Top Evolent Health Alternatives

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

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

HealthAxis delivers comprehensive solutions tailored for payers, providers, and healthcare organizations. Our offerings encompass a sophisticated claims processing system, third-party administrator (TPA) services, and insightful analytics to drive meaningful results. By streamlining operational processes, we enhance both patient experiences and client satisfaction. While the healthcare landscape is increasingly embracing technological advancements, it still faces challenges linked to outdated systems, coordination difficulties, and information management hurdles. Our mission is to introduce innovative strategies to those grappling with these obstacles. We view our clients as full business partners, firmly believing that our achievements are interconnected with their ongoing success and development. By empowering our partners, we enable them to deliver greater value to the communities they serve, fostering growth in membership and broadening their operational reach. Each member of our team understands their crucial role in supporting our partners to unlock their full potential, ensuring a collaborative journey toward excellence in healthcare delivery.

Enhance your business operations with a comprehensive cloud platform that seamlessly merges your care, services, and financial management processes. Approach the shift to PDPM with confidence while improving outcomes through cutting-edge tools that cultivate a commitment to ongoing quality care. Our tailored resources are designed to guide you through a structured three-step method, empowering you to adeptly navigate the quality-driven landscape of PDGM. PointClickCare is recognized as the leading electronic health record (EHR) technology partner for the long-term post-acute care (LTPAC) and senior care sectors across North America. We focus on providing unwavering support to our clients as they adapt to the shifting demands of their industries. Each day, more than 21,000 skilled nursing facilities, senior living communities, and home health agencies rely on us to deliver innovative solutions that transform care delivery. By leveraging our expertise, your organization can not only adjust but also excel in this ever-evolving landscape, ensuring a brighter future for those you serve. Our commitment to quality and excellence drives us to continuously improve and innovate, setting the standard in the healthcare technology sector.

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.

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

Accessing a patient's medical records has become incredibly streamlined, made possible by the PRISMA health information search engine, which integrates data from various sources such as primary care physicians, specialists, clinics, urgent care facilities, and hospitals into a unified, searchable health timeline. Our Customer Success Stories illustrate the practical applications of our healthcare IT solutions, demonstrating how eClinicalWorks clients are successfully improving value-based care and enhancing healthcare outcomes. With a skilled workforce of 5,000 employees, eClinicalWorks is dedicated to progressing healthcare in partnership with our clients. More than 130,000 physicians in the U.S. and over 850,000 healthcare professionals globally rely on our EHR software for comprehensive clinical documentation and a range of solutions that include telehealth, population health management, patient engagement, and revenue cycle optimization. As an innovative privately owned company focused on quality, we strive to provide our clients with secure, cloud-based solutions that adapt to their changing requirements. This unwavering dedication to transforming healthcare is what motivates every facet of our business operations, ensuring we remain at the forefront of industry advancements. Each success story reinforces our mission to deliver exceptional value to healthcare providers and their patients alike.

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.

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.

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

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

Your commitment to delivering exceptional care to your patients aligns seamlessly with our objectives. Aledade empowers primary care providers by offering sophisticated data analytics, user-friendly guided workflows, comprehensive regulatory insights, strong connections with payers, and committed local support from experienced professionals. Our goal is to streamline the journey for your primary care practice or community health center as you embrace value-based care, ultimately improving patient outcomes while promoting a sustainable and high-quality healthcare system for your community. Independent primary care providers and community health centers looking to engage in the Medicare Shared Savings Program, along with other governmental programs or various commercial contracts, can join an Aledade accountable care organization (ACO) with other healthcare practitioners in their region. By collaborating, we can revolutionize the delivery of healthcare and significantly enhance the well-being of patients in our communities. This partnership not only strengthens your practice but also contributes to a broader movement towards improved healthcare systems nationwide.

By integrating advanced navigation technology with premier primary care offerings, we are committed to pioneering and expanding value-based care in the commercial landscape. For the last decade, our focus has been on gathering data, improving system connections, and honing machine learning algorithms to deliver a uniquely tailored navigation experience that boosts member interaction and promotes healthier outcomes. Our platform amalgamates health and wellness benefits into an accessible digital tool that is available every single day of the year. Furthermore, we provide customized advocacy that enhances the digital journey for your members, empowering them to take charge of their health and wellness according to their preferences—leveraging digital resources when it suits them and receiving human assistance when needed. As healthcare expenses continue to escalate, imposing considerable financial burdens on employers, we partner with you to improve health results for your workforce, lower costs, and generate savings for your organization. In partnership, we work towards building a healthier future while ensuring your business remains financially viable and sustainable. Our collaborative efforts are designed to adapt to the evolving needs of both employees and employers in a changing healthcare environment.

