along with thorough population vulnerability models, users can adeptly navigate their communities, make the most of limited resources, set success metrics, and track their return on investment over time. Tailored for everyday use, our tool enables users to pinpoint the most vulnerable individuals in their communities and comprehend the underlying factors contributing to their vulnerabilities, ultimately creating a safer environment for all. This strategy not only boosts preparedness but also encourages a proactive approach to community resilience planning, ensuring that all members are considered in the process. As a result, Geospiza SWIFT™ becomes an essential asset for fostering sustainable growth and security across diverse populations.

HealthEC provides an advanced population health management platform that includes the CareConnect™ care management module and the 3D Analytics™ module, designed to enhance care quality and improve patient experiences by addressing key data challenges in the healthcare sector. Through a universal data warehouse, it seamlessly combines normalized claims, clinical, and social determinants of health (SDoH) data from multiple sources, guaranteeing CMS certification for reuse. The platform is equipped to reduce disruptions in workflow with its customizable care plans and decision-support tools, facilitating thorough care management assistance. By encouraging patient-centered care, it promotes effective collaboration with community resources while also addressing SDoH factors. Clear dashboards and point-of-care access enable healthcare professionals to gain actionable insights at various levels, including diagnosis, provider, practice, and organization. Furthermore, it strengthens managed care organization (MCO) performance evaluations and ensures adherence to CMS interoperability regulations, thereby aiding healthcare providers in achieving better outcomes. This combination of features results in a revolutionary strategy for managing population health, ultimately leading to more efficient and effective healthcare delivery. As a result, HealthEC not only improves individual patient care but also enhances the overall healthcare ecosystem.

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.

Time by Infian presents cutting-edge solutions aimed at improving the operational efficiency of clinical settings, allowing dialysis providers to embrace value-based care models more effectively. Its platform is designed with a user-friendly interface that simplifies navigation, bringing critical care information into a single, easily accessible hub, which greatly enhances the efficiency of patient rounds. The system is equipped with a range of checks and balances that ensure actions are performed accurately, thereby reinforcing compliance with established orders, policies, and procedures. Moreover, Time by Infian includes dashboards that allow for rapid and interactive evaluations of clinical data, showcased as Key Performance Indicators (KPIs). These visual tools are both intuitive and straightforward, enabling users to process large volumes of care data efficiently and fostering informed decision-making. As healthcare providers utilize these advanced tools, they can streamline their workflows, ultimately leading to better patient outcomes and enhanced quality of care in the long run. Additionally, this innovative approach empowers healthcare teams to adapt more readily to the evolving landscape of patient care.

blueBriX provides innovative digital health solutions aimed at enabling healthcare systems to thrive in value-based care, with a strong emphasis on accessibility, affordability, equity, and high-quality service. Their approach ensures that all patients receive the care they need without compromising on essential values.

Streamlined processes in operational management, clinical services, and billing allow for a more effective focus on patient care. Furthermore, a sophisticated outcomes-driven recommendation system aids therapists in developing tailored care strategies that yield the best results for every individual. Net Health Therapy emerges as the leading solution for overcoming the hurdles presented by value-based care. It offers an extensive array of features aimed at boosting the efficiency, productivity, and overall quality of care provided by therapists and their support teams. With intuitive patient admissions, simple one-click scheduling, timely compliance alerts, and customizable workflows, the transition and oversight of patient care are made effortless. Therapists are provided with vital resources that not only facilitate high-quality care and compliance but also enhance patient outcomes significantly. Additionally, the platform boasts the industry's highest-rated clinical content library, flexible mobility options, offline accessibility, and integrated compliance features, all while the recommendation engine aids in crafting patient-centered care plans that include precise treatment goals and strategies, establishing it as an essential tool in contemporary healthcare. The commitment to continuous improvement and adaptability further solidifies its role in transforming patient care delivery.

Remote Patient Monitoring (RPM) empowers patients to use connected medical devices for regular evaluations, effectively sending their findings directly to healthcare providers. This technology improves access to medical services and reduces healthcare costs, enabling safety-net providers to transition from infrequent patient visits to maintaining an ongoing, real-time patient record. Consequently, healthcare practices evolve from a reactive stance to a proactive model that aligns with value-based care (VBC) principles. Care Management services offer continuous, patient-centered support for individuals with complex medical needs. Patients dealing with chronic illnesses who engage in these programs benefit from enhanced health outcomes that stem from regular care coordination, seamless communication with healthcare professionals, and consistent telehealth appointments. Furthermore, telepharmacy emerges as a crucial component in promoting better patient health by ensuring adherence to prescribed medication regimens, including specialized treatments. The integration of these innovative healthcare delivery systems fosters a comprehensive approach to patient wellness, creating a setting where proactive management can notably diminish the likelihood of health complications. This comprehensive strategy not only improves individual health outcomes but also reinforces the healthcare system's efficiency and effectiveness.

Addressing the challenges posed by Covid-19 demands a comprehensive strategy that encompasses response, recovery, and growth. Leveraging a versatile platform equipped with advanced tools allows healthcare professionals to significantly improve patient engagement. It is vital to transition care into a virtual format that serves a wide range of patient demographics. Organizations ought to adopt unified care models that seamlessly blend virtual interactions with traditional in-person services. Spark Health provides an extensive array of solutions designed for various clients managing diverse patient populations and payment structures. Their role is essential in connecting the healthcare network, enabling fluid transitions between virtual and face-to-face care, and aiding the shift toward progressive value-based healthcare models. This integration unites all participants in the healthcare landscape, including patients, providers, families, communities, and various systems, alongside electronic medical records (EMRs), devices, and tools for remote patient monitoring. Effective communication is facilitated through secure channels such as voice calls, text messaging, video conferencing, notifications, alerts, and both patient and provider portals, with access governed by permissions. Furthermore, they promote interaction across multiple platforms, ensuring that compatibility extends to web browsers, mobile applications, wearable devices, iOS, Android, Amazon Alexa, and Google Home, thus significantly improving patient experience and access to care. In conclusion, this holistic approach is vital for building resilience and adaptability in the evolving landscape of healthcare today, ensuring that all patients receive the support they need during these challenging times.

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.

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.

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.

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.