Top NextGen Population Health Alternatives

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

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

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

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

A significant portion, over 70%, of healthcare information resides in clinical documents like patient charts, discharge summaries, clinician notes, and reports, which enables our advanced Natural Language Processing and AI Engine to extract crucial concepts, attributes, and contextual details that enhance business insights, refine billing processes, evaluate and categorize patient risks, compute quality metrics, and collect patient sentiment and outcome information. By leveraging previously underutilized data sources, you can greatly advance your clinical research or business intelligence initiatives. Our extensive database encompasses thousands of clinical concepts, such as genomic biomarkers, symptoms, side effects, and medications, which facilitates the identification of disease characteristics and risk factors from clinical documents, thus improving patient stratification and raising the quality of care provided. Additionally, we prioritize the anonymity of data subjects by implementing effective document de-identification techniques, ensuring their privacy while still maintaining the data's utility. This dual focus on privacy and comprehensive data empowers healthcare organizations to make well-informed decisions grounded in the most extensive information available, ultimately leading to better patient outcomes and a more efficient healthcare system.

Motivated by a desire to improve health results, we seek to create innovative solutions and services in population health that enhance care management while also enriching the experience for consumers. At i2i, we hold a steadfast belief that exceptional care leads to an improved quality of life for all communities. By emphasizing innovation, we aim to significantly influence public health and promote healthier lifestyles for everyone. Our commitment to this mission drives us to continually seek new ways to empower individuals and communities alike.

The SCIOVantage solution suite enables organizations to improve their decision-making capabilities by consolidating multiple data sources and delivering insightful analysis that reflects historical events, predicts future trends, and suggests actions for optimal results. By merging diverse data streams, it allows users to discern patterns and make well-informed decisions that are in line with their strategic objectives, ultimately fostering better organizational outcomes. This comprehensive approach not only enhances understanding but also encourages proactive planning and responsiveness to emerging challenges.

MEDITECH's Cloud Platform enables organizations of all sizes to optimize their Expanse EHR by integrating diverse specialties, facilitating connections to remote areas, and ensuring the protection of patient data. With Expanse Virtual Care and the Patient and Consumer Health Portal, communication within your community remains fluid and easily accessible, even during times of physical separation. Moreover, providers can rely on High Availability SnapShot to access vital information during unforeseen outages, ensuring continuity of care. Clarity is essential for care teams managing population health, and MEDITECH Expanse Population Health provides the necessary resources to gain an in-depth understanding of patient demographics, including their medical histories and future health trajectories. In addition, this platform empowers individual patients to navigate their health risks at various life stages, guaranteeing that their care journey is adequately supported no matter the situation. Ultimately, this holistic approach not only elevates the quality of patient care but also fortifies the entire healthcare system, fostering a more resilient and responsive environment for all stakeholders involved. By leveraging these innovative tools, healthcare organizations can better meet the diverse needs of their patients and communities.

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

ThoroughCare is a comprehensive care coordination software that seeks to enhance the quality of care across various healthcare sectors, including chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness checks, and advance care planning. By empowering healthcare providers to meet all service requirements, adopt evidence-based practices, and increase revenue, the platform effectively addresses gaps in care. Through the implementation of a strong care management strategy, ThoroughCare diligently tracks quality and performance indicators, gathers data from diverse clinical sites to evaluate patient engagement and outcomes, and produces reports on risk stratification, claims, missed revenue opportunities, and call performance. The analytics component of ThoroughCare provides decision-makers with visual representations of operational, financial, and patient-related data, thus enabling more informed decision-making. Furthermore, the platform integrates effortlessly with electronic health records (EHRs), health information exchanges (HIEs), and remote monitoring technologies, which fosters a comprehensive approach to patient care. This interconnected framework not only optimizes workflows but also significantly improves the overall efficiency of healthcare delivery systems. As a result, ThoroughCare stands out as a vital tool for enhancing patient outcomes and streamlining healthcare processes.

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.

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.

Remote Patient Monitoring (RPM) empowers patients to use connected medical devices for regular evaluations, effectively sending their findings directly to healthcare providers. This technology improves access to medical services and reduces healthcare costs, enabling safety-net providers to transition from infrequent patient visits to maintaining an ongoing, real-time patient record. Consequently, healthcare practices evolve from a reactive stance to a proactive model that aligns with value-based care (VBC) principles. Care Management services offer continuous, patient-centered support for individuals with complex medical needs. Patients dealing with chronic illnesses who engage in these programs benefit from enhanced health outcomes that stem from regular care coordination, seamless communication with healthcare professionals, and consistent telehealth appointments. Furthermore, telepharmacy emerges as a crucial component in promoting better patient health by ensuring adherence to prescribed medication regimens, including specialized treatments. The integration of these innovative healthcare delivery systems fosters a comprehensive approach to patient wellness, creating a setting where proactive management can notably diminish the likelihood of health complications. This comprehensive strategy not only improves individual health outcomes but also reinforces the healthcare system's efficiency and effectiveness.

