Top Care Management Suite Alternatives

RXNT’s cloud-based Electronic Health Records (EHR) system, which includes E-Prescribing and a Patient Portal, enhances patient care while simplifying workflows for medical practices, regardless of their size or specialty. With a single database, healthcare providers can easily access the latest health information and prescription records from any device, ensuring they have all necessary data at their fingertips. The platform facilitates real-time communication between clinicians and patients, promoting improved coordination of care. Customization is made easy through the use of "smart keys" and specialized intake forms, effectively reducing redundancy in processes. Your practice will benefit from features like Patient Check-In and integrated E-Prescribing, all while remaining HIPAA compliant, ONC certified, and meeting MACRA/MIPS standards. Additionally, RXNT provides a comprehensive Practice Management (PM) solution that encompasses Medical Billing, Scheduling, and standalone E-Prescribing options. You can opt for individual solutions with transparent pricing, or select the Full Suite for a cohesive, integrated platform that addresses all your practice's needs. With RXNT, your practice can achieve greater efficiency and improved patient outcomes.

This innovative application empowers medical professionals to practice effectively from virtually any location at any time. The athenaOne mobile app enables significant clinical engagement no matter where or when it is needed. You can easily access patient information to generate and authorize orders, prepare for examinations, and document findings. The application facilitates catching up on work or even getting ahead during your leisure moments. A quick login using touch or face ID provides an instant overview of your daily schedule. You can check your appointments, review the patients you have prepared for, and keep track of your messages. With tailored patient summaries, staying informed about a patient's medical history only takes a few minutes. To see everything that has transpired since their previous visit, complete charts are readily available. The clinical inbox ensures that urgent tasks can be addressed from anywhere at any time. Additionally, AthenaClinicals simplifies the process of generating and signing orders, reviewing test outcomes, and addressing patient cases efficiently, making it an essential tool for healthcare providers. This level of accessibility and convenience significantly enhances the quality of patient care.

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.

To support the health of both patients and healthcare providers, independent practices need all-encompassing solutions. Tebra's product lineup is meticulously crafted to improve and simplify the overall experience for both patients and practices, functioning as a cohesive operating system when brought together on a single platform that serves the interests of both parties. Through the use of this interconnected system, practices can successfully draw in new patients while also keeping their current clientele engaged by boosting their online presence. Additionally, patients are supported at every interaction, creating a fluid experience that builds trust and fosters a more robust practice environment. Included in this comprehensive suite is an advanced, certified EHR solution specifically designed to address the needs of modern healthcare providers, offering critical functionalities like sophisticated charting, streamlined documentation, a complete overview of patient records, electronic prescriptions, laboratory integrations, telehealth options, and more, allowing providers to maintain oversight of their care delivery practices. With these cutting-edge resources available, practices are positioned to flourish in an increasingly challenging healthcare environment, ensuring they can adapt and meet evolving patient needs. As a result, the combination of technology and patient-centered care can lead to improved outcomes and operational efficiency.

WellSky’s offerings link numerous healthcare providers throughout the United States. Their CarePort solutions integrate data from both acute and post-acute care settings, offering a comprehensive view of the patient’s journey for stakeholders such as providers, physicians, payers, ACOs, and risk-bearing entities. This interconnectedness allows healthcare professionals to effectively coordinate patient care across the entire continuum, enhancing their ability to manage and influence treatment decisions. As a result, this leads to better patient outcomes and improved financial performance within the healthcare system. Ultimately, such solutions empower stakeholders to make informed decisions that positively impact both patient health and organizational efficiency.

The GuidingCare solution suite provides intuitive, cutting-edge tools for data integration and workflow management, aimed at improving the execution of a person-centered, evidence-driven Care Management approach for diverse populations. With its sophisticated capabilities in data analysis, workflow management, care coordination, and reporting, organizations are empowered to effectively cater to particular groups while maintaining compliance throughout all operations. By adopting GuidingCare, you can streamline coordination across the entire continuum of care, efficiently handle clinical and behavioral health needs, automate the planning of care and services, and precisely identify and tackle high-risk populations, thereby ensuring holistic care delivery. Furthermore, the suite promotes better outcomes within a fully integrated, patient-focused ecosystem that prioritizes value-based care. In addition to these benefits, GuidingCare enables your organization to enhance operational efficiency and improve patient satisfaction, ultimately positioning you for success in a competitive healthcare landscape. This comprehensive approach not only supports providers but also enriches the experience of patients, leading to better overall health outcomes.

naviHealth is transforming the landscape of senior care by partnering with health plans and providers to streamline the care transition process using advanced technology. Our primary goal is to simplify these transitions while enhancing the overall experience for seniors, providing essential news, insights, and expert evaluations. Through our unique tools designed for post-acute care planning, naviHealth offers clinical support that not only aids in patient recovery but also reduces preventable healthcare costs. By leveraging our specialized patient care management system, we empower partners to oversee care transitions more efficiently. The integration of in-market clinical assistance with state-of-the-art technology ensures a more seamless recovery path for patients, boosts satisfaction rates, and cuts down on unnecessary expenses related to post-acute care. Additionally, the committed care coordinators at naviHealth play an essential role in fostering clear communication among patients, their families, and healthcare professionals, ensuring that everyone stays informed throughout the recovery journey. This cohesive support network ultimately fosters improved health outcomes and a more streamlined care experience, reinforcing the importance of collaboration in healthcare. In this way, naviHealth exemplifies how innovative strategies can create a positive impact on senior-centered care.