Medical professionals often enter their field without a focus on mastering coding techniques. We are transforming the future of the revenue cycle with autonomous coding powered by artificial intelligence. Currently, our platform serves over a dozen prominent healthcare organizations and systems, which include more than 200 hospitals and 50,000 healthcare providers. The sophisticated coding AI system developed by CodaMetrix adeptly translates clinical data into accurate medical codes that are crucial for both patient care and the revenue cycle, supporting various care models such as fee-for-service and value-based care. This automation process is designed to be seamless, transparent, and fully traceable. By leveraging CodaMetrix's cutting-edge, multi-specialty autonomous medical coding platform, we continuously analyze and apply clinical evidence extracted from electronic health records. Our system autonomously transforms clinical notes into billing codes that comply with coding regulations, ensuring that claims truly mirror the complex and detailed nature of each patient's care journey. This significantly reduces the workload on human coders while improving overall efficiency. Consequently, healthcare providers can dedicate more time and resources to patient care, enabling them to deliver better services and outcomes. The advancements in AI-driven coding are not just a benefit to administrators but also to patients, as they lead to more accurate billing and improved healthcare experiences.

MDLand provides a diverse range of products aimed at improving the workflow efficiency of healthcare providers and their teams, ultimately leading to time savings and a decrease in repetitive tasks. The iClinic® features a robust and certified electronic health record (EHR) system that simplifies operations, cuts down on time spent on data entry, and helps healthcare professionals meet quality payment program requirements while earning extra incentives, enabling them to dedicate more attention to patient care. As an ONC certified EHR vendor, MDLand assists healthcare practitioners in achieving meaningful use, complying with MACRA/MIPS, and engaging in various value-based payment programs. This comprehensive software package encompasses an intuitive EHR, electronic billing solutions, payment processing capabilities, and a range of patient engagement tools that are all easily accessible. Moreover, the shift from a fee-for-service framework to a value-based reimbursement model presents healthcare providers with a chance to boost their income through the delivery of superior care. By utilizing MDLand’s cutting-edge solutions, you can prioritize what is truly important—improving patient outcomes and enhancing overall satisfaction, thus fostering a healthier community.

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.

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.

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

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

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.

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

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.

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

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.

Anagram Prosper allows your practice to return funds to patients at no cost, thus improving your profit margins while fostering patient satisfaction and removing the necessity for courtesy discounts. We have partnered with leading vendors to establish wholesale pricing that serves both your interests and those of your patients. This arrangement enables you to provide rebates on items already in your inventory, which motivates your patients to participate more actively, ultimately resulting in higher revenue. By leveraging Anagram Prosper, you can assist your patients in saving money without affecting your margins or resorting to discounts. Our rebate initiative is crafted to enhance your sales while ensuring patient happiness. Many patients may not realize their out-of-network benefits, but with Anagram Access, you can quickly check real-time eligibility for vision plans, guaranteeing optimal savings for them. Anagram Access empowers you to easily ascertain your patient's financial obligations and the reimbursement they can expect from their vision plan, simplifying the payment process. This groundbreaking strategy not only benefits your practice but also significantly enriches the overall experience for your patients, leading to a stronger relationship between them and your practice. By prioritizing their needs, you can create a loyal patient base that appreciates both the value and service you provide.

Enhance your vision by collaborating with a recognized frontrunner in the industry. Our comprehensive Digital Health Management platform delivers scalable and effective solutions for care coordination and advocacy. We empower organizations to broaden their outreach across key touchpoints, reveal vital health insights, and provide modern member services that enhance both engagement and overall experience. In an ever-evolving healthcare landscape, our platform seamlessly integrates the fundamental components necessary for health plans to thrive amid changes. As healthcare organizations grapple with the need to meet a wider range of complex demands within larger populations, the Wellframe platform supports the transformation of their service models and member interactions, encouraging collaboration to instigate significant improvements. Our innovative member mobile app and staff dashboard allow you to engage a larger audience more effectively. Achieve your digital transformation aspirations with a trustworthy partner who assists you throughout the entire journey, ensuring you are well-supported in navigating the complexities of today's healthcare environment. By working together, we can build a more interconnected and responsive health ecosystem that benefits everyone involved, ultimately leading to better health outcomes for all.

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

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

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

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

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.

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

Our Collaborative Partnerships. For Current Healthcare Providers. We aid you in obtaining prompt payments from insurance companies for value-driven services that often go unpaid. Stellar Health eliminates the need for numerous payor-specific spreadsheets and tools that practices usually rely on, instead offering a consolidated application for managing patients across various health plans. The Stellar Application is a user-friendly, web-based platform that is designed to fit seamlessly into the workflows of medical practices, guiding providers on actionable tasks at the most opportune times. By using Stellar, practices can ensure they receive appropriate compensation for the extra efforts devoted to improving patient care, and providers have the ability to track their income in real-time, helping to avoid unforeseen financial issues at the end of the fiscal year. We offer free support to active healthcare professionals, ensuring they are duly rewarded for the additional time they invest in value-based activities that have often gone unnoticed. Our innovative strategy seeks to revolutionize the way practices engage with health plans, enhancing the reimbursement process to be more streamlined and effective. Ultimately, our goal is to empower healthcare providers by simplifying their administrative tasks and improving their financial outcomes.

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

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

The importance of both quality and cost in healthcare is paramount. As value-based care models gain traction, it becomes critical for hospitals, physicians, employers, and insurance providers to access accurate and meaningful analytics. With the outstanding insights provided by Quantros, both healthcare providers and patients can make informed, data-driven decisions. The analytics platform from Quantros empowers healthcare professionals to understand, predict, and enhance their performance effectively. Furthermore, it grants healthcare buyers a clear perspective on how consistently hospitals and physicians are achieving the best outcomes and providing appropriate care across the healthcare spectrum. This degree of transparency not only builds trust among stakeholders but also serves as a catalyst for continuous improvements in the delivery of healthcare services. Enhanced collaboration among all parties involved leads to a more efficient and effective healthcare system overall.

HM Health Solutions provides a detailed end-to-end service tailored specifically for health plans. By utilizing the Enterprise Health Solution, you gain access to essential support, enabling you to reach your business objectives through a unified, all-in-one health plan administration platform. This comprehensive suite encompasses various functionalities, which include sales, enrollment, billing, claims processing, provider management, clinical oversight, and customer support. What sets the Enterprise Health Solution (EHS) apart is its designation as the only verified end-to-end system that guarantees a seamless experience for members, guiding them from the enrollment process right through to claims payment. Although other providers may claim to offer a fully integrated solution, they often neglect to mention that achieving genuine integration typically involves the stepwise acquisition of multiple modules. In contrast, the Enterprise Health Solution is singularly dedicated to health plan administration, showcasing our unparalleled expertise in the payer landscape. Therefore, selecting EHS means you are choosing a platform that is committed to addressing the specific requirements and enhancing the operational efficiency of your health plan. This dedication ensures that your organization can navigate the complexities of health plan management with confidence and ease.

When connecting with your patients becomes essential, Navigesia is ready to support you. Our platform facilitates the real-time collection of patient data while offering a range of clinical decision support tools, which enables you to implement Value-Based Care within your practice effectively. We introduce an innovative approach that allows patients to utilize electronic tablets in the waiting area to complete forms and health surveys. This not only enriches the patient experience but also enhances the efficiency of your practice's operations. By incorporating patients as integral participants in the software, you can easily acquire the high-quality information that is crucial to you. Embrace ingenuity to harness the insights gathered to advance your practice. By taking advantage of data-driven reporting incentives, you can start enjoying the benefits that valuable patient data can provide. Ensure you capitalize on potential revenue opportunities; refine your operations and maximize the advantages of your hard work. Ultimately, this will foster a more effective and gratifying environment for both your patients and your practice, leading to improved health outcomes and satisfaction.

Therap emerges as the leading provider of electronic documentation and record-keeping solutions tailored for long-term care services aimed at individuals with Intellectual or Developmental Disabilities. This all-encompassing web-based application suite is thoughtfully designed to address the varied requirements of organizations supporting these individuals, covering areas such as planning, documentation, reporting, communication, and billing in multiple environments, including home and community-based services (HCBS). Utilizing secure cloud technology, the Therap system significantly improves service quality in environments such as day programs, assisted living facilities, ICF/IID facilities, community support programs, and state agencies. It streamlines daily communication and reporting among stakeholders, including states, administrators, healthcare providers, case managers, quality assurance teams, and families, ensuring that all parties are well-informed and connected in real time. This innovative platform not only enhances coordination among caregivers but also promotes a more efficient support network for those with intellectual and developmental disabilities, ultimately leading to better outcomes and improved quality of life for the individuals served. By continuously adapting to the needs of its users, Therap exemplifies a commitment to excellence in the field of care services.

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.

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

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.

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

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

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

PLEXIS provides an extensive array of high-quality applications tailored to equip payers with the sophisticated functions necessary for modern core administrative systems. These applications feature capabilities such as real-time benefit management, adjudication, automated EDI transmission, and self-service customer portals, ensuring that PLEXIS Business Apps can fulfill all your requirements. The Passport feature is essential for establishing vital connections between core administration and claims management systems, PLEXIS business applications, custom software, and existing internal systems. Its versatile API layer permits real-time integration with a variety of portals, automated workflow tools, and business applications, guaranteeing limitless connectivity. By utilizing this centralized and contemporary core administration and claims management platform, organizations can significantly enhance their workflows. This strategy not only streamlines the processing of claims but also alleviates the challenges tied to benefit administration, leading to a quick return on investment and the capacity to deliver outstanding customer service. Ultimately, PLEXIS enables organizations to excel in a healthcare environment that is becoming progressively intricate, ensuring they remain competitive and responsive to client needs.

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.

HealthRules® Payer is a state-of-the-art core administrative processing framework that delivers transformative capabilities for health plans of all shapes and sizes. For more than ten years, health plans that have adopted HealthRules Payer have successfully seized market opportunities and sustained a competitive advantage. What distinguishes HealthRules Payer from other core administrative systems is its unique utilization of the patented HealthRules Language™, which closely resembles English and introduces an innovative approach to configuration, claims management, and transparency of information. This exceptional system empowers health plans to grow, innovate, and excel beyond their competitors more efficiently than any other core solution currently available. Consequently, HealthRules Payer not only enhances operational efficiency but also cultivates a culture of adaptability and responsiveness within health organizations, ultimately leading to improved patient care and satisfaction. By integrating advanced tools and methodologies, HealthRules Payer positions health plans to thrive in an ever-evolving healthcare landscape.

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

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