Top OMS Trace Analytics Alternatives

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.

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

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.

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.

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

Our cutting-edge, 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.

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

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.

Tackle the intricacies of value-based care irrespective of your current electronic health record (EHR) system. Achieve a well-rounded insight into your patient demographics by integrating data from multiple sources, all presented in an easily digestible visual format. By utilizing data-driven insights, you can improve chronic disease management and ensure seamless care transitions while also focusing on illness prevention, cost reduction, and the enhancement of care management strategies. Foster effective care coordination with proactive tools, such as a pre-visit dashboard, risk assessment features, and automated tracking of admission, discharge, and transfer processes. Activate care management strategies to expand the influence of healthcare providers within the community. Promote vital patient engagement and ensure that meaningful follow-ups occur between appointments. Employ the Johns Hopkins ACG system for effective risk stratification, enabling you to identify patients who are most vulnerable to costly healthcare needs. This targeted approach allows for the efficient allocation of resources to areas where they are critically required. Strive to enhance performance metrics that reflect quality care standards. Successfully participate in value-based payment models while maximizing reimbursement opportunities as you navigate the ever-changing healthcare landscape. By adopting these comprehensive strategies, healthcare organizations can significantly boost patient outcomes, creating a more sustainable and effective care environment that benefits both patients and providers alike. Ultimately, these initiatives not only improve care quality but also contribute to a healthier population overall.

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

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.

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.

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

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.

Investigate how GreenLight's cloud-based solution effectively links supply chain leaders, healthcare providers, and suppliers, enabling them to make well-informed product selections that are both clinically relevant and cost-effective for health systems across the country. By streamlining the purchasing process with evidence-based insights, enhancing value analysis, and fostering better engagement with physicians, this platform provides access to cutting-edge products and extensive information about emerging medical technologies. It consolidates all physician choices regarding medical technology into a single user-friendly portal, thereby promoting transparency and optimizing clinical decision-making processes. Additionally, the platform increases awareness of new products, refines sales strategies, and encourages collaboration within sales teams, while also automating value assessments and enhancing communication among hospitals and physician stakeholders. Moreover, learn how one Integrated Delivery Network (IDN) successfully implemented the GreenLight platform to transform its value analysis strategy, resulting in improved healthcare solutions. This significant change not only led to greater operational efficiency but also elevated the overall standard of patient care, showcasing the potential of innovative technology in the healthcare sector. Such advancements illustrate the vital role that integrated solutions play in enhancing healthcare delivery systems nationwide.

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.

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.

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.

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.

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.

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.

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.

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.

Artrya partners with clinics that focus on patients with chest pain to pioneer advanced AI-driven cardiovascular care models. This collaboration facilitates the integration of high-prognostic value plaque characteristics into the evaluation of coronary artery disease. In both emergency and primary care settings, swift assessments of chest pain patients become achievable. We foresee a future where heart attack occurrences within communities are drastically diminished. By leveraging AI insights from coronary computed tomography angiography (CCTA), healthcare providers can quickly categorize chest pain patients within minutes, based on the type and volume of arterial plaque identified. This innovative technology allows for the prompt detection of individuals with minimal or no coronary artery disease, ensuring that no concealed plaque characteristics are overlooked that could potentially lead to severe cardiac incidents in the future. Identifying early signs of a possible heart attack is of utmost importance. Furthermore, this method enables the effective identification of patients at risk who present with acute or atypical chest pain, guaranteeing they receive appropriate further evaluation and treatment. By adopting this proactive approach, not only are patient outcomes improved, but the overall health of the community is also enhanced, fostering a culture of preventive care. The ongoing commitment to integrating cutting-edge technology will continue to transform cardiovascular care for the better.

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.

Improving the financial and operational processes in your practice is a considerable undertaking. Your goals include optimizing provider schedules, increasing reimbursement rates, excelling in alternative payment models and value-based care, minimizing claims inaccuracies, and ensuring secure access to data, all while maintaining a commitment to outstanding patient care. This complex endeavor can seem overwhelming; however, partnering with an experienced ally equipped with the right tools can simplify the enhancement of your practice's performance. The Practice Management system streamlines scheduling and registration, providing instant access to referrals and eligibility information. With this system, your team can adeptly manage walk-ins, cancellations, and routine appointments. Furthermore, the patient-centric ledger offers a holistic solution for account management, giving you the ability to track service and payment histories, detailed reimbursement notes, and collection activities all from a unified platform. This efficient methodology not only optimizes administrative responsibilities but also enhances patient care, ultimately contributing to better outcomes for both the practice and the patients it serves. By leveraging these advanced tools, your practice can focus more on patient engagement and satisfaction, leading to a more successful healthcare delivery model.