Empower your healthcare personnel with sophisticated clinical-decision support software that eliminates uncertainty in capacity management throughout the entire hospital setting. This evidence-based tool not only improves bed turnover rates but also enhances the overall patient experience. By leveraging predictive analytics and more accurate data, your team can markedly boost care coordination and increase patient satisfaction levels. The bed management system provides care teams with a comprehensive view of each patient's journey, enabling effective management of bed demand and capacity across single or multiple healthcare facilities. Equip your physicians, nurses, and clinicians with software that reduces clinical biases and standardizes data collection processes. Medworxx goes beyond providing predictive analytics by utilizing data to anticipate trends, offering healthcare professionals more valuable insights. In addition, this technology cultivates a more streamlined and informed approach to patient care, which is crucial for improving the operational efficiency of hospitals. Ultimately, by embracing such innovative solutions, healthcare facilities can significantly elevate both the quality of care and patient outcomes.

TAGNOS significantly boosts the ability of healthcare professionals, allowing them to provide exceptional patient care. By concentrating on prompt surgical initiations, enhancing room turnover, and optimizing scheduling processes, healthcare staff can carry out more procedures with safety and efficacy. Furthermore, TAGNOS improves patient satisfaction by reducing the occurrence of individuals leaving without being seen (LWBS), accelerating treatment durations, and fostering better communication both within and across departments. The system also aids in superior asset management, cuts down on waste, removes unnecessary search times, and streamlines work orders while ensuring optimal supply levels. With TAGNOS OR Orchestration, healthcare providers are equipped to perform a higher volume of surgeries in a safe and efficient manner, benefiting from real-time situational awareness and performance insights that are data-driven. This robust implementation of OR Orchestration not only boosts operational efficiency but also markedly enhances the overall patient experience through timely and effective care delivery. Additionally, the comprehensive features of TAGNOS allow for a more coordinated approach to healthcare management, ultimately leading to better outcomes for both patients and providers alike.

The process of claims can extend over several months, which complicates the management of related expenses as time progresses. A slight delay of just a few minutes in identifying patient activities can trigger an unnecessary and costly admission to the hospital, a factor that is vital for effective care coordination and the success of value-based contracts. MemberMatch offers these essential insights in real time, providing care teams with the timely information they need to proactively and efficiently manage ongoing care episodes. This strategy aids organizations that bear risk in improving the quality of care while also considering the financial impact of each member interaction throughout the continuum of care, leading to better patient outcomes and enhanced financial health for the entities responsible for their care. By fostering communication between your care team and the involved clinical staff, valuable context is delivered to enhance both the quality and cost-effectiveness of care encounters, which in turn helps to avoid unnecessary admissions to out-of-network facilities and duplicate testing. Ultimately, this timely data equips healthcare providers with the knowledge necessary for making decisions that can greatly benefit both the patients and the organizations they serve, ultimately fostering a more efficient and patient-centered healthcare system.

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.

CareManager is an adaptable platform for population health management that functions autonomously from any particular electronic health record (EHR) systems, featuring capabilities such as care coordination, interoperability, analytics, outcomes evaluation, and risk stratification. Utilizing cloud technology, this platform significantly reduces the likelihood of patient readmission while upholding excellent care standards. Participating providers can work together through a shared care plan, effortlessly exchange patient information, track clinical quality metrics, and manage authorizations and claims within their network. By integrating data, CareManager uncovers trends and results, empowering healthcare professionals to make informed decisions. With immediate access to current information, CareManager offers a comprehensive view of each patient's health records, improving understanding and transparency of activities throughout the entire care continuum. Furthermore, it aids in the organization of patient assignments across various teams and agencies, ensuring that care delivery is both coordinated and effective. The holistic nature of this approach not only seeks to enhance health outcomes for communities but also streamlines operations for healthcare providers, ultimately fostering a more efficient healthcare system. By bridging gaps in communication and collaboration, CareManager enhances the overall quality of care provided to patients.

Doxer.io is an innovative cloud-based platform designed to streamline the management of medical records, ultimately aiming to elevate healthcare practices by integrating various tools to boost the efficiency of patient care delivery. This system offers customizable templates that streamline the documentation process during medical appointments, paired with an online calendar and notification features, as well as supplementary resources aimed at improving healthcare provider workflows. Notable features include advanced charting options, secure telehealth capabilities for virtual consultations, and comprehensive patient management tools that enable effective monitoring of treatment and patient progress. Users can take advantage of tailored templates generated through an easy-to-use drag-and-drop interface, along with a web-based calendar designed for effortless appointment scheduling and a centralized online dashboard that aggregates clinical information for convenient access. Doxer.io emphasizes ease of use, requiring no prior training for implementation, which makes it suitable for practices of all sizes; it allows for quick form creation while maintaining robust patient data security through 256-bit SSL encryption and thorough end-to-end infrastructure encryption. Furthermore, the cloud-based design of Doxer.io ensures that healthcare professionals can access the system from almost any location, ultimately enhancing the flexibility and convenience of managing patient care and facilitating a more responsive healthcare environment. This adaptability allows healthcare providers to focus on delivering exceptional patient outcomes without the burden of complicated software.

