Top Medius Health Alternatives

Across the globe, various organizations turn to IQVIA to expedite the drug development journey, ensuring product safety and quality while improving commercial effectiveness, facilitating appropriate treatment access for patients, and ultimately driving better health outcomes through enhanced healthcare delivery. By adopting a modern approach to clinical development that incorporates data, technology, and analytics, you can streamline your trials effectively. The result? Faster decision-making processes and reduced risks, allowing for the faster introduction of groundbreaking therapies. Leveraging its deep industry expertise, extensive data, and advanced analytics, IQVIA provides customized solutions to a diverse range of clients within the healthcare sector. You can keep up with the latest findings and updates shared by IQVIA's experts, including data scientists, healthcare professionals, and researchers, on significant topics that align with your interests. From trending industry shifts to practical applications of innovative capabilities, a treasure trove of knowledge is available for your exploration. Engaging with this rich content not only keeps you informed but also equips you to navigate successfully in an ever-changing healthcare landscape, ensuring you are always one step ahead.

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.

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.

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.

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.

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.

We gather and analyze data from a wide array of sources, which includes socioeconomic variables, electronic health records, and biological samples like breath, blood, saliva, stool, urine, DNA, sweat, hair, and vital signs. This collection of health data offers valuable insights into your overall well-being. With the advent of advanced artificial intelligence, machine learning, and enhanced computational power, we are able to amalgamate information from diverse origins, providing your healthcare provider with a comprehensive view of your health risk factors. Our models are continually refined through the use of anonymized health data that is securely integrated into our database. The utilization of extensive data sets not only boosts the accuracy of our models but also significantly enhances AI's capability to detect health risks at an earlier stage compared to traditional methods, which can ultimately be life-saving. While many healthcare professionals primarily concentrate on diagnosing current health issues, our machine-learning models prioritize prevention and risk assessment, thus fostering a proactive healthcare approach. This paradigm shift enables us to identify and manage potential health challenges before they escalate into critical problems, ensuring better health outcomes for individuals. The proactive nature of our approach emphasizes the importance of early intervention in maintaining overall health.

Personify Health emerges as an innovative platform dedicated to personalized health, providing a range of integrated solutions that address health, wellness, and navigation services. Formed from the union of Virgin Pulse and HealthComp in November 2023, this company aims to improve healthcare experiences by delivering services that are tailored, interconnected, and centered around the user. The platform encompasses a variety of offerings, such as health plan management, extensive wellbeing programs, and care navigation support, all designed to empower individuals to engage more proactively in their health journeys. Utilizing data-driven personalization and evidence-based methods, Personify Health assists organizations in optimizing their healthcare investments while simultaneously improving health outcomes for their members. By prioritizing the unique needs and preferences of individuals, Personify Health is not only setting a new benchmark in healthcare but also inspiring a shift towards more individualized care. This commitment to personalization demonstrates the company’s dedication to revolutionizing how health services are perceived and utilized.

Every record represents a unique individual, and each data point has the potential to profoundly influence a person's life, creating opportunities for insight and proactive measures. Therefore, our goal is to promote better health outcomes by optimizing the handling of health information. Over the last forty years, Ciox has been instrumental in revolutionizing the healthcare landscape through exceptional health information management and efficient health data sharing. Our comprehensive engagement with medical records across multiple sectors enables us to innovate operational workflows, improve access to clinical data, and enhance the accuracy and flow of health information. We help our clients protect, systematize, and effectively leverage health data to enhance their operations, increase revenue, and ensure improved patient outcomes. Furthermore, Ciox HealthSource acts as a fully adaptable clinical data platform that utilizes Artificial Intelligence to provide superior data quality, reduce administrative burdens, and boost financial outcomes. This technological integration not only simplifies processes but also establishes a new benchmark for excellence in managing health information, paving the way for future advancements in the field. By aligning technology with healthcare needs, we are driving a transformative change that benefits both providers and patients alike.