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

Our platform streamlines complex parameters, raw data, and technical terminology, ensuring easy understanding for users of all backgrounds. At Syntax, we are at the forefront of revolutionizing value-based care and incentive systems. By leveraging our expertise in advanced analytics and collaborative tools, our SaaS-based enterprise solution empowers payors and providers to adeptly maneuver through the complex healthcare landscape. We simplify the intricate structures of value-based care, improving processes and removing barriers that hinder collaboration. Our dedication to transparency and trust promotes seamless cooperation among all parties involved, ultimately enhancing outcomes and transforming healthcare delivery. Whether through the standardization of contracts, incentive modeling, or fostering open collaboration, our goal is to make value-based care more accessible, effective, and impactful for everyone involved. We firmly believe that implementing these principles can contribute to a healthier future for all, creating a system where quality care is prioritized and everyone benefits. In doing so, we aim to inspire a collective movement toward a more efficient healthcare ecosystem.

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

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.

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

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.

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

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.

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

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.

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

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.

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.

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.

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.

Time by Infian presents cutting-edge solutions aimed at improving the operational efficiency of clinical settings, allowing dialysis providers to embrace value-based care models more effectively. Its platform is designed with a user-friendly interface that simplifies navigation, bringing critical care information into a single, easily accessible hub, which greatly enhances the efficiency of patient rounds. The system is equipped with a range of checks and balances that ensure actions are performed accurately, thereby reinforcing compliance with established orders, policies, and procedures. Moreover, Time by Infian includes dashboards that allow for rapid and interactive evaluations of clinical data, showcased as Key Performance Indicators (KPIs). These visual tools are both intuitive and straightforward, enabling users to process large volumes of care data efficiently and fostering informed decision-making. As healthcare providers utilize these advanced tools, they can streamline their workflows, ultimately leading to better patient outcomes and enhanced quality of care in the long run. Additionally, this innovative approach empowers healthcare teams to adapt more readily to the evolving landscape of patient care.

Intus Care operates as a cutting-edge healthcare analytics platform that integrates various healthcare data to identify risks, highlight trends, and improve care efficiency within an impressive timeframe of only six weeks. This platform empowers care providers to minimize high-risk situations while equipping executives with vital tools for informed decision-making based on data insights. Our ICS specialists work in close partnership with your organization's leadership and staff to enhance both participant experiences and outcomes in your PACE program. Driven by a genuine passion for people, the Intus Care team remains attentive to the multifaceted needs of patients, families, and caregivers alike. Our mission is to ignite data-driven changes that enable high-value, multidisciplinary care specifically designed for older adults, who are particularly susceptible to hospitalizations, readmissions, and chronic illness development. Furthermore, we emphasize cost reduction through the early identification of patient risks, all while enhancing organizational performance by conducting thorough trend analyses and pinpointing best practices. By cultivating a culture of ongoing improvement, Intus Care aspires to transform the way care is delivered throughout the healthcare sector, ultimately creating a more responsive and efficient system for all stakeholders involved. The commitment to innovation and holistic care sets us apart as leaders in this evolving field.

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

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

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

Unlock hidden opportunities for cost savings in both medical and administrative realms throughout the payment process. Ensure accurate reimbursement through all-encompassing solutions that cater to both prospective and retrospective necessities. Employ proven analytics to evaluate, communicate, and improve your financial and clinical outcomes effectively. Drive initiatives and enhance health results via tailored outreach across various channels. Cotiviti is focused on enhancing both the financial and quality metrics of our clients. In the healthcare sector, this strategy entails processing vast amounts of clinical and financial data, analyzing it, and advising our clients on methods to enhance efficiency and quality. Additionally, Cotiviti also offers its expertise to the retail industry, providing audit and recovery services aimed at increasing operational efficiency and profitability. Our skilled leadership team is committed to providing exceptional value to our customers while inspiring our employees to achieve excellence in their performance. By cultivating a culture centered on continuous improvement, we strive to foster sustainable growth for all parties involved, ensuring long-term success and satisfaction. Through these efforts, Cotiviti remains a leader in both healthcare and retail sectors, dedicated to driving positive change.

Utilize advanced cloud analytics and data science innovations to analyze healthcare information and develop groundbreaking AI solutions. Design evidence-based care models that not only improve patient experiences but also increase clinician satisfaction levels. In addition, strive to reduce healthcare expenses while enhancing the overall health outcomes of the population. The Oracle Autonomous Data Warehouse alleviates the challenges of managing data warehouses and crafting data-centric applications by addressing essential elements such as database management and security measures. With its fully integrated suite of tools for data ingestion, preparation, and machine learning (ML), you can easily store, manage, and leverage your data. Transform your findings into actionable evidence-based care strategies and precision medicine frameworks that can significantly impact patient care. Provide executives, analysts, and IT staff with the capability to access business intelligence from any location, whether they are in an office or at healthcare facilities. Accelerate your analytical workflows through automated data preparation and built-in ML features, ensuring a cohesive strategy for data-informed decision-making. Effectively leveraging these resources enables organizations to nurture a culture of ongoing enhancement in healthcare service delivery while fostering a collaborative environment among various stakeholders.

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.

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.