In healthcare settings, conditions can change rapidly, which underscores the importance of increasing patient capacity while maintaining high standards of care. SystmOne is instrumental in monitoring patient requirements and their transitions within the hospital environment. By leveraging real-time data, this platform enhances safety, improves care coordination, boosts efficiency, and elevates overall institutional performance, making it readily available to both healthcare professionals and hospital administrators. Users can efficiently fill out data entry forms and integrate them smoothly into patient records. Information can be quickly appended to these records through a user-friendly overview interface. Moreover, the system supports the organization of task lists for teams, specific patients, or consultants, promoting better resource management. It also enables the creation of both general and tailored patient pathways, which aids in streamlining patient movement across diverse departments. In addition, personalized patient pathways can be designed to optimize scheduling and improve operational efficiency. With its extensive features, SystmOne plays a vital role in enhancing hospital administration and improving patient care outcomes, ultimately fostering a more responsive healthcare system.

Boost your clinical research revenue by addressing gaps in patient care. CliniWorks’ AccelInsight™ Analytics Application supports Population Health Management by equipping clinical decision-makers with detailed reports and tools aimed at identifying areas of inadequacy in patient treatment across multiple disease categories. This application provides customized, near-real-time analytics sourced from an extensive range of structured and unstructured data, including patient medical histories, to reveal chances for quality improvement, risk stratification, and gap analysis in care management. Furthermore, AccelCare™ empowers healthcare professionals to effectively deploy preferred intervention strategies grounded in best-practice guidelines. It also aligns patient cases from medical records with established medical protocols and workflows, triggering corrective processes and real-time alerts to quality assurance teams, management, and healthcare providers to enhance the patient care continuum. Ultimately, this comprehensive strategy not only promotes clinical excellence but also cultivates a culture of ongoing enhancement within healthcare organizations, ensuring they remain at the forefront of patient care innovation.

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.

Healthcare providers and insurance plans are under mounting pressure to improve the quality and affordability of care for their most vulnerable and complex patient groups. Our mission is to help tackle the burdensome processes, disjointed care teams, and siloed data systems that obstruct the delivery of holistic care while also meeting emerging value-based care standards, which include considerations for behavioral health and social determinants of health. Presently, the U.S. spends $33 billion annually on preventable hospital admissions caused by poor care coordination and inefficient transitions, underscoring the critical need for effective strategies. CareEmpower distinguishes itself as a unique and comprehensive navigation solution that surpasses any care coordination system you have encountered. Whether your organization aims to rapidly enhance its Medicare Advantage program or build a robust population health strategy for at-risk communities, CareEmpower provides the vital tools necessary for success. It adeptly stratifies and prioritizes care opportunities for these at-risk populations, guaranteeing that their needs are addressed promptly and effectively. Our innovative methodology paves the way for improved care coordination, making it easier than ever to deliver high-quality care to those who need it most. As we move forward, the potential for transforming healthcare delivery becomes increasingly attainable.

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.

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.

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.

CareStat serves as SHP's comprehensive analytics platform tailored for post-acute care, seamlessly linking acute care providers, ACOs, payers, and physician groups with skilled nursing facilities and home health agencies. Our objective is to collectively improve the management of patient outcomes, operational efficiency, resource utilization, and partnerships among post-acute care providers. By employing SHP's proprietary readmission algorithms, CareStat synthesizes real-time OASIS and MDS data, ensuring effective patient management across the full continuum of care. This approach is aimed not only at reducing readmission rates and decreasing hospital stays but also at enhancing collaboration and refining referral practices, which ultimately translates to improved patient satisfaction. Additionally, by optimizing the data transfer process for quality and outcome metrics, we enable organizations to conserve precious time. In today's metrics-driven environment, your organization recognizes the importance of actionable insights, and meeting your objectives requires the appropriate tools and expertise for optimal performance. Ultimately, CareStat is engineered to equip providers with the essential insights necessary to achieve superior patient care outcomes, fostering an environment where both patients and providers can thrive together.

For three decades, health systems have relied on TeleTracking's operational platform to efficiently oversee bed availability and track patient journeys from entry to discharge and into post-acute care environments. TeleTracking enhances situational awareness throughout the system and delivers operational insights that streamline processes and boost efficiency. With a distinct approach and unparalleled expertise in patient flow, we ensure that your long-term goals are met while maintaining a strong commitment to delivering high-quality care. Ultimately, TeleTracking is focused on saving lives, allowing caregivers to regain valuable time, and guaranteeing that patients have a positive experience by ensuring timely access to the right level of care. Furthermore, considering the financial pressures facing health systems today, TeleTracking helps improve care delivery without incurring additional costs, requiring more space, or increasing inventory needs. By deploying forward-thinking solutions, TeleTracking enables health systems to excel in a competitive environment while keeping patient-centered care at the forefront of their mission. This commitment to innovation not only supports healthcare providers but also significantly enhances overall patient outcomes.

