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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.

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.

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.

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

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.

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.

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.

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.

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

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

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.

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

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

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

Mosaic delivers remarkable insights into extensive market performance metrics across diverse provider categories, allowing you to evaluate risks before engagement, strengthen relationships, and thrive in today's value-oriented healthcare landscape. As you aim to build and maintain a strong network, the performance of your team is significantly impacted by any underperforming partners. Discover methods to address weaknesses and seize potential opportunities that arise. Establish and reach specific goals, such as integrating new types of providers or forming a preferred provider group. Collaborate with providers to enhance quality, optimize resource utilization, and effectively manage costs. In the end, your efforts will lead to a decrease in overall care expenses while improving patient outcomes, creating a beneficial scenario for all parties involved. By utilizing these insights, you can cultivate a culture of ongoing improvement and flexibility within your healthcare network, ensuring that it remains responsive to evolving challenges and opportunities in the industry. This proactive approach will not only strengthen your position but also promote sustainable growth and success.

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.

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

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.

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

Our cutting-edge technology, driven by artificial intelligence (AI), reshapes both structured and unstructured healthcare data into a reliable, high-quality, and standardized dataset suitable for application across your organization. By providing near real-time access to information from diverse systems, our solutions reduce the burden of manual data abstraction, allowing your administrative and clinical teams to regain precious time that can be redirected toward quality enhancements and research initiatives. Our comprehensive array of products and services equips you to collect, analyze, and leverage your data efficiently, regardless of its origin, therapeutic focus, departmental context, or existing reporting, business intelligence, or analytical frameworks. Atlas harnesses the combined strengths of human expertise and AI to simplify the complex task of discovering and interpreting patient data for clinical registries. In parallel, Cartographer adeptly navigates, assesses, and interprets patient information across various platforms, standardizing it into a cohesive format while delivering valuable insights. Ultimately, our groundbreaking solutions not only boost operational efficiency but also facilitate informed decision-making at every level of your organization, fostering a culture of continuous improvement and innovation. By integrating these advanced tools, you position your organization at the forefront of healthcare data management and strategic development.

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

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

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.

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.

CORTEX signifies a revolutionary step forward in utilization management software, offering an all-encompassing 360° solution designed to effectively manage the intricacies of utilization management and revenue cycle operations. Fueled by a sophisticated machine learning engine and real-time predictive analytics, CORTEX ensures timely and appropriate case handling, whether by the designated personnel or through established exceptions. By merging precision medicine with a solid base of evidence-based practices, CORTEX improves the assessment of patient populations through its real-time machine learning models. Our analytics solutions have successfully made their mark across hospitals and health plans across the nation, showcasing their efficacy. For uncomplicated inpatient cases, CORTEX simplifies the process by automating decisions based on your specific criteria, thereby significantly alleviating staff workload. Conversely, in the face of complex cases, CORTEX provides your team with essential insights to support informed decision-making. This innovative strategy offers substantial advantages to both payers and providers, leading to enhanced healthcare outcomes and operational efficiency. Additionally, CORTEX's flexibility enables it to adapt to the evolving demands of the healthcare environment, ensuring that it continues to provide lasting value. As a result, CORTEX not only addresses current needs but also positions itself as a long-term partner in healthcare management.

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

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.

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.

Established in 1998, Milliman MedInsight® has emerged as a prominent provider of healthcare data and analytics solutions. More than 300 payers, accountable care organizations, employers, and government entities rely on Milliman MedInsight for their data needs. Our extensive range of analytics and data services equips organizations to utilize healthcare information effectively, resulting in improved clinical and financial results. By harnessing our extensive industry knowledge and cutting-edge technologies, we offer valuable insights into healthcare utilization, costs, and quality. Milliman MedInsight not only delivers critical information but also empowers stakeholders with essential tools to successfully navigate the complexities of the healthcare system, addressing areas from risk management to the implementation of value-based care strategies. Ultimately, our commitment to excellence drives better health outcomes for all involved.

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.

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

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.

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.

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.

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.

Envolve is dedicated to revolutionizing the healthcare landscape by utilizing strategic collaborations and a wealth of experience to provide cost-effective, value-based care solutions. The offerings from Envolve MSO empower organizations with vital strategies, proficient personnel, and efficient processes that focus on delivering affordable healthcare and driving authentic change in the industry. As a leading provider of healthcare management services, we incorporate innovation and professional knowledge to improve performance within frameworks that prioritize outcomes and value-based reimbursement. Our all-encompassing healthcare management services enhance both the quality and efficiency of care delivery, underpinned by superior business administration, effective data utilization, clinical excellence, and strong operational support. By focusing on groundbreaking benefit designs across various products nationwide, Envolve plays a significant role in supporting publicly funded, marketplace, and commercial programs, which in turn improves individuals' health and overall quality of life. This unwavering dedication to innovation and enhancement not only strengthens our position in the industry but also plays a critical role in shaping a healthier future for everyone. Ultimately, our vision is to ensure that every individual has access to the high-quality healthcare they deserve.

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

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

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.