Many patients urgently require your home health services, yet a significant number of doctors who could make referrals are not doing so. This issue can likely be traced back to your sales and marketing teams' failure to utilize the 75% of Medicare claims associated with office visits. Demonstrating your ability to cut costs while improving patient outcomes is crucial. For example, Home Health Agency A can quickly prove its effectiveness compared to Home Health Agency B in terms of hospitalization and readmission rates. With Marketscape for Home Health, you can revamp your sales and marketing strategies to effectively engage the most promising physician and facility referral sources. Our cutting-edge technology and committed support allow you to evaluate how you stack up against your competitors based on various metrics, such as hospitalization and readmission rates, diagnostic categories, acuity levels, time to care initiation, overall care expenditures, and many other quality measures. Utilizing this data enables you to strategically direct your efforts towards increasing referrals, which in turn enhances patient care and elevates the overall reputation of your services. By embracing this approach, you not only meet the immediate needs of patients but also position your agency for long-term success in a competitive market.

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.

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.

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

HealthNexus is leading the charge in revolutionizing healthcare through innovative solutions. Our platform is meticulously crafted to be medically sound, ensuring that all relevant data is thoroughly analyzed and applied. Experience timely and dependable results that are delivered at a reduced cost. With access to billions of meticulously organized and interconnected data points, we offer deep and precise real-world insights and outcomes for patients, healthcare providers, and payers. This includes various components such as social determinants of health (SDOH) for both patients and providers, Risk Adjustment Factors (RAF), Hierarchical Condition Categories (HCC), along with their corresponding quality scores. Users can effortlessly create a wide range of detailed reports, from standard templates to customized complex queries, which enhances the ability to extract insights across the healthcare spectrum. Our partnership with PurpleLab provides access to a vast collection of medical terminology and concept groups, enabling you to manage your organization's medical terminology reference data efficiently. This holistic approach guarantees that you stay updated and prepared to make informed, data-driven choices in the rapidly changing landscape of healthcare, thus positioning you for success in an industry that continually evolves.

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.

Thorough recommendations are integrated throughout the entire continuum of patient care, guaranteeing that each stage is effectively managed. There is a compelling initiative that promotes the assessment and oversight of both clinical and commercial results. Specific risk algorithms tailored to various diseases, including diabetes, cardiovascular conditions, kidney function, and liver health, have been developed across multiple therapeutic domains. A Comprehensive Wellness Score is implemented to assess the potential need for hospital admission. In addition, proprietary data and standardized protocols are enriched with accessible clinical content designed for patients, which is not only readily available but also adaptable for different uses and formats. Advanced decision support mechanisms utilize both established guidelines and machine learning techniques to scrutinize prescribers' medication prescribing habits. Moreover, a state-of-the-art customer feedback platform has been specifically crafted for healthcare providers, operating on a multi-faceted engine that takes into account various elements like spending, adherence to schedules, preventive healthcare visits, enhancements in clinical metrics and outcomes, along with demographic data, thereby delivering a comprehensive perspective on patient care and intervention requirements. This multifaceted strategy ultimately aims to improve patient outcomes while optimizing the efficiency of the healthcare system. By prioritizing both clinical effectiveness and user engagement, the approach strives for a more informed and responsive healthcare experience.

Interpreta’s Clinical Action is an all-encompassing solution designed for the effective management of quality and risk interventions throughout the year, proudly holding NCQA certification in HEDIS and California IHA AMP since 2015. Utilizing HEDIS, along with state-specific metrics and HCC formulations, Clinical Action provides a robust library of quality and risk measures that are easily accessible through a cloud-based platform, which integrates smoothly with diverse provider groups and health plan networks. The platform optimizes workflows by automating the handling of structured medical, lab, and pharmacy claims data, while also improving the usability of unstructured supplemental data, which supports code capture and collaborates with cutting-edge artificial intelligence and machine learning technologies, including natural language processing. Additionally, Clinical Action offers customizable tools for population management that empower care gap analytics, allowing healthcare providers to assess data across a wide population health spectrum down to individual patients, thereby enhancing physicians' in-office readiness. This versatility ensures that healthcare practitioners can effectively adapt their strategies to address the unique needs of each patient, resulting in better overall care outcomes. The continuous evolution of such platforms highlights the growing importance of integrating technology into healthcare practices.