Coordinating care effectively, evaluating quality, identifying risks, and ensuring compliance are critical processes that depend on data from numerous sources and systems, ultimately improving the experiences of both patients and healthcare providers. Midas Health Analytics provides cutting-edge solutions aimed at boosting both operational and clinical efficiency through effective risk management, cost optimization, and the conversion of data into actionable insights. By consistently monitoring and analyzing performance trends, organizations can proactively mitigate risks, make educated decisions amid changing regulations, and cultivate a secure environment for patient care. Attaining exceptional operational efficiency becomes possible while assessing, analyzing, and communicating quality of care performance metrics to stakeholders, thereby navigating the intricate challenges of today's healthcare environment. This strategy not only heightens accountability but also encourages a culture of ongoing improvement within healthcare organizations, paving the way for better patient outcomes and enhanced service delivery.

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.

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.

CareVoyant is a comprehensive software platform designed for Home Health Care Agencies that can accommodate various services such as Private Duty Nursing, Non-Medical Care, Personal Assistance, HCBS, and Home Health, all managed under a unified system for patients and employees. With its built-in validations and proactive alerts, CareVoyant enhances operational efficiency and financial outcomes through effective exception-based management. The platform’s functions—including Intake, Authorization, Scheduling, Clinical, Financial, Care Coordination, as well as Reports and Dashboards—work together to streamline workflows, enhance care quality, and optimize reimbursement by eliminating duplicate data entry. Moreover, CareVoyant’s integrated Scheduling and Clinical tools are user-friendly, aimed at maximizing employee utilization and ensuring compliance with regulatory standards. The platform includes features like eMAR, eTAR, and Electronic Continuous Care Flow Sheets, which are essential for meeting the needs of Private Duty Nursing Home Care. Additionally, CareVoyant CV Mobile provides a convenient and cohesive solution to address varying EVV requirements across different states, offering a standardized interface for state aggregators. Handling intricate billing demands from all payers, CareVoyant is a vital resource for agencies seeking to enhance their service delivery and operational effectiveness.

Our all-encompassing platform delivers fully cohesive health plan solutions that simplify healthcare for employers, members, providers, and payers, while simultaneously adding substantial value. Valenz merges member-centric services with data-driven insights, fostering connections through personalized assistance that results in superior care and improved health outcomes. We emphasize proactive and regular engagement through impactful education and support services aimed at thwarting more serious and expensive health issues in the future. By opting for Valenz, you can cultivate a healthier member base while continually realizing cost savings for both plans and individual members year after year. To tap into the transparency and resources needed for making informed, quality-focused, and cost-effective choices, let’s explore your route to a more streamlined healthcare experience today. Moreover, the Valenz healthcare ecosystem optimization platform includes a comprehensive array of fully customizable solutions, all integrated within a unified strategic framework, providing a detailed visualization of cost, quality, and utilization opportunities, ensuring you are well-prepared to adeptly navigate the complexities of the healthcare environment. This holistic approach not only enhances efficiency but also empowers stakeholders to make more informed decisions, ultimately leading to better health outcomes for all involved.

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.

Leverage analytical insights to reduce variability, improve care quality, optimize care coordination, and effectively manage financial results. Whether operating under a fee-for-service model or a risk-based approach, the exceptional data and analytics capabilities, along with expert assistance from Optum® Performance Analytics, empower your organization to prosper in the ever-evolving healthcare landscape. Optum Performance Analytics offers a thorough longitudinal view of clinical and financial data related to your patients, healthcare providers, facilities, and networks. By integrating diverse clinical and claims information with a growing collection of sociodemographic, behavioral, and patient-reported data, you can achieve greater understanding and context. Moreover, Optum Performance Analytics is crafted to be flexible enough to meet the goals of any healthcare organization. For those seeking targeted guidance, pre-built dashboards and opportunity reports are available to pinpoint areas for care enhancement and cost reduction, ultimately enabling the development of more effective health management strategies. This adoption of advanced analytics tools not only promotes improved patient outcomes but also enhances the operational efficiency of healthcare providers, ensuring that they can navigate challenges with greater confidence and agility. As a result, organizations can utilize these insights to create a more sustainable and impactful healthcare delivery system.

Dina is designed to foster collaboration within a modern, flexible, and integration-friendly setting. The platform leverages data to identify the best post-acute and in-home care partners while providing actionable insights derived from the home environment. We build a network of top-tier partners using information sourced from CMS, your organization, as well as proprietary data gathered by Dina. Our digital framework includes post-acute providers, home health services, non-medical home care agencies, organizations addressing social determinants of health (SDOH), and family caregivers. It presents the healthcare industry’s first fully-integrated communication suite that adheres to HIPAA regulations, offering real-time messaging integrated with a care coordination workflow that covers care transitions, referrals, durable medical equipment (DME) orders, health plan authorizations, ongoing patient tracking, and family caregiver engagement. Moreover, advanced predictive models are utilized to spot patients at high risk of returning to the emergency department, thereby enhancing proactive care management. This all-encompassing strategy not only simplifies communication but also nurtures a collaborative atmosphere that can lead to significantly better health outcomes, ultimately benefiting both patients and healthcare providers alike.

At Maincare, our focus lies in providing customized digital health solutions for healthcare organizations, care teams, and payers, which empower them to improve care quality, enhance population health management, and increase performance metrics. We create sophisticated, fully integrated e-health platforms that promote a more synchronized care experience, resulting in greater patient engagement and better health outcomes. Our dedication to improving care coordination and population health is paired with a commitment to lowering costs for all stakeholders involved. Daily at Maincare Solutions, we work towards fostering innovation that enables healthcare organizations to deliver exceptional care while improving the overall health of communities. As a trusted partner in population health programs, we support healthcare provider groups in working together within a secure and efficient information-sharing framework, which streamlines and optimizes care processes for enhanced performance. Our deep expertise in digital health ensures that we provide tailored solutions that align perfectly with your specific project requirements, guaranteeing that every client benefits from the most effective tools at their disposal. By emphasizing flexibility and client satisfaction, we aim to transform the healthcare landscape and initiate a new era of healthcare delivery. This commitment to revolutionizing healthcare not only improves individual outcomes but also strengthens the entire system.

Our setup process is designed to be both simple and highly efficient. We proactively integrate our HIPAA-compliant software and services into your existing workflows without disruptions. This innovative software is tailored to assess your patient demographics, identifying those who may qualify for Chronic Care Management (CCM) and other preventive health initiatives. By combining our committed care team with cutting-edge technology, we streamline various administrative tasks such as enrollment, eligibility checks, patient outreach, and detailed record-keeping. Our holistic approach ensures that we remain responsive to your patients' needs, facilitating prompt action when required. Furthermore, our intuitive one-click interface equips healthcare providers with vital insights about patients needing immediate care, enhancing the overall efficiency of the system. Ultimately, our operation is structured to support better patient outcomes while easing the administrative burden on medical practices.

With an innovative suite of solutions and a highly integrated care collaboration network, we are redefining the notion of whole-person care, setting new expectations, and transforming the healthcare landscape. At the core of our mission is a steadfast commitment to listening, collaborating, and questioning existing norms, which serves as the bedrock for informed decision-making and enhanced outcomes. This dedication is integral to our vision and empowers us to make significant strides in diverse care settings. Armed with real-time insights and the most extensive care collaboration network in the nation, individuals can make informed choices about their healthcare and take decisive actions. Our efficient solutions enable swift identification of the most promising courses of action, thereby streamlining workflows and expediting patient care. By harnessing proactive intelligence that was once unattainable, we can effectively minimize risks, cut costs, and accelerate the shift toward value-based care. Our ultimate goal is to bring whole-person care to fruition by delivering critical context that includes both physical and behavioral health experiences, ensuring a well-rounded approach to patient wellness. This comprehensive perspective not only improves individual care experiences but also contributes to the advancement of the entire healthcare ecosystem, fostering a system that better supports both patients and providers alike.

VitalHub provides an extensive array of solutions designed to improve Patient Flow, enhance Operational Visibility, and optimize the Patient Journey, specifically for complex hospital and integrated health systems. Our cutting-edge technologies empower frontline staff, healthcare providers, and management to enrich patient experiences while boosting operational efficiency, which ultimately results in safer healthcare outcomes. We focus on advanced solutions that refine various aspects of care, including patient flow, perioperative services, demand and capacity management, virtual consultations, clinic oversight, and the overall patient journey. Moreover, VitalHub promotes enhanced transparency and communication via real-time visibility throughout the entire system, enabling integrated information exchange for coordinated care and optimizing patient movement within the facility. Our suite of EHR solutions goes beyond standard clinical data collection by providing a comprehensive and nuanced view of patients and clients directly at the point of care, allowing healthcare providers to make informed decisions promptly and efficiently. This dedication to thorough care and operational excellence not only enhances patient satisfaction but also positions VitalHub as a frontrunner in the evolution of healthcare delivery. Additionally, our ongoing commitment to innovation ensures that we continually adapt to the changing needs of the healthcare landscape.

DocSpera is an all-encompassing surgical coordination platform aimed at improving collaboration among multiple teams and locations, which ultimately results in enhanced efficiency and better patient outcomes. It is widely adopted by countless surgeons across hundreds of healthcare facilities that follow different surgical protocols. The platform provides comprehensive longitudinal data and insights that cover the full spectrum of patient care. With its adaptable interface, it manages cases from the preliminary surgical decision-making stage all the way through recovery, independent of any specific institution. Moreover, it seamlessly integrates with electronic medical record (EMR) systems and picture archiving and communication systems (PACS). The platform offers timely and reliable supply chain notifications, improving logistics and operational efficiency. By delivering predictive indicators regarding patient compliance, discharge details, and the likelihood of readmissions, it empowers healthcare professionals to take proactive measures when needed. Its intuitive web and mobile interfaces facilitate easy connections with other vital systems, ensuring that healthcare providers have access to the necessary information. By utilizing a real-time predictive framework, DocSpera guarantees effective care coordination throughout patients' surgical experiences, establishing itself as a leading solution in the industry. Importantly, it has forged integrations with over 30 EMRs and multiple third-party systems, highlighting its versatility and ability to adapt within various healthcare settings. This adaptability further ensures that healthcare teams can tailor their approaches to meet the unique needs of their patients, enhancing the overall quality of care delivered.

Effectively managing patient care requires a strategic combination of clinical knowledge and technological solutions. In a sector predominantly driven by human resources, these tools must not only facilitate and improve care management but also contribute significantly to enhancing the financial performance of healthcare organizations. AveCare provides a comprehensive care management framework that includes Care Management (CM), Disease Management (DM), and Utilization Management (UM), while also offering efficient workload handling and competitive pricing options. This forward-thinking approach empowers healthcare entities to optimize their clinical and financial capabilities, resulting in superior care quality and enhanced patient results. By enabling the integration of data from multiple sources, including eligibility, claims, pharmacy information, diagnostic tests, and predictive analytics, AveCare guarantees that healthcare providers have full access to vital patient data. Its design promotes seamless integration, allowing for the streamlined coordination of CM, DM, and UM tasks, thereby ensuring that organizations can conveniently access all pertinent activities from one central location. This comprehensive strategy not only boosts operational efficiency but also fosters a unified approach to delivering patient care, ultimately benefiting both the providers and those they serve. Moreover, as the healthcare landscape evolves, such innovative solutions will become increasingly crucial in addressing the complexities of patient management.

Netsmart Homecare encompasses every facet of home healthcare organizations, starting from patient intake and extending through documentation, scheduling, and billing. Developed by experts in the clinical and industry sectors, this software effortlessly combines business management, clinical oversight, scheduling, and mobile capabilities across various service lines, such as private duty and home health. With its ability to offer genuine interoperability, Netsmart Homecare ensures immediate access to essential patient information, including notes and care plans. This facilitates real-time data sharing among providers, which enhances care coordination and ultimately leads to improved patient outcomes. By using Netsmart Homecare, you are equipped with an EHR that not only meets the current needs of your agency but also prepares you for future challenges in home care delivery. Furthermore, this integrated approach promotes efficiency and effectiveness in managing patient care, making it an invaluable asset for any home healthcare organization.

At the core of our mission lies the transformation of scattered health data into actionable insights. Clarify Health's analytics platform eliminates the confusion that often accompanies healthcare data, allowing organizations to thrive in a world reshaped by the pandemic. We deliver precise insights regarding healthcare provider performance, patient experiences, and therapy adoption rates. Our advanced analytics software empowers you to effectively improve physician performance, connect patients with the appropriate care options, and skillfully navigate value-based agreements. By leveraging our insights, you can accelerate product launches, promote growth, and demonstrate real-world effectiveness, all while simplifying outcomes-based contracts. We help you identify top-performing physicians and facilities, which enhances the personalized experience for members and optimizes value-driven interactions. Our insights are crafted through a variety of predictive models, providing real-time analyses that lead to a measurable return on investment. With a foundation built on extensive data and innovative technology, we are committed to turning health data into meaningful outcomes that significantly impact patient care. As the healthcare landscape continues to evolve, our platform equips stakeholders with the tools they need to make informed decisions that improve health outcomes for all. This commitment to data-driven excellence ensures that we remain at the forefront of healthcare innovation.

Explore a specialized analytics-driven tool crafted for healthcare providers to effectively manage claims and remittances, aiming to refine workflows, optimize resource utilization, decrease denial rates, and improve cash flow. Enhance your initial claim acceptance rates with our comprehensive editing suite that ensures compliance with the latest payer guidelines and regulations. Increase your team's productivity by leveraging intuitive workflows that focus on exceptions while automating repetitive tasks. Your staff can easily access our adaptable, cloud-based platform from any device, promoting uninterrupted operations. Simplify the handling of secondary claims with the automatic generation of secondary claims and explanations of benefits (EOB) derived from primary remittance advice. Utilize predictive artificial intelligence to prioritize claims that need urgent attention, facilitating quicker error resolution and reducing the likelihood of denials before submission. Whether you are processing primary paper claims or organizing claims and EOBs for secondary submissions, you will experience enhanced efficiency in your claims processing. By adopting these innovative features, you can substantially improve your claims management approach and take your practice to the next level. This progressive solution not only streamlines operations but also empowers your team to focus on delivering exceptional patient care.

The cornerstone of all your actions revolves around delivering optimal patient care. We enhance this commitment with tools designed to streamline your team's processes, digitize essential data, and ensure that clinical documentation reaches the appropriate individuals at the most critical moments. Forcura stands out as the preferred clinical workflow solution among leading healthcare organizations. It effectively manages the complexities of care transitions and facilitates coordination among your teams. By consolidating referrals from various sources into a single platform, Forcura enables your team to monitor, track, and respond to referrals seamlessly. Home healthcare teams can collaborate efficiently, accessing the platform from any location with internet connectivity. In a realm where every moment is precious, our solutions promote quicker patient onboarding and more efficient workflows. Automated technologies further optimize patient referrals and hasten billing cycles, while digital workflows and patient-centered tools work to significantly lower operational costs. With Forcura, your organization can not only enhance productivity but also ensure that patient care remains at the forefront of your mission.

To improve healthcare results, it is crucial to view the patient as a whole, empower both the individuals receiving care and their support teams, and enhance the scalability and effectiveness of care management initiatives. Optum® Patient Care Management allows organizations to take a proactive and informed approach to managing patient care across the healthcare landscape, creating sustainable networks that foster authentic patient-centered experiences throughout all stages of the healthcare journey. By developing intelligent workflows that automatically initiate necessary actions and crafting precise interventions along with personalized care plans, Optum Patient Care Management empowers care managers to focus on vital aspects that greatly affect the quality and cost of care. Additionally, by collating and standardizing various clinical and claims data, alongside an ever-growing collection of sociodemographic, behavioral, and self-reported patient information, Optum offers a thorough, 360-degree perspective of each patient involved in care coordination. This comprehensive strategy guarantees that healthcare delivery is not only thorough but also specifically designed to cater to the distinct needs of every individual effectively, thereby improving overall patient satisfaction and outcomes. Ultimately, this innovative approach helps foster stronger relationships between patients and providers, driving better health results in the long run.

Launch your services swiftly and economically through the provider portal from LucidAct Health. With this innovative platform, you can expand your offerings effectively and without unnecessary costs. LucidAct facilitates the creation of a secure API-driven data feed from your apps or devices, and if needed, we can also link you to a network of experienced care coordinators and nurses. Our workflow module is akin to Trello but tailored for healthcare teams, making task assignments easier while delivering timely notifications throughout the patient care journey. You have the ability to guide your remote care team with prompt tasks that align with the workflows you design or adjust as needed. This platform not only aids in symptom tracking but also promotes proactive patient engagement, generating valuable reports on productivity and task management. Furthermore, our solution supports API-driven data integration to optimize your operations seamlessly. The payment module operates similarly to Stripe, modernizing the payment process by replacing outdated insurance communication methods with efficient digital solutions. Providers will enjoy easy access to essential data and analytics that illuminate patient outcomes and engagement levels. Ultimately, your Provider Portal acts as a crucial sales channel, enhancing your overall reach. Additionally, utilizing these advanced tools can lead to a remarkable improvement in the quality of care delivered to patients while bolstering operational efficiency. By prioritizing these enhancements, healthcare organizations can meet the evolving demands of the industry and better serve their communities.

Acuity Advanced Care™ is a dynamic on-premise platform designed for population health management, accommodating the diverse needs of case, utilization, disease, and overall health management initiatives. By providing organizations with complete control over their environments, this system allows for tailored customization to align with each organization's unique care model. Impressively, more than 90% of those who utilize Acuity Advanced have secured either NCQA or URAC accreditation, or both. The platform merges the benefits of on-premise adaptability with extensive database access, enabling firms to maintain authority over their data storage solutions. Particularly suited for clients with proficient IT teams, Acuity Advanced Care facilitates the effective configuration, security, and oversight of complex systems. Chordline Health emerges as a leading software provider dedicated to serving health plans, TPAs, ACOs, and other entities that assume financial risk. The Chordline team, which comprises skilled clinicians and developers based in the U.S., is renowned for its outstanding managed care knowledge and dedication to exceptional customer service, greatly enhancing the user experience. This unwavering commitment to excellence guarantees that clients receive the necessary support to succeed in a rapidly changing healthcare environment, empowering them to meet their evolving challenges head-on.

At the point-of-care, processes for authorization, claim processing, and payment are efficiently integrated. By enhancing care coordination, we aim to achieve improved health outcomes while reducing medical expenses and simplifying administrative workflows. Engaging providers directly at the point of care allows for immediate data sharing and collection, facilitating an unparalleled flow of health information. Our collaboration with clients focuses on developing risk management strategies that lead to superior outcomes at reduced costs. We strive to enhance the experience for all participants within the healthcare ecosystem. To maximize the effectiveness of our clients' resources, we ensure a minimum return on investment of 3:1. Conexia has developed a versatile core technology platform known as ONE, which can be tailored to align with the varying regulatory needs and operational workflows of each client in different regions. Typically, our initial implementation serves as an enhancement to the existing technology framework of payers, enabling real-time operational capabilities that significantly improve efficiency. Ultimately, our goal is to create a seamless integration that benefits all stakeholders involved in the healthcare process.

We improve the operational efficiency of various healthcare facilities worldwide while also enhancing the experiences of patients and staff alike. Our innovative solution simplifies ambulatory care pathways, granting patients increased reassurance. With LGI eClinibase, the clarity of patient care pathways is notably enhanced, and waiting periods are minimized through the distribution of comprehensive information about each care event. The shift from paper to digital formats enables swift access to essential data concerning referrals, waiting lists, and appointments. Users benefit from the ability to create lists and summaries from various clinical administrative systems related to all care episodes. The platform ensures seamless management of referrals, appointments, and patient communications throughout the entire facility, fostering an integrated workflow. In addition, it provides automatic recommendations for correcting patient records and efficiently detects duplicate entries. Beyond that, it manages the agenda of professional activities, which includes intake management, appointments, clinical documentation, and statistical reporting for the MSSS, thus significantly enhancing operational efficiency across the healthcare sector. Our commitment to technological advancement in healthcare continues to shape a more effective and patient-centered environment.

Improve patient care by implementing a unified enterprise imaging strategy that enhances coordination across specialties. By streamlining imaging processes with adaptable solutions, you can promote efficient care collaboration, speed up accurate clinical decisions, and achieve better financial outcomes. Our all-encompassing suite of enterprise imaging solutions provides a secure and integrated platform that optimizes workflows, boosts workforce productivity, and reduces IT complications. Utilizing cloud-native technology allows for agile upgrades, strong cybersecurity measures, and effective data storage, complemented by advanced applications that ensure smooth operations. Lower costs by consolidating systems, eliminating unnecessary hardware, and automating routine tasks. Increase revenue by accurately billing all encounter-based examinations and elevating compliance through meticulous documentation of clinical decisions and billing support. Additionally, by centralizing enterprise imaging onto a single streamlined platform, you can reduce your IT footprint, eliminate redundancies, and enhance IT performance overall. This comprehensive strategy not only simplifies operational processes but also contributes to building a more resilient healthcare environment while fostering innovation in patient care delivery.

Noona® presents a thorough management solution designed to improve patient outcomes by engaging patients actively in their treatment process through real-time symptom reporting and monitoring, optimized clinical workflows supporting evidence-based practices, and access to a wealth of data insights for better ongoing care management. Patients have the flexibility to report their symptoms, complete questionnaires, and connect with their healthcare teams at their convenience. This method allows care teams to collect highly specific and detailed information tailored to each patient's individual diagnosis and treatment plan, which promotes more informed decision-making. Additionally, automated prioritization enables healthcare providers to swiftly identify and attend to patients requiring immediate care. The platform boasts over 31 treatment modules that cover more than 97 common cancer types, enhanced by 244 algorithms that evaluate symptom severity based on established guidelines. Its ability to be deployed remotely ensures rapid implementation, granting patients immediate access to the system for use. Ultimately, this innovative approach significantly improves the quality of patient care and outcomes throughout the entire treatment process, fostering a more collaborative environment between patients and healthcare providers. By leveraging technology, Noona® aims to transform the patient experience and promote better health management.

We offer a comprehensive range of innovative products and solutions crafted by industry experts who take online systems, data, and tools to new heights. Our cost-effective system is specifically designed to streamline patient flow, which in turn enhances productivity, overall performance, and the experience of patients. By utilizing our services, you can devote more attention to your patients rather than getting bogged down by administrative tasks. Our solution significantly mitigates issues related to absenteeism, presenteeism, and disabilities within your organization, resulting in a more efficient workforce. With our platform, you can make a profound difference by improving the oversight and promotion of your services. We are dedicated to supporting you in providing care for the elderly demographic, ensuring they receive the attention they deserve. The tools we offer are indispensable in boosting both the effectiveness and efficiency of your operations. Our team performs comprehensive analyses to create customized solutions tailored to your unique requirements. As specialists in healthcare technology, we understand and speak the language of the industry fluently. Our platform drastically reduces the burden of administrative tasks, enabling you to invest more time in direct patient care. We are firm believers that any technological progress that aids human welfare should be shared for the benefit of all. By collaborating, we can pave the way for a healthier future for all individuals in our communities, fostering a spirit of collective well-being and care.

TimeDoc Health partners with various healthcare entities to roll out scalable care management initiatives that follow recognized best practices and are supported by dependable technology. Our solutions are designed to excel in delivering both integrated and virtual care experiences. We provide a comprehensive enterprise platform along with care management services that address various aspects of patient care, including medication adherence, appointment scheduling, and support with durable medical equipment (DME). Our integrated offerings aim to deliver actionable insights related to chronic conditions while improving care management services, which helps minimize medication errors, inaccurate health readings, missed appointments, and other common challenges. Furthermore, we offer connected care services that emphasize the proactive management of mental health for patients dealing with chronic illnesses, aided by specialized behavioral health care coordination. Created by healthcare professionals, TimeDoc's care management solutions easily integrate into existing EHR systems and workflows, ensuring a seamless transition that enhances the overall delivery of patient care. By adopting our innovative strategies, we aim not only to improve health outcomes but also to cultivate stronger relationships between patients and healthcare providers, ultimately leading to a more effective and compassionate healthcare experience.

The healthcare sector is beset by issues such as duplicated patient records, insufficient treatment options, and soaring costs. At 4medica, we tackle these data-related hurdles by establishing a robust foundation for data quality, which enhances operational efficacy and empowers healthcare providers to offer more effective care to those in need. Our platform greatly elevates the reliability of your health data, making the vision of "one patient, one record" a tangible reality. Think of us as the central hub for Health Data Quality (HDQ). Yet, what does health data quality actually mean? It encompasses the transformation of health data over time, emphasizing its relevance based on the manner, location, and timing of its recording and management. As our world becomes increasingly digital, the necessity for high-quality data in healthcare is more critical than ever. By enhancing data to be more sophisticated and actionable, you can facilitate better care coordination, gain deeper clinical insights, and ultimately foster a healthier community. The role of dependable health data is vital, as it serves as the fundamental support for effective healthcare delivery, ensuring that patients receive the best possible outcomes. In a landscape where precision and reliability are paramount, prioritizing health data quality can lead to transformative changes in patient care and overall health system efficiency.