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

A more robust strategy for managing risk is available. Our population health service allows for effective care coordination and patient engagement, ensuring that the management of diverse population groups is smooth across various electronic health records (EHRs). The latest innovations in healthcare move beyond conventional practices, with population health management tools enabling extensive medical facilities to maintain relationships and communicate with patients, thus managing populations—regardless of their size—through differing EHR systems. It is crucial to stay connected to vital data to manage your patient demographics effectively. With access to over 140 pre-designed reports or the ability to create custom reports using our data visualization tools, you can uncover trends in cost and utilization within your population, leading to actionable insights to address these issues. Care managers can utilize flexible, evidence-informed resources to more effectively tailor care plans for each individual patient. Furthermore, automated outreach services enhance your ability to reach a broader patient base and address a greater number of care gaps with less effort, significantly improving overall patient engagement levels. This comprehensive approach not only streamlines care but also fosters a more connected healthcare environment.

Boost the operational efficiency of your organization while simplifying the OASIS data validation process through the use of cloud-based reporting and analytics solutions specifically designed for home health services. By empowering home health agencies to identify actionable insights, you can significantly improve patient outcomes and star ratings, reduce readmission rates, increase referral rates, and ultimately enhance your organization's revenue streams. OASIS Intelligence is a vital platform tailored to meet the performance improvement needs of your home health agency. Our cloud-based software enables comprehensive analysis of organizational performance and guarantees quick and accurate validation of OASIS data. With access to up-to-date data, you can uncover performance trends and identify potential areas for enhancement, resulting in faster improvements to your processes and higher star ratings. Stay updated on quality standards and reimbursement accuracy with automated notifications that inform you of any errors or inconsistencies in OASIS documentation. Our robust reporting features are flexible and thorough, allowing you to analyze everything from monthly performance trends and condition-specific evaluations to in-depth patient-level outcomes. By harnessing these insights, your agency can effectively pinpoint key areas for growth and improvement, leading to enhanced health outcomes for your patients while also fostering a culture of continuous improvement. In doing so, your organization not only elevates its service quality but also positions itself for greater success in the competitive home health care landscape.

Transform your scattered health information into a cohesive and accessible format with an interactive AI and NLP platform that delivers critical health insights for a diverse range of stakeholders. This cutting-edge technology benefits Providers by expediting the data abstraction process and validating clinical information within notes, which in turn reduces the time and expenses linked to pinpointing care gaps, evaluating care quality through dashboards, and generating registry reports. For Payers, it enhances the integration and analysis of claims data alongside clinical notes, thereby improving the management of high-risk and high-cost member populations. In the Life Sciences sector, this solution accelerates patient matching for clinical trials by utilizing both databases and clinical note data, effectively tapping into the potential of real-world clinical evidence. Ember seamlessly combines NLP with predictive analytics, optimizing healthcare analytics for unstructured data to enhance quality, efficiency, and outcomes throughout the healthcare system. Consequently, stakeholders are empowered to make well-informed decisions that not only elevate patient care but also optimize resource allocation for better healthcare delivery. Ultimately, this holistic approach fosters a more connected and efficient healthcare ecosystem.

The Care Management Suite serves as an all-encompassing, data-driven solution for overseeing care, equipped with a variety of tools and methodologies that aim to improve transparency across both high-risk and at-risk patient demographics. Its design promotes more effective and patient-centered workflows, ultimately striving to boost the quality of care while reducing overall healthcare expenditures. Utilizing data analytics, the suite pinpoints opportunities for enhancement within the care continuum, resulting in improved clinical, operational, and financial outcomes. Comprising three essential applications—Population Builder™: Stratification Module, Population Care Workflow, and Population Care Insights—each component plays a crucial role in the management of care. The suite delivers a unified, comprehensive workflow that integrates processes from patient enrollment and continuous care management to maintaining patient records and fostering collaboration among healthcare teams, ultimately saving valuable time and elevating care standards. Moreover, its analytics-centric Data Operating System aggregates diverse claims and electronic medical record data to provide a complete view of each patient’s health status. By harnessing these insights, healthcare professionals can make better-informed decisions that are geared towards enhancing patient outcomes, which is essential in today’s evolving healthcare landscape. In essence, this innovative suite not only streamlines care management but also empowers providers to deliver superior healthcare services effectively.

Elevate your medical practices by unlocking and integrating information through our secure, interconnected healthcare platform. Our solution leverages advanced APIs and robust data integration features, combined with a wide range of platform services and interoperable tools, to enhance existing applications and streamline care delivery processes. By activating your data today, you can create a cohesive health platform that meets your organization's needs. DataMedx specializes in developing a Health Data Mesh (HDM) tailored specifically for your organization, utilizing APIs and data integration capabilities alongside a comprehensive suite of services and tools to enhance workflows. Our innovative solution standardizes and consolidates information from diverse sources such as claims, clinical data, laboratories, and sensors into a single, unified patient record. This simplification allows for easy access to entire populations from various applications through a single data visualization layer, significantly improving patient outcomes and operational efficiency. By adopting this forward-thinking approach, your organization can achieve unparalleled connectivity and a new standard of care in healthcare delivery, fostering a more integrated and responsive healthcare ecosystem.

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.

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.

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.

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