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

The 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.

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.

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

Focusing on the front end is vital for improving the patient financial journey and streamlining revenue cycle results. By adopting unified front-end strategies, healthcare organizations can tackle delivery challenges, which in turn decreases the number of returned mail and outstanding invoices. It's important to limit input mistakes by thoroughly verifying patient identities and demographic information. In addition, checking insurance eligibility at the service point is crucial for maximizing revenue while adhering to legal requirements. Streamlining processes through the automation of prior authorization from beginning to end within seconds can enhance overall efficiency. Moreover, automating notifications ensures that payers receive prompt updates about inpatient hospital admissions. Providing clear communication regarding patients' out-of-pocket costs further enhances financial transparency. By evaluating patients' willingness to pay and their eligibility for financial assistance, hospitals can significantly improve their collection rates. Once considered a secondary priority, patient access has now emerged as a key factor in healthcare settings. Our flexible platform leverages integrated data from multiple verification sources, accompanied by smart guidance, to develop a holistic solution. This integration not only enhances patient access but also propels the overall effectiveness of the organization, ultimately leading to better financial outcomes and patient satisfaction.

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

This solution, built on FHIR v4, leverages native FHIR data models and a RESTful API to guarantee adherence to USCDI v1, thereby enabling the complete storage and provision of USCDI v1 data for both patients and partners. It facilitates the secure export of electronic health information, ensuring safe access for patients. By connecting your EHR, payer systems, or any health technology to fhirstation, you can swiftly meet the compliance requirements of the Final Rule. Fhirstation functions as a robust, scalable, and secure multi-tenant Software as a Service (SaaS) platform specifically designed for EHR vendors, health plans, hospitals, providers, and other entities obliged to furnish patient data per the USCDI v1 FHIR v4 API and the electronic health information export directives outlined in the HHS final rule and CMS interoperability standards. This platform effectively removes obstacles to information sharing by promoting data exchange across patients, health IT developers, health systems, EHR vendors, and payers. Furthermore, fhirstation is strategically designed to be SMART on FHIR ready, setting the stage for next-generation patient access applications while nurturing a collaborative healthcare environment. Such innovations are essential for enhancing patient engagement and improving overall healthcare outcomes.

We are embarking on a significant evolution in predictive analytics, especially in the realm of healthcare data management, driven by cutting-edge machine learning tools and custom applications designed exclusively for the healthcare industry. Lumiata's state-of-the-art capabilities in cost and risk forecasting consistently outshine conventional methods, fundamentally transforming risk management and care delivery in the healthcare arena. From underwriting to care management and pharmaceuticals, Lumiata offers a wide array of comprehensive solutions. Our advanced applications and data science tools cultivate a responsive and collaborative relationship with payers, providers, and digital health organizations. Join us in exploring the potential of AI innovation, as we equip your data science teams with crucial ML productivity tools. This journey starts with our distinctive data preparation and cleansing approach, where raw data is efficiently ingested, refined, and organized into a user-friendly format that is ready for machine learning use, enabling your organization to fully harness the power of its data. Additionally, our commitment to ongoing support and optimization ensures that your team can adapt to ever-changing healthcare dynamics.

The Aetion Evidence Platform® delivers critical real-world evidence tailored for stakeholders within the life sciences arena, such as pharmaceutical firms, payers, and healthcare providers who are managing financial risks. Our objective is to assist you in addressing key healthcare challenges: pinpointing the most effective treatments, recognizing suitable patient demographics, and determining the best timing for interventions. This methodology fosters improved decision-making, which in turn leads to better health outcomes. As a reliable partner to many top global biopharma organizations, significant payers, and the FDA, Aetion is instrumental in steering some of the most crucial decisions within the healthcare field. Our straightforward and transparent analyses drive progress in product development, market strategies, and payment reforms as the industry evolves to meet contemporary challenges. The Aetion Evidence Platform revolutionizes the application of real-world evidence, moving from simple descriptive analysis to establishing causal links, and delivering valuable insights in a matter of days or weeks—vital for enhancing both clinical effectiveness and financial performance. By harnessing your existing data, you can unlock actionable insights that propel immediate enhancements in your operations, paving the way for a more efficient healthcare system. This comprehensive approach not only supports individual organizations but also contributes to the overall advancement of healthcare practices.

LexisNexis® MarketView™ delivers medical claims-based insights specifically tailored for healthcare payers, providers, life sciences companies, and health IT organizations across the United States. This innovative platform equips users with actionable intelligence aimed at improving their competitive edge, allowing businesses to discover valuable insights and visualize groundbreaking strategies. Whether you are part of a life sciences organization, a health insurance provider, a healthcare system, or a health IT company, MarketView can significantly refine essential business functions like marketing, sales, strategic planning, physician engagement, outreach, market research, network optimization, talent acquisition, pricing strategies, contracting, and clinical management, among others. To maintain an advantage in the fast-paced market, it is crucial for your organization to access the most pertinent insights possible. However, identifying which areas to prioritize can often be difficult without a clear overall perspective. MarketView effectively tackles this challenge by delivering insights into diverse elements such as referral patterns, strategies for aligning with physicians, the performance of clinically integrated networks, and metrics regarding patient volume, all of which empower organizations to make well-informed decisions. Furthermore, by utilizing these insights, businesses can not only spark innovation but also enhance their operational efficiency significantly, ultimately leading to better patient outcomes and streamlined processes.

We distinguish ourselves by welcoming non-traditional concepts. By providing creative products and resources, we enable our clients to attain enhanced results, enriching their understanding, offering profound insights, and propelling their achievements. The dynamic nature of the healthcare industry has pushed payers to embrace more consumer-focused business models, yet numerous organizations discover that their conventional data warehouse systems are inadequate for supporting this shift. A notable case study demonstrates how one payer effectively leveraged our solution to track medical cost trends and execute pay-for-performance analytics. Moving beyond mere claims-processing capabilities, Health Intelligence Analytics (HIA) identified substantial savings prospects that could potentially generate millions for the entity. Moreover, HIA’s Simple10℠ simplifies all aspects of the transition from ICD-9 to ICD-10, easing concerns related to conversion with its intuitive pre-built crosswalk, customizable options, and readily available analytics and dashboards. This all-encompassing strategy not only facilitates the transition but also empowers healthcare providers, ensuring they are well-equipped to excel in a highly competitive environment. As the industry continues to evolve, our ability to innovate will remain a critical asset in supporting our clients' success.

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 ProMed Application Suite is specifically designed to address the growing needs of managing health care data effectively. Serving as a flexible and cost-effective solution, it operates mainly as a Hospital Management System (HMS) that integrates all clinical and administrative data, providing a secure and efficient means of data management. Ideal for multi-specialty hospitals, clinics, and laboratories, this system is crafted to meet the diverse requirements of different healthcare settings. By implementing ProMed, organizations can simplify their processes while enjoying a scalable framework that can easily adapt to any operational model. The creation of ProMed stemmed from the desire to establish an Electronic Health Record (EHR), marking a significant shift towards a fully "paperless" environment that alleviates the disarray associated with traditional patient file storage. In addition to improving operational efficiency, ProMed enhances patient care by facilitating seamless access to essential health information, ultimately leading to a more effective healthcare delivery system. This innovative solution not only streamlines workflows but also empowers healthcare providers with timely data to make informed decisions regarding patient treatment.

Information is the fundamental building block for any business, and operations specialists are vital in ensuring its accuracy and relevance. When data becomes flawed or outdated, it can lead to serious consequences, including financial setbacks, damaged reputations, and unsuccessful negotiations. To restore the integrity of your data, think about visiting the DataCliniq, where you can eliminate obsolete records, ensure email addresses are precise for maximum deliverability, and mitigate associated risks. Whether your database is comprised of a few thousand records or millions, the tasks of cleaning, enriching, and expanding your data can greatly boost your marketing and sales effectiveness, all while adhering to data privacy laws. Start by conducting a simple health check on your account and contact information to identify any issues regarding the accuracy, timeliness, and completeness of your data. It is important to note that incomplete data can be just as harmful as inaccurate data; thus, the following step should focus on improving the fill rates of the most valuable fields for your operations. By emphasizing these enhancements, you can significantly improve your organization's overall efficiency. Furthermore, maintaining high-quality data not only drives better decision-making but also fosters stronger relationships with clients and partners, ultimately supporting long-term business growth.

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 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.

Jvion goes beyond traditional predictive analytics by revealing hidden patient risks tied to various health conditions and clinical situations, while also exploring how these risk patterns can be redirected to achieve better outcomes. Through the use of our prescriptive AI, we provide personalized recommendations for patients by analyzing an extensive range of elements, including clinical, socioeconomic, and behavioral data alongside established best practices. This valuable insight equips healthcare organizations to improve quality, decrease costs, and enhance the overall experience for patients. We examine a diverse set of clinical, socioeconomic, environmental, and behavioral information to identify unnoticed health and financial vulnerabilities. By focusing on modifiable patient traits, we craft targeted action plans tailored to each individual. Our methodology offers evidence-driven, prioritized, and patient-specific guidelines that integrate smoothly into existing workflows. In response to the ongoing pandemic, the importance of home care has been revitalized, as numerous patients now opt for at-home treatment to lower their risk of exposure to Covid-19 and other health threats. This significant shift highlights the urgent need for innovative healthcare solutions that address the changing requirements of patients in a post-pandemic era, ultimately fostering a more adaptable healthcare ecosystem.

AGS Health Company has completed the acquisition of EZDI, enhancing their revenue cycle management capabilities. Our platform is designed to assist businesses of all sizes, providing access to APIs that empower organizations to extract valuable insights from their healthcare data. It successfully merges medical coding with clinical documentation, creating a fully cohesive system that can enhance the productivity of documentation and coding specialists by as much as 45%. Additionally, our platform boosts revenue by optimizing case mix and risk scoring. We offer modern clinical APIs that are designed to integrate smoothly into existing infrastructures. To ensure exceptional accuracy, our system has been trained on over 7 million real clinical documents. Utilizing vast knowledge graph records alongside deep learning and machine learning techniques, we deliver precise code and query suggestions. Our commitment to innovation positions us to spearhead the next evolution in AI for the healthcare industry. Tailored for coders and documentation specialists, our tools enable them to work more intelligently, swiftly, and effectively right from the outset. Furthermore, our advanced Deep Learning NLP models empower healthcare professionals to navigate complex data landscapes with assurance and precision.

The healthcare industry presents a vast array of opportunities, challenges, and risks, encompassing everything from medical device sales to integrated delivery networks and the latest care trends. For companies seeking to succeed in this highly competitive environment, having access to reliable data intelligence and insights is essential. MCH provides timely and budget-friendly healthcare data resources that furnish you with the essential tools needed for your upcoming sales efforts, enabling extensive and precise searches like never before. Our all-encompassing healthcare database contains over 2 million contacts gathered from leading industry experts, allowing you to delve into corporate ownership, provider specialties, and a diverse range of care facilities, laboratories, and other health organizations with remarkable ease. You can finely tune your searches by institution type, professions, and specialties across more than 7,000 hospitals nationwide, while also scrutinizing key statistics such as the current number of beds, physicians, and other healthcare providers. This sophisticated data analysis capability guarantees that you are thoroughly prepared to make well-informed decisions that can drive your business forward in the dynamic healthcare landscape. With MCH, you gain a competitive edge that empowers you to navigate the complexities of the industry effectively.

Actium provides advanced AI-driven tools designed for identifying the next best actions in digital marketing, specifically tailored to meet the pressing demands of your organization, including improving patient retention, managing high-risk individuals, and driving growth in various service lines. By prioritizing proactive and customized outreach, Actium enhances patient lifetime value while effectively closing care gaps and reducing overall healthcare costs. The platform's ability to accurately predict individual patient risks facilitates a paradigm shift from a reactive treatment model to a preventative care focus. Uncover opportunities for revenue generation and service line growth by effectively identifying and engaging your most at-risk patients. Actium Health addresses the challenges of data overload by systematically identifying, ranking, and recommending actionable next steps for each patient. Additionally, it plays a crucial role in reinstating dwindling patient loyalty and maximizes value through tailored outreach initiatives. With exceptional backing from leading experts in data intelligence, your organization is empowered to adeptly handle the intricate aspects of patient care. This all-encompassing strategy not only ensures that your objectives are met but paves the way for exceeding them, ultimately leading to a more sustainable healthcare environment. The effectiveness of Actium's solutions positions your organization at the forefront of innovation in patient engagement.

