Best Government Population Health Management (PHM) Software

Our human services software offers full functionality for case management, client tracking, electronic health record (EHR), and homeless information management (HMIS) all under one roof. We work with agencies across the spectrum of human services: including developmental disabilities, mental health, substance use disorder, homelessness, supportive housing, HCBS, and much more. Foothold is HIPAA-compliant mental health software, federally certified as an EHR, and offers full interoperability as you navigate the new landscape of care coordination and value-based care. Transform the way you provide care with nimble software and a partnership guided by experience.

Clinical health is vital, but achieving better outcomes requires a deeper level of care. HELIOS presents a 360° view encompassing all aspects of a member’s health. A holistic member view coupled with intelligent workflows allows the care team to collaboratively determine appropriate interventions and reduce avoidable re-admissions. VirtualHealth’s HELIOS platform enables unparalleled collaboration and coordination with the member and their care team and provides broad visibility across the healthcare organization. By connecting the entire care team across one integrated ecosystem, our clients can go beyond traditional care management and drive increased efficiency, transparency, and cost reduction.

Humhealth supports group of Medicare programs include Chronic Care Management, Remote Patient Monitoring and other programs. Humhealth software promotes the Practices to the next level of patient care. Humhealth Chronic Care Management provides specifically designed work flow that includes Adding verbal/written Consent, Enrolling patients, Create and Update Comprehensive unique Care plan for each patient with chronic conditions. Creating call follow ups for the monthly CCM with reminders, Automated inbuilt timer to calculate the service time of the care team. Monthly billing report to support the reimbursement for the practices. Humhealth Remote Patient Monitoring devices with various technology makes the practices choose from 4G, Bluetooth, Gateway hub integrated with web platform for the real time vital tracking of the patients and automated text message to remind the patient to take the missed readings to ease the work of the practices.

CareManager is an electronic health record (EHR) agnostic population health management platform that provides care coordination, interoperability, analytics, outcomes and risk stratification. By utilizing cloud-based technology, the solution assists with lowering risk of readmission without compromising quality. Participating providers can follow a shared care plan, transfer consumer data, track clinical quality measures and manage authorizations and claims across their network. CareManager aggregates data to identify trends and presents health and treatment outcomes for analytics-driven decision making. With immediate access to current data, CareManager generates a comprehensive view of an individual’s health record. This provides broader insight and visibility surrounding the activity transpiring across the care continuum. Manages consumer assignments across agencies and teams,

AssureCare is a privately held healthcare technology company that provides innovative care management solutions to commercial and health and human service providers. AssureCare’s flagship software platform, MedCompass, is used by healthcare providers throughout the United States to deliver end-to-end care management for millions of patients daily. MedCompass transforms healthcare management by automating processes and streamlining workflows, thus allowing care professionals to make better decisions that dramatically improve the quality of care and lower costs. AssureCare is considered an industry leader in developing, modular, seamless solutions designed to improve patient outcomes and reduce avoidable costs associated with population health management.

Finally, an Electronic Health Record system for hospitals, clinics, and practices that is flexible enough to change as healthcare evolves yet doesn’t cost a fortune to implement and operate. Delivered in the cloud, the iCare Enterprise Cloud EHR is a fully integrated system which includes a full range of administrative, clinical and revenue cycle management capabilities. iCare provides a complete solution for clinical, billing and administrative functionality at a fraction of the cost of legacy software. A web-based user interface not only gives your users access to iCare from any device but it also allows the workflows to be configured to the way clinicians work. Legacy EHR systems are built on outdated client-server systems that are costly, closed, inflexible and slow to innovate. iCare is built with the future in mind. The industry’s most modern architecture, intuitive user interfaces, and rock solid performance – no other EHR comes close to iCare.

Achieving the care coordination goals at lower cost is critical in ensuring patient satisfaction and loyalty. But these goals are complex. Your organization needs population health software that provides a shareable care plan that extends across all healthcare settings—without forcing users to leave their workflow. You need to be able to reach out to patients with automated tools, freeing up your care coordinators for more strategic tasks. It’s time for Care Director. With Care Director, your team can more efficiently coordinate outpatient care, stratify patients into at-risk and healthy populations and receive care recommendations based on actionable, clinical intelligence, resulting in more timely interventions and improved population health. Care Director enables providers to access a holistic care plan within their native workflows, so they can get information and communicate back to care navigators with minimal clicks.

We help providers integrate disparate patient data to deliver actionable insights at the point of care, collaborate across care teams, and achieve better health outcomes. We help drive collaboration and connectivity among payers, providers, and members to manage risk, costs, compliance, and rising member expectations. We help biopharma and medtech companies build digital solutions at their intersection with healthcare and better leverage real-world data across the value chain. Unify patient data, generate comprehensive clinical and financial insights, and innovate faster. Move beyond silos to an open, secure platform that unifies healthcare data into a single, longitudinal patient record that enables whole-person care. Rapidly develop interoperable solutions and accelerate digital strategies through our developer tool suite and open APIs. Customizable analytics and advanced insights help enhance care quality, reduce costs, and improve clinical and financial outcomes for providers.

Improve outcomes with MedBridge mobile apps. Get your patients moving with our revolutionary Patient App and access CE courses anytime, anywhere with our Clinician App. We believe education is the most powerful way to improve outcomes. With access to the highest quality continuing education, patient education, and home exercise programs, MedBridge gives you and your patients the tools needed to improve clinical outcomes. We provide the highest quality online education taught by industry-leading professionals. Our evidence-based video courses provide a convenient, cost-effective solution to expand your knowledge, better serve your patients, and advance your career.

The 3Msm Healthcare Transformation Suite combines payment-related methodologies, program design, reporting and analytics tools, and consulting services to support payers with the move from fee-for-service to value-based payment. As payers and their providers are increasingly turning to value-based care models, which base reimbursement on clinical and financial outcomes rather than fee for service. But designing, implementing and remaining successful under these programs calls for sophisticated technical capabilities. The 3M Healthcare Transformation Suite helps healthcare payers transform payment methodologies, assess risk, manage population health, and deliver and reward value-based care.

With MEDITECH’s Cloud Platform, organizations of any size can extend and enhance their Expanse EHR to include multiple specialties, connect remote sites, and protect patient data. Maintain easy and convenient communication with your community (even at a distance) with Expanse Virtual Care and our Patient and Consumer Health Portal. And give your providers the data they need during unexpected downtime, with High Availability SnapShot. If there's one thing care teams need when tackling population health, it's clarity. With MEDITECH Expanse Population Health, you'll have the tools you need to get a clear picture of your patient populations — who they are, where they've been, and where they're going. And you'll have the functionality to support individual patients and help them manage health risks at every stage of life — no matter where their care journey takes them.

The power of our products, the skills of our people and our innovative data-driven approach fuel the reinvention of next-generation Value-Based Care technology. We believe that healthcare is valuable and that every person should receive the most value from their healthcare. Stratify & identify, assign & coordinate care, engage members. Generic drug equivalency, pricing & patient educational materials. Referrals, encounters/claims, eligibility, enrollment & member rewards. Analytics, reports, patient engagement & EHR integration.

Enable high-value decisions and elevate cross-functional collaboration across the care ecosystem. Incedo™ Healthcare Management Platform offers a comprehensive medical management solution that seamlessly integrates care management, utilization management, care coordination, and health care navigation interventions to improve operational efficiencies and health outcomes. Facilitate communication and collaboration between Care Management, Clinical and Utilization Management teams with a shared view of the member care plan and an easy transition between UM and CM Enhanced Data Capabilities Simplify data capture and CMS compliance using a flexible data repository that is customizable for granular data tracking and reporting simplify data capture and CMS compliance using a flexible data repository that is customizable for granular data tracking and reporting System Interoperability.

Population health management (PHM) consistently ranks as one of the top priorities of health plans today. The challenge is, how do you manage the overall health of your population without losing sight of the individual person? ZeOmega understands the importance of the individual member in emerging value-based care strategies. Our Jiva population health management solution builds comprehensive data at the population level with analytical capabilities that enable you to identify opportunities to improve care or influence patient behavior in real time. It’s built to address five comprehensive pillars that are essential for effective population health management. ZeOmega’s powerful population health management platform delivers high-value, strategic solutions enabling payers and care-delivery organizations to improve individual health and provider performance. Deep domain expertise and a comprehensive understanding of complex population health challenges.

Provide authorizations, claims processing and payment in real-time at the point of care. Enhance care coordination and improved outcomes to lower medical cost while streamlining administrative processes. Engage providers at the point of care to capture and share data in real-time resulting in an unparalleled exchange of health information. We partner with our clients to implement risk management strategies that result in better outcomes with lower costs. We strive to improve the user experience for everyone involved in the ecosystem. We deliver a minimum 3:1 ROI for our clients to allow them to optimize their resources. Conexia has developed a core technology platform (ONE) that is customizable to meet the diverse regulatory requirements and operational processes for each client in each geography. In most cases, our initial implementation is an overlay on the payer’s existing technology ecosystem to create real-time processes.

NeuroFlow is a digital health company combining workflow automation, consumer engagement solutions, and applied AI to promote behavioral health integration in all care settings. NeuroFlow’s suite of HIPAA-compliant, cloud-based tools simplify remote patient monitoring, enable risk stratification, and facilitate collaborative care. With NeuroFlow, health care organizations can finally bridge the gap between mental and physical health in order to improve outcomes and reduce the cost of care.

Meet the challenges of value based care—no matter your current EHR. Get a clear view into your patient population with aggregated multi-source data and an easy-to-navigate visual display. Use insights based in data to better manage chronic conditions and care transitions, prevent illness, lower costs, and implement care management. Facilitate care coordination with tools that encourage a proactive approach, including a pre-visit dashboard, risk stratification, and automated tracking of admission, discharge, and transfer events. Put care management in operation. Extend physician reach. Foster critical interactions with patients and valuable follow-up in between appointments. Identify patients with the greatest risk for high-cost utilization, using the Johns Hopkins ACG system for risk stratification. Accurately assign resources where intervention is needed most. Improve performance on quality measures. Participate successfully in value-based payment programs and optimize reimbursement.

Artemis helps you bridge the gap between data and great benefits decisions. Our next-generation tools and support enable benefits teams to justify better programs for their members and drive their benefits strategy. Whether you’re looking for out-of-the-box insights or custom analyses, we have the answers to your stickiest benefits questions. Find ready-made insights and quick wins to get the most out of your spend. Artemis brings answers to the surface so you don’t have to dig. Or get deeper insights with custom analytic tools. It’s like a “Choose Your Own Adventure” novel for benefits data. Drive a successful benefits strategy with our easy-to-use tools. Get the proof you need to justify new programs, calculate costs, and make your case to stakeholders. Keep a close eye on program performance. Whether it’s a wellness challenge or a formulary change, find out what’s truly working for you and your population.

Our programmable, comprehensive suite of solutions and services leverages our strategy that is designed to enable organizations to: know and predict what will happen within a population; engage the person, their family and the care team to take action; and manage outcomes to improve health and care. Traditionally, medicine focuses on the individual and defines “health” as being free from disease. Population health management expands our focus by magnifying efforts across entire populations, and by emphasizing chronic condition management and prevention. To manage population health outcomes, we must get to the root of health problems to anticipate, mitigate, and manage issues before they manifest. Incorporating clinical and social determinants of health (SDoH) data, can equip clinicians with insights to better care for individuals, and for healthcare organizations to partner with communities to enhance everyday health.

IBM Phytel’s automated patient engagement solutions extend your resources to help efficiently improve patient outcomes. Identify gaps in care, engage priority patients, and measure progress. Increase booked and kept appointments and annual wellness and telehealth visits. Improve performance on key quality metrics related to MIPS, PCMH, MSSP and more. Engage patients efficiently, freeing staff to focus on other care needs. Ensure patients have the information they need to get the right care at the right time. IBM Phytel’s suite of solutions is designed to work with any EHR, enabling patients, providers and their care teams to help improve outcomes. Promote better health outcomes for priority patients through the use of evidence-based communications. Deploy personalized chronic and preventive care management campaigns that proactively engage patients. Reduce no-show rates by issuing automated, multi-modal appointment reminders to patients.

We are inspired to create innovative population health solutions and services that improve quality outcomes, care management, and consumer experience. i2i believes better care means better life for all communities.

With more than 70% of healthcare data stored in clinical documents, reports, patient chart, clinician notes and discharge letters, our healthcare specific Natural Language Processing and AI Engine identifies the concepts, attributes and context needed to deliver business insights, optimize billing, identify and stratify patient risks, compute quality metrics or collect patient sentiment and outcome data. Leverage difficult-to-surface or entirely untapped data sources to enhance your clinical research or business intelligence. Leverage our database of thousands of clinical concepts such as genomic biomarkers, symptoms, side effects, and medications. Identify disease characteristics, medications, or risk factors from clinical documents to stratify patients and improve the quality of care. Protect the identity of data subjects while maintaining data utility through document de-identification.

By applying advanced analytics to comprehensive claims data and consumer data, Trilliant provides insights that transform how health systems maximize revenue growth.

From reducing costs to providing unmatched clinical insight, Premier helps health systems focus on what they do best. HealFirst. The PHMC approach condenses the learning curve for organizations to improve care delivery, quality and efficiency; enhance the patient experience; generate higher margins; and optimize hospital-clinician alignment while advancing toward population health management success. Organizations can visualize their ACO populations’ cost and medical utilization by key service categories compared to national and well-managed benchmarks. This allows them to effectuate change faster within their ACO at the facility and beