List of the Best CareJourney Alternatives in 2026
Explore the best alternatives to CareJourney available in 2026. Compare user ratings, reviews, pricing, and features of these alternatives. Top Business Software highlights the best options in the market that provide products comparable to CareJourney. Browse through the alternatives listed below to find the perfect fit for your requirements.
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Battelle
Battelle
Transforming healthcare delivery through innovative insights and collaboration.We provide essential insights designed to improve healthcare systems' capacity to meet the needs of their patients effectively. Our dedication to innovation and enhancement has attracted collaborations with organizations such as the Centers for Medicare & Medicaid Services (CMS) and the Defense Health Agency (DHA) in partnership with Battelle. By concentrating on both large and small healthcare organizations, Battelle aims to elevate the overall effectiveness of healthcare delivery. Our mission focuses on addressing challenges in acquiring better information, which is crucial for making informed clinical decisions at the point of care. Consequently, our solutions lead to marked improvements in patient outcomes while reducing unnecessary inconsistencies in healthcare provision. Moreover, we evaluate the effectiveness of various messaging strategies utilized across different communication platforms, examining how proposed messages and materials perform. This detailed methodology enables us to continuously refine our strategies, ensuring healthcare providers can offer the highest standards of care possible. In doing so, we strive to create a more responsive and efficient healthcare landscape for all stakeholders involved. -
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Pearl
Pearl Health
Transforming care delivery through intelligent, seamless patient engagement.Pearl has developed a groundbreaking platform that utilizes artificial intelligence to assist healthcare teams in reducing unnecessary costs, improving patient outcomes, and succeeding in value-based care by identifying key patients and promoting timely interventions, all while integrating smoothly into current workflows to avoid any disruptions. This advanced technology combines predictive analytics with actionable strategies, focusing on substantial outreach and automating follow-up processes, assessing provider preparedness and cohort risk to match participants with appropriate payment models, and translating intelligence into meaningful actions that drive improvements in clinical, financial, and operational performance. Furthermore, the platform is designed to integrate effortlessly into existing provider systems, allowing healthcare teams to deliver exceptional care on a broader scale. With its sophisticated data science and actuarial features, it maximizes cost savings, enhances performance benchmarks, and accommodates various models such as ACO REACH, MSSP, and Medicare Advantage, while providing physicians with intuitive tools that simplify care delivery, reduce their burden of routine tasks, and improve the management of patient panels. Ultimately, Pearl's solution distinguishes itself in the healthcare sector by emphasizing both efficiency and effectiveness in care delivery, ensuring that its comprehensive features yield significant benefits for both providers and patients alike, and paving the way for a more sustainable healthcare future. -
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CareEmpower
HealthBI
Transforming healthcare delivery through innovative care coordination solutions.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. -
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Trella Health Marketscape
Trella Health
Empower your agency: elevate referrals, enhance patient care.Many patients urgently require your home health services, yet a significant number of doctors who could make referrals are not doing so. This issue can likely be traced back to your sales and marketing teams' failure to utilize the 75% of Medicare claims associated with office visits. Demonstrating your ability to cut costs while improving patient outcomes is crucial. For example, Home Health Agency A can quickly prove its effectiveness compared to Home Health Agency B in terms of hospitalization and readmission rates. With Marketscape for Home Health, you can revamp your sales and marketing strategies to effectively engage the most promising physician and facility referral sources. Our cutting-edge technology and committed support allow you to evaluate how you stack up against your competitors based on various metrics, such as hospitalization and readmission rates, diagnostic categories, acuity levels, time to care initiation, overall care expenditures, and many other quality measures. Utilizing this data enables you to strategically direct your efforts towards increasing referrals, which in turn enhances patient care and elevates the overall reputation of your services. By embracing this approach, you not only meet the immediate needs of patients but also position your agency for long-term success in a competitive market. -
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Phamily
Jaan Health
Elevate patient care and profits with streamlined management solutions.Transform your income sources by adopting a cutting-edge monthly Chronic Care Management (CCM) program, which Phamily makes easier to implement, increasing profitability by 5-10 times. Launched by The Centers for Medicare & Medicaid Services (CMS), the CCM initiative ensures regular monthly payments for the ongoing care you provide to patients beyond their standard visits. This program not only permits billing for routine tasks your staff undertakes, such as making phone calls, processing prescription refills, coordinating referrals, and managing lab work, but also promotes elevated care for patients with multiple chronic conditions. Providers can receive an additional reimbursement of $42-$139+ each month for each patient, depending on the complexity and time required. Despite the potential of Chronic Care Management to serve as an essential support framework, the absence of appropriate tools can hinder its effectiveness. A standard provider might enroll approximately 250 CCM patients, potentially earning over $125,000 in a year. However, many organizations often find themselves at a financial loss with their CCM initiatives due to cumbersome strategies that depend heavily on electronic health records, regular phone contact, and manual documentation. By optimizing these processes and adopting more efficient strategies, healthcare providers can realize the full benefits of CCM while improving their financial stability and patient care outcomes. Ultimately, embracing innovative solutions is key to thriving in today's healthcare landscape. -
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Care Director
Altera Digital Health
Streamline care coordination, enhance patient satisfaction, optimize outcomes.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. -
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HEALTHsuite
RAM Technologies
Streamline health plan management with seamless efficiency and accuracy.HEALTHsuite offers an all-encompassing benefit management system along with claims processing software tailored for health plans that oversee Medicare Advantage and Medicaid benefits. As a rules-driven auto adjudication solution, HEALTHsuite streamlines every facet of enrollment and eligibility, benefit management, provider contracting and reimbursement, premium billing, care coordination, claim adjudication, customer service, and reporting, among other functions. By integrating these processes, HEALTHsuite enhances efficiency and accuracy for health plan administrators. This comprehensive approach ensures that all stakeholders can manage their responsibilities with greater ease and precision. -
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Health Dialog
Health Dialog
Empowering health through personalized coaching and expert guidance.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. -
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Optum Performance Analytics
Optum
Transform healthcare with data-driven insights for success.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. -
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AWS HealthLake
Amazon
Transform healthcare with advanced analytics and machine learning solutions.Integrate Amazon Comprehend Medical to extract valuable insights from unstructured data, allowing for efficient search and retrieval capabilities. Utilize Amazon Athena for predictive analysis in health data, while also employing Amazon SageMaker machine learning models and Amazon QuickSight for thorough analytics. It is essential to maintain compliance with standards such as Fast Healthcare Interoperability Resources (FHIR) to ensure effective interoperability. Implement cloud-based medical imaging solutions to increase scalability and reduce costs. AWS HealthLake offers a HIPAA-compliant platform that allows healthcare and life sciences organizations to achieve a chronological view of health data, facilitating extensive queries and analytics. Advanced analytical tools and machine learning models can be used to evaluate population health trends, predict outcomes, and effectively manage healthcare expenses. By pinpointing deficiencies in care delivery, organizations can initiate targeted interventions grounded in a comprehensive understanding of patient journeys. Moreover, applying sophisticated analytics and machine learning to structured data can enhance appointment scheduling and reduce unnecessary medical interventions, ultimately leading to better patient care. As the healthcare landscape continues to evolve, the adoption of these technologies will be vital for optimizing operations and enhancing overall health outcomes. This proactive approach not only benefits patients but also aids healthcare providers in delivering more efficient services. -
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Virtual Benefits Administrator (VBA)
Virtual Benefits Administrator
Streamline benefits management with unparalleled flexibility and efficiency.The Virtual Benefits Administrator (VBA) is recognized as the leading cloud-based software for managing benefits within the industry. With its wide-ranging capabilities and unparalleled flexibility, VBA allows users to efficiently design and manage a variety of health benefits, such as medical, vision, dental, disability, Medicaid, Medicare, Medicare Supplement, care management, long-term care, health savings accounts (HSAs), flexible spending accounts (FSAs), health reimbursement accounts (HRAs), and COBRA. This broad spectrum of services establishes VBA as a vital resource for organizations aiming to enhance the efficiency of their benefits administration workflows. Furthermore, its user-friendly interface ensures that both administrators and employees can navigate the system with ease. -
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HealthAPIx
Google
Transforming healthcare through innovative, collaborative digital solutions for all.Create synergies among healthcare organizations such as hospitals and clinics, health insurance providers, and life sciences firms with application developers and health data collaborators to devise pioneering digital services utilizing FHIR APIs. Improve the effectiveness and safety of transitions throughout the care continuum, applicable to both in-patient and out-patient scenarios. Provide tailored wellness and preventive solutions for individuals at risk, promoting a proactive approach to health management. Foster collaboration among patients, healthcare practitioners, and physicians to tackle chronic conditions efficiently, resulting in enhanced management outcomes. Emphasize the development of patient-focused digital services that prioritize user experience and safety, while mitigating risks during transitions in care. Implement a robust enterprise platform designed for managing, securing, and scaling APIs that maintain independence from specific FHIR servers. Effectively unify healthcare data from numerous sources, which may include internal systems, external collaborators, or open-source FHIR-compatible resources. By rapidly deploying digital services such as mobile applications, further the goal of patient-centered healthcare and bolster data interoperability, ultimately enhancing healthcare delivery for all stakeholders involved. This strategy not only boosts patient engagement but also catalyzes innovation throughout the healthcare sector, creating a more responsive and effective system overall. Such advancements pave the way for a future where healthcare is more accessible and efficient for everyone. -
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Inovalon Data Cloud
Inovalon
Unlock groundbreaking healthcare insights with unparalleled data diversity.Our extensive dataset of primary sources is unparalleled in its diversity and depth, serving as a critical resource for professionals in the healthcare field who seek to uncover valuable insights that can improve health results and economic performance. By leveraging relevant data extracts that cover a broad range of care, including precise provider identification and a holistic view of the patient experience, healthcare stakeholders can securely link to external datasets, thus driving innovation in the industry. Enhance research initiatives and improve health outcomes through longitudinally linkable, deidentified real-world data essential for making well-informed choices. We perform over 1,100 thorough data integrity assessments to ensure accuracy and consistency, utilizing industry-standard practices for quality assurance and smooth integration. Discover groundbreaking insights through our rich and relevant real-world data offerings. Furthermore, by utilizing customized extracts from both open and proprietary primary sources, researchers can streamline their efforts and advance clinical results while also evaluating provider performance. Our unwavering dedication to data quality and relevance empowers healthcare professionals to make optimal decisions, ultimately fostering a healthier future for all. In this rapidly evolving landscape, the use of our dataset positions researchers at the forefront of healthcare innovation. -
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Oracle Health Care Tracker
Oracle Health
Streamline patient care with user-friendly, adaptable tracking solutions.Oracle Health Care Tracker is a robust long-term care solution tailored to aid organizations in managing patient information, tracking objectives, monitoring key metrics, and uncovering trends. This user-friendly electronic data collection system is easy to implement and significantly minimizes the dependence on traditional paper documentation. It proves especially beneficial for monitoring individuals who might be vulnerable to COVID-19. As healthcare providers aim to offer services to at-risk populations in various environments, having a quick-to-deploy tool that accurately captures and manages patient data is crucial. Care Tracker facilitates the prompt and accurate tracking of individuals, ensuring their healthcare requirements are adequately addressed. Furthermore, this adaptable solution is suitable for a range of care settings, such as post-acute facilities, hotels, and convention centers, while emphasizing assessments related to social determinants of health, thereby improving the overall quality of patient care. In conclusion, Care Tracker not only streamlines the documentation process but also enhances care delivery efficiency across numerous platforms, ultimately contributing to better health outcomes. -
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Olio
Olio
Transforming healthcare through collaboration and real-time data solutions.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. -
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Axxess Home Health
Axxess
Transform claims management for faster payments and growth!Improve your organization's cash flow by effectively managing claims from Medicare, Medicaid, and numerous commercial payers. By utilizing real-time automated processing for all claims, you can ensure prompt submission from any location, which accelerates payment timelines. Easily submit and track your claims at any time and from anywhere, while receiving instant updates on their progress. Each client is assigned a dedicated account manager, a certified professional in healthcare claims, ensuring you have direct access to their mobile number for urgent matters. Not only can you enhance your revenue streams and optimize cash flow through our automated claims processing, but you will also gain comprehensive visibility into all electronic funds transfers (EFT) and future payment predictions. Furthermore, you can manage, oversee, and correct claims in real time to maximize revenue capture and eliminate inefficient, time-consuming practices. In addition, automate the verification of Medicare eligibility alongside claims processing for seamless operations. This innovative strategy not only simplifies your processes but also equips your organization for ongoing financial prosperity while fostering a more efficient working environment. By streamlining these functions, you can focus more on strategic initiatives that drive growth. -
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Agilum
Agilum
Transforming healthcare with data-driven insights for better outcomes.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. -
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Direct Care Innovations
Direct Care Innovations
Boost efficiency and precision in healthcare authorization management.DCI is dedicated to supporting providers and government agencies in the Medicaid, Medicare, and Managed Care domains. Our cutting-edge software solutions are designed to boost operational efficiency, enabling you to effectively assist the direct care sector in a variety of settings, from bustling cities to isolated areas. With the commitment of our skilled team, we can have you operational in under 90 days. Are you looking to enhance the authorization workflow for your healthcare organization? At Direct Care Innovations (DCI), we offer a Real-Time Authorization Management Module that is seamlessly integrated into our all-encompassing business management platform. This module is specifically designed to serve as a real-time tool for managing and reconciling authorizations linked to Medicaid, Medicare, Managed Care, and other insurance types based on service codes. It functions as the ultimate record-keeping system, allowing agencies to efficiently access and oversee their service authorizations. By adopting our solutions, you can dramatically improve the efficiency and precision of your agency's authorization management processes. In addition, our support team is always available to provide guidance, ensuring that your organization can adapt swiftly to any changes in regulations or operational needs. -
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MEDENT
Community Computer Service
Transforming healthcare efficiency, engagement, and outcomes through innovation.MACRA influences all healthcare providers who exceed $90,000 in Part B billing and cater to over 200 Medicare patients each year. Physicians face evaluations compared to their colleagues, which may result in negative impacts on their total Medicare earnings. The initiative encompasses two main reimbursement frameworks: MIPS and Advanced APMs. Furthermore, the Patient Portal is an essential tool that enhances the interaction between healthcare practices and their patients. The features offered by the MEDENT system are unmatched, providing exceptional practice management capabilities. Our EMR/EHR solution is designed with a strong focus on efficiency and reliability, allowing healthcare professionals to prioritize the delivery of high-quality care. By utilizing these sophisticated tools, practices can not only streamline their operational processes but also foster better patient engagement and satisfaction. Ultimately, the integration of these technologies leads to improved healthcare outcomes for all parties involved. -
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OMS Trace Analytics
Objective Medical Systems
Transform cardiovascular care with powerful, data-driven insights today!Enhance the success of value-based healthcare by utilizing the OMS Trace Analytics® cloud platform, which excels in analyzing and reporting crucial cardiovascular metrics. As the landscape of reimbursement increasingly prioritizes value, it's noteworthy that during the 2018 performance year, 60% of Medicare payments were linked to quality metrics within the Quality Payment Program. This statistic underscores the urgent need for an accurate, data-driven, and evidence-based quality reporting solution designed to assess, target, and advance your quality initiatives effectively. The OMS Trace Analytics® cloud platform is meticulously designed to deliver deep clinical insights into cardiovascular health, with specialized dashboards concentrating on vital cardiovascular conditions such as Hypertension, Dyslipidemia, Atrial Fibrillation, Heart Failure, Coronary Artery Disease, and Peripheral Artery Disease. By harnessing these sophisticated analytics, healthcare providers can adeptly manage the challenges of value-based care while simultaneously enhancing patient outcomes and overall care quality. Ultimately, this innovative approach fosters a more proactive and informed healthcare environment for both providers and patients alike. -
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Perception Health CARE
Perception Health
Transform patient care with advanced, tailored disease prediction models.Elevate your risk management capabilities and enhance the quality of care for your community by utilizing the disease prediction models available in CARE™. Our platform offers an extensive overview of medical claims data on a national level, which can be customized to address the precise requirements of our clients in detail. By analyzing billions of medical claims, our advanced models identify critical risk factors associated with early disease onset or the need for surgical procedures. With access to this essential information, healthcare professionals can begin diagnoses and treatments sooner, potentially saving lives in the process. Although our prediction models are developed using a vast array of national data, they are equally adaptable to your own electronic health records, population health systems, or member claims databases, allowing for a more tailored approach. Moreover, our physician matching functionality connects patients with the most appropriate healthcare providers, improving their treatment journey toward the best possible outcomes. Utilizing clinically relevant data, our state-of-the-art disease prediction models can detect individuals at risk of developing various conditions, empowering you to reach out and start treatment before issues worsen. This proactive approach not only leads to better patient outcomes but also streamlines the overall healthcare delivery process, ultimately benefiting the entire community. By embracing these tools, healthcare organizations can transform their approach to patient care and risk management. -
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William
Certifi
Revolutionize billing with seamless, transparent, and personalized solutions.William, an innovative automated premium billing and payments solution developed by Certifi, optimizes membership accounting, payment handling, collections, and remittance tailored for digital benefits-based billing. With its capabilities, users can seamlessly conduct fully electronic billing transactions in complex scenarios, including payer-sponsored marketplaces that serve both group and individual audiences, as well as niche markets such as Medicare Advantage and Medicaid. This powerful enterprise-level accounting system adheres to GAAP standards, ensuring compliance and providing transparent audit trails for efficient general ledger oversight. Furthermore, all customer-facing invoices, reports, portals, and tools are personalized to fit your organization’s branding perfectly. The platform also incorporates rules-driven communications to effectively manage delinquency and policy terminations, enabling a smooth process from initial alerts to policy suspension or cancellation. Additionally, both consumers and employers are empowered with the option to set up either one-time or recurring payments through their preferred payment methods. This holistic approach not only elevates the user experience but also underscores the necessity of maintaining financial accuracy and transparency throughout the billing cycle, fostering trust and reliability in the process. Ultimately, William stands out as a comprehensive solution that advances efficiency and enhances the overall financial management experience for all stakeholders involved. -
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Change Healthcare Data & Analytics
Change Healthcare
Transforming healthcare with data-driven insights and patient empowerment.Access essential and current insights designed to improve patient outcomes, reduce costs, and broaden your business's influence. Our groundbreaking solutions leverage your data's potential, providing a comprehensive view of patients, members, prospects, your organization, and the wider community, which helps enhance care quality, increase revenue, and maintain compliance. By employing statistically significant, deidentified, and targeted data sets, our services allow you to analyze healthcare usage patterns, population health metrics, and the impact of social determinants at local, regional, and national levels. Collaborate with industry colleagues and Change Healthcare experts to foster knowledge sharing and innovative ideas, ensuring your initiatives are effective. Develop a user-friendly experience for patients that nurtures engagement, loyalty, and additional revenue opportunities. Furthermore, empower your patients to easily compare medical services, schedule appointments, complete necessary paperwork, and manage payments through their digital devices, thereby enriching their entire healthcare journey. This commitment to patient empowerment and effortless interaction is likely to cultivate a more dedicated and satisfied patient demographic, ultimately benefiting your organization. Additionally, as patients feel more in control of their healthcare choices, their trust and connection to your services will deepen significantly. -
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ActiveHealth CareEngine
ActiveHealth
Transforming data into actionable insights for better health outcomes.The prosperity of your organization is fundamentally tied to the welfare of its employees. By leveraging a wide range of interconnected data—spanning consumer behavior, pharmacy records, clinical metrics, and financial details—we can reveal significant opportunities for both groups and individuals. This is where our CareEngine technology becomes essential. Our methodology consists of translating and scrutinizing this extensive data through evidence-based clinical analytics that have been peer-reviewed, enabling us to pinpoint strategies for improving care quality. We emphasize identifying programs, creating a cohesive digital experience, and offering tangible insights for coaches and clinicians while focusing on health initiatives for members. Furthermore, our connections with provider EMR systems and the utilization of Care ConsiderationSM alerts for healthcare professionals streamline operations effectively. Our specialization is in engaging and supporting at-risk and disengaged members who frequently encounter complicated medical, behavioral, and social issues. Thanks to our distinctive capabilities, we are poised to make significant improvements in health outcomes while minimizing costs. ActiveHealth has been fully accredited by URAC in health utilization management since 1992, reflecting our dedication to excellence in this area. Moreover, our continuous efforts to innovate and adapt to the changing healthcare environment ensure that we maintain our leadership in advocating for improved health for everyone. In addition, our commitment to utilizing cutting-edge technology further enhances our ability to deliver superior healthcare solutions. -
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Truveta
Truveta
Transforming healthcare insights into better patient outcomes daily.Truveta functions as a health data and analytics platform aimed at utilizing information to improve patient experiences. By aggregating de-identified electronic health records from over 30 different healthcare systems, it offers researchers a comprehensive selection of patient data, encompassing clinical notes, imaging, and genomics. This extensive database encompasses information from more than 120 million patients, providing a well-rounded view of healthcare practices across the United States. The Truveta Studio acts as the analytics core of the platform, providing researchers with advanced tools such as notebooks and dashboards, all while ensuring compliance with HIPAA regulations. With its commitment to real-time data, the platform updates its information daily, ensuring that insights into patient care and health outcomes remain relevant and up-to-date. In addition, Truveta emphasizes the importance of data accuracy through its deployment of the Truveta Language Model, an innovative AI framework that adeptly converts EHR data into exact and dependable data points for medical research enhancement. This unwavering focus on data integrity not only boosts research capabilities but also cultivates a deeper comprehension of healthcare trends and the needs of patients, ultimately leading to better health results and improved care strategies. As a result, Truveta significantly contributes to the ongoing evolution of healthcare analytics and patient care improvement. -
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OpenLoop
OpenLoop
Seamless telehealth solutions for efficient, branded virtual care.OpenLoop is a comprehensive white-label telehealth platform designed to power scalable virtual care for modern healthcare organizations. It delivers a complete telehealth ecosystem that includes technology, provider staffing, compliance, and operational management. Organizations can launch branded telehealth services quickly using OpenLoop’s ready-to-deploy infrastructure. The platform supports a wide range of care models, including synchronous video visits and asynchronous digital workflows. OpenLoop manages clinician onboarding, licensing, and credentialing across all 50 states. Built-in payer coverage and revenue cycle management simplify reimbursement across hundreds of insurance plans. AI-powered tools enhance care delivery, patient support, and operational efficiency. Seamless EHR and API integrations enable smooth adoption within existing systems. The platform is designed to support multiple specialties and use cases at scale. OpenLoop ensures regulatory compliance through robust legal and security frameworks. Continuous patient support improves access and satisfaction. OpenLoop empowers organizations to grow telehealth offerings faster with less operational burden. -
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EnsoData
EnsoData
Transforming healthcare through AI-driven insights and collaboration.We believe that Waveform AI holds great promise for transforming the healthcare sector, and we are actively creating a platform aimed at providing clinicians with vital information and support across the entire care continuum. Effecting change in healthcare necessitates a collaborative approach, and to contribute to the industry's progress, we are releasing peer-reviewed studies on AI to demonstrate its advantages throughout the patient care journey. Our platform is specifically designed to help providers recognize patients at high risk for sleep apnea by utilizing data from electronic medical records, waveforms, wearables, and a variety of other sources, which will enable timely referrals for diagnosis. By harnessing this information, we can assist healthcare professionals in identifying the most vulnerable patients from a large undiagnosed population, classifying them according to their risk of adverse outcomes and associated healthcare expenses. Furthermore, we aim to optimize the diagnostic workflow for clinicians, empowering them to manage a larger patient volume with greater efficiency and effectiveness, thereby enhancing the overall quality and speed of sleep apnea diagnoses. Ultimately, our goal is to contribute to the creation of a healthier future for all individuals, ensuring that no one is overlooked in the pursuit of better health outcomes. -
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HealthEC
HealthEC
Revolutionizing healthcare delivery through advanced population health management.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. -
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Interpreta Clinical Action
Interpreta
Transforming healthcare with seamless quality and risk management solutions.Interpreta’s Clinical Action is an all-encompassing solution designed for the effective management of quality and risk interventions throughout the year, proudly holding NCQA certification in HEDIS and California IHA AMP since 2015. Utilizing HEDIS, along with state-specific metrics and HCC formulations, Clinical Action provides a robust library of quality and risk measures that are easily accessible through a cloud-based platform, which integrates smoothly with diverse provider groups and health plan networks. The platform optimizes workflows by automating the handling of structured medical, lab, and pharmacy claims data, while also improving the usability of unstructured supplemental data, which supports code capture and collaborates with cutting-edge artificial intelligence and machine learning technologies, including natural language processing. Additionally, Clinical Action offers customizable tools for population management that empower care gap analytics, allowing healthcare providers to assess data across a wide population health spectrum down to individual patients, thereby enhancing physicians' in-office readiness. This versatility ensures that healthcare practitioners can effectively adapt their strategies to address the unique needs of each patient, resulting in better overall care outcomes. The continuous evolution of such platforms highlights the growing importance of integrating technology into healthcare practices. -
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Lightbeam
Lightbeam
Transforming data insights into actionable health solutions.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.