Watson Health utilizes its core competencies, profound knowledge of the healthcare industry, and state-of-the-art technological solutions—including AI, blockchain, and data analytics—to support clients as they navigate their digital transformation journeys. By fusing innovative technology with expert consulting services, we help organizations increase efficiency and resilience, ultimately improving their capability to meet the needs of the communities they serve. Discover the Watson Health solutions that are crafted to maximize clinical, financial, and operational efficiency while leveraging analytics to bolster initiatives focused on at-risk populations. Moreover, our services enhance clinical trials and aid in the creation of real-world evidence, which is essential for the progression of healthcare methodologies. We also offer solutions that empower payers to manage performance, engage members, and maintain robust business networks effectively. In addition, Watson Health supports organizations with benefits analytics and fortifying business continuity, establishing ourselves as a holistic partner within the healthcare ecosystem. This comprehensive strategy underscores our dedication to fostering positive outcomes across diverse health system dimensions and elevating overall service delivery, ensuring that we remain at the forefront of healthcare innovation. Our commitment to continuous improvement is what drives us to constantly seek new ways to enhance patient care and operational success.

Empower individuals to take control of their physical and mental health, overall wellness, and financial stability by advocating for programs that reduce health risks and lower healthcare costs. By cultivating a sense of responsibility, people will be more prepared to make educated decisions that improve their quality of life, ultimately leading to a healthier and more financially secure future.

Accurate data is only valuable when it guides your future actions. Our platform, in conjunction with a dedicated team of experts, integrates advanced data science with healthcare insights to delineate potential actions, evaluate their impacts, and enable your organization to make confident, informed decisions. We have designed our platform to illuminate both opportunities for cost savings and potential health risks among your population. Furthermore, we assist in pinpointing effective methods to manage health-related expenses while enhancing the overall wellbeing of your workforce. Ongoing collaboration with our Analytics and Strategic Consultants will guarantee that you fully harness the capabilities of Springbuk, providing valuable insights into population health, data trends, and strategic initiatives. It is crucial to understand that relying on faulty data can lead to significant consequences for your employees' health benefits, which is why our methodology emphasizes clarity and precision throughout the entire process. By capitalizing on our expertise, organizations can adeptly maneuver through the intricate landscape of health management while also fostering a healthier work environment for their employees. This commitment to informed decision-making is what sets us apart in the industry.

Behavioral health is an essential aspect of overall well-being, yet it is often overlooked and underappreciated. Mental health issues and substance use disorders impact around 970 million people worldwide, resulting in an economic toll that surpasses $1 trillion annually. Despite the worsening situation, progress in treatment and understanding has not advanced at the same rate as in other areas of medicine. Alarmingly, fewer than 50% of individuals with major depression, the most common mental health disorder, find relief through current treatment options. As awareness grows, there is a rising demand for services, yet the existing system is ill-prepared to handle the vast complexities associated with these needs. A substantial evidence gap poses significant challenges for research and innovation in this domain, stemming from difficulties such as complex disease mechanisms, a lack of measurable biomarkers, and disjointed approaches across institutions. Even after extensive research efforts, we still lack clarity on the most effective treatments for many behavioral health issues, highlighting an urgent need for renewed attention and funding in this area. Addressing these challenges is vital for enhancing the quality of life for millions grappling with these conditions and will ultimately lead to a healthier society overall.

We work alongside government agencies and humanitarian organizations to develop health information systems that are centered on human needs and are open-source. By leveraging vital insights, we empower health workers, policymakers, and patients across Africa. Our specialization is in digital health information systems designed for low-resource environments throughout the continent. We focus on both software and hardware solutions for healthcare facilities. Our comprehensive approach includes everything from the initial design and development phases to implementation, training, and continuous support. As we look to the future, we plan to integrate data analysis to improve the management of limited resources. We are convinced that robust health systems, combined with the dissemination of essential information, can greatly improve health outcomes on a global scale. Our strategy emphasizes strengthening local health infrastructure by involving communities to tackle their unique challenges. We are committed to investing in and developing systems that are accessible to low-income countries, which in turn supports their ability to create self-sustaining solutions. As a non-profit organization based in Africa, we strive to advance global health through the creation of information systems, building partnerships, and enhancing local capacities, with the ultimate goal of achieving a healthier future for everyone. By fostering regional expertise, we ensure that the solutions we provide are not only effective but also sustainable over the long term, thereby leaving a lasting impact on health systems in these communities. This collaborative effort is essential for promoting resilience and adaptability in the face of evolving health challenges.

Our suite of solutions enables swift and effective access to your hospital and its services within mere minutes. In the current landscape of decentralized care networks, achieving success relies heavily on intelligent access and coordination solutions that span the entire care continuum. ABOUT enhances every stage of patient transfers to hospitals and beyond, addressing areas including skilled nursing, rehabilitation, behavioral health, and home care. As a result, this promotes a rise in patient referrals and retention, which ultimately aids in the expansion of your health system. Moreover, ABOUT solutions empower health systems to act as a unified network of care, simplifying the process for clinicians to manage patient transitions across diverse care settings. With centralized and predictive management of all aspects related to patient transitions—whether entering, navigating, or exiting the health system—the process is improved through efficient transfers, decision support, and a comprehensive integration hub. Customized application features tailored to specific care settings, along with personalized forms, curated networks, and actionable insights, are meticulously crafted to enhance access throughout the entire care continuum, covering everything from acute and post-acute services to behavioral health support, thereby ensuring that patients receive optimal care. This holistic approach not only enhances patient outcomes but also significantly boosts the overall operational efficiency of the healthcare system, paving the way for a future where care is even more interconnected and responsive to the needs of patients.

We explore health beyond conventional medical settings to better understand the impact of diseases on individuals. This comprehensive view of patient health uncovers new opportunities for business by introducing innovative ways to measure disease and overall wellness. By focusing on how illnesses influence everyday life, we can improve engagement with both healthcare providers and insurance payers, while also enhancing support for patients. Our goal is to create advanced algorithms that can predict the onset and progression of diseases, as well as identify key moments for timely interventions. Leveraging real digital data, we promote the benefits of our services. Our technology-enabled platform supports real-world research that incorporates unique behavioral data from daily life, offering advantages to clinical, medical affairs, and commercial sectors through Evidation's virtual research hub, Achievement. With customizable study designs and strategies for device integration, we streamline protocol management to ensure effective study execution. Moreover, we provide the option for sponsorship by either our team or your organization, fostering collaborative efforts tailored to specific needs. Ultimately, this approach aims to enhance the overall healthcare landscape by integrating innovative methodologies that benefit all involved stakeholders.

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

Truveta functions as a health data and analytics platform aimed at utilizing information to improve patient experiences. By aggregating de-identified electronic health records from over 30 different healthcare systems, it offers researchers a comprehensive selection of patient data, encompassing clinical notes, imaging, and genomics. This extensive database encompasses information from more than 120 million patients, providing a well-rounded view of healthcare practices across the United States. The Truveta Studio acts as the analytics core of the platform, providing researchers with advanced tools such as notebooks and dashboards, all while ensuring compliance with HIPAA regulations. With its commitment to real-time data, the platform updates its information daily, ensuring that insights into patient care and health outcomes remain relevant and up-to-date. In addition, Truveta emphasizes the importance of data accuracy through its deployment of the Truveta Language Model, an innovative AI framework that adeptly converts EHR data into exact and dependable data points for medical research enhancement. This unwavering focus on data integrity not only boosts research capabilities but also cultivates a deeper comprehension of healthcare trends and the needs of patients, ultimately leading to better health results and improved care strategies. As a result, Truveta significantly contributes to the ongoing evolution of healthcare analytics and patient care improvement.

Glassbeam operates as a cloud-driven analytics platform tailored for providers, OEMs, and ISOs within the healthcare sector, focusing on delivering business intelligence that enhances the uptime, utilization, and lifecycle management of connected medical devices like MR, CT, and X-ray machines. By harnessing the power of machine learning, Glassbeam's comprehensive solutions provide vendor-neutral and multi-modality predictive and prescriptive insights, empowering both executives and operational staff to effectively monitor key performance indicators (KPIs) and refine enterprise operations. The platform's Service Analytics feature offers valuable insights into device functionality, highlights reported issues, detects anomalies in performance metrics, and anticipates potential part failures, thereby promoting increased machine uptime. Designed as an AI-enhanced solution, Service Analytics employs advanced data analytics to boost the operational efficiency of high-end imaging technologies. In addition, Glassbeam's Utilization Analytics deepens understanding of Imaging department operations by integrating various data sources such as logs, DICOM, HL7, RIS, EMR, and billing and scheduling information. This robust solution fosters enhanced data visibility and analytical capabilities, enabling Imaging teams to streamline workflows, elevate performance, and make data-driven decisions with greater accuracy and confidence. Overall, Glassbeam stands out as a vital partner in the healthcare landscape, helping organizations achieve optimal operational outcomes and improved patient care.

Gain a competitive advantage in the marketplace with AxisCore™, which employs advanced and flexible technology tailored for the seamless automation of your health plan management responsibilities. Move past the obstacles created by outdated core administrative processing systems (CAPS) and embrace our all-encompassing integrated solution. Thoughtfully crafted to optimize benefits administration, expedite healthcare claims processing, and elevate health plan oversight, AxisCore™ empowers your organization to thrive in the dynamic healthcare landscape. Its forward-thinking design not only makes operations more efficient but also strategically positions your organization for enduring success and growth in the future. Adopting AxisCore™ could transform the way you handle health plan administration.

Upload your clients' health data to generate rapid risk assessments, detailed analytical reports, and personalized suggestions regarding supplements, dietary changes, and lifestyle improvements. Improve health outcomes by delivering scientifically supported and individualized recommendations based on your clients' genetic profiles, lab results, and environmental influences. Leverage an intuitive platform to cater to a larger clientele and enhance client retention while simplifying your health service delivery. Identify the specific genes linked to your clients' health issues and develop a strategy to address these genetic concerns with an AI-generated list of prioritized recommendations. SelfDecode Labs acts as a comprehensive tool to deepen your understanding of your clients' laboratory results. You have the option to order new lab tests or upload previously obtained results to evaluate them against functional benchmarks, providing actionable insights for improvement and facilitating long-term progress tracking. By integrating these personalized recommendations into a sustainable regimen for your clients, you enable continuous monitoring and adjustments based on their effectiveness. Ultimately, this approach ensures that your clients receive the most pertinent and advantageous guidance throughout their health journey, fostering a deeper sense of trust and engagement in the process.

Boost your financial results by consolidating the automation of patient cost estimations, pinpointing issues with payer underpayments, and refining contract negotiations all through a unified platform. Recognize and assess trends related to underpayments by insurance companies to ensure your chargemaster is optimized for peak performance. Assign the responsibility of investigations and appeals to your team, all while effortlessly tracking their progress through a single dashboard. Review and contrast performance metrics from various payer contracts to negotiate terms more efficiently and with greater leverage. Provide precise projections of patient out-of-pocket costs, thereby fostering confidence for upfront payments. Enable straightforward online payment options for upfront deposits, significantly improving patient convenience. Ensure that insurance companies are held accountable for the total amounts owed, giving you a stronger position in contract negotiations. Reduce bad debt and lower the expenses tied to collections, while also shortening the duration of accounts receivable. This efficient strategy not only enhances financial health but also bolsters patient satisfaction and trust in your healthcare services, ultimately leading to a more successful practice. By creating a cohesive system, you can better manage resources and streamline operations for even greater results.