Lightbeam is dedicated to enhancing population health by transforming data insights into actionable results, effectively addressing care gaps and minimizing risks. This method not only improves the standard of care but also elevates the overall well-being of patients. Through its comprehensive population health management platform, Lightbeam synthesizes diverse data sources to deliver a holistic 360-degree perspective on patients, which is vital for optimizing value-based care outcomes. In today's value-based care environment, effective risk management relies heavily on insights derived from data. Lightbeam's cutting-edge platform uniquely organizes patient data, facilitating the timely and strategic use of pertinent information. The influence of Lightbeam goes beyond merely changing how clients approach value-based care; it has played a crucial role in realizing substantial financial savings, accumulating over 2 billion dollars for clients since its launch in 2014, and its impact is just starting to unfold. Additionally, the technology-enabled services provided by Lightbeam seamlessly enhance these efforts, offering further resources to improve client outcomes. Consequently, organizations that collaborate with Lightbeam are well-positioned to make significant strides in their population health initiatives and achieve sustained success. The partnership with Lightbeam not only fosters growth but also ensures an ongoing commitment to innovation in healthcare management.

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.

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.

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.

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.

NeuroFlow is a digital health organization that integrates workflow automation, consumer engagement tools, and applied AI to foster behavioral integration across various care environments. Its cloud-based suite of HIPAA-compliant resources streamlines remote patient monitoring, enables risk stratification, and promotes collaborative care among providers. By connecting mental and physical health services, NeuroFlow helps healthcare institutions enhance patient outcomes while also lowering expenses. This innovative approach not only supports patient engagement but also empowers providers to deliver more comprehensive care.

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.

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.

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.

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.

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.

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

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

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

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.

Welkin is designed to improve care coordination by ensuring that the right team member addresses patient needs at every stage of their journey. By providing team members with smooth transitions and a customized experience for each patient they serve, we facilitate a more individualized approach to care. The complete automation of programs not only enhances patient engagement but also alleviates the workload, allowing for a smooth transition to the subsequent phase of care. By clearly defining processes and escalation protocols based on specific outcomes or conditions, your team can concentrate on what is most important – delivering high-quality care. It is crucial to implement escalation pathways for situations that need monitoring, such as adverse events, out-of-range results, particular patient responses, or low engagement levels. Additionally, the system can automatically send internal notifications or trigger emails and SMS alerts to care team members in response to certain actions or lack thereof, as well as for upcoming or missed appointments. This thorough approach ensures that every vital detail is accounted for in the continuum of patient care, thereby enhancing overall outcomes and satisfaction. Furthermore, by streamlining communication and responsibilities, Welkin empowers healthcare teams to respond more effectively to patient needs.

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 3M™ Ambulatory Potentially Preventable Complications (AM-PPCs) Grouping Software is designed to identify complications that may be preventable after elective outpatient procedures. By leveraging sophisticated grouping algorithms, this software enables healthcare providers to analyze procedure encounters and their associated complications from various perspectives, including specific procedures, medical conditions, service lines, healthcare providers, and facilities. This thorough analysis offers critical insights that can inform targeted interventions to enhance patient safety and the quality of care in outpatient settings. As a result, employing this software has the potential to significantly improve patient outcomes and foster a more efficient healthcare system. By addressing preventable complications, healthcare facilities can also optimize resource utilization and enhance patient satisfaction.

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.

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.

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.

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

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.

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.

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.

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.

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.

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

Harris CareTracker differentiates itself as a top-tier software solution for healthcare, equipping medical practices and clinics with cutting-edge tools and technologies. This all-encompassing platform offers key functionalities, including Electronic Health Records (EHR), Practice Management, Revenue Cycle Management, Electronic Prescriptions, Patient Portal, and Telemedicine capabilities. Focused on both ease of use and ongoing enhancements, Harris CareTracker optimizes practice workflows, improves the quality of patient care, and boosts overall operational efficiency. By continuously adapting to the evolving needs of healthcare providers, it ensures that users stay ahead in a competitive landscape.

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.

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

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.

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

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.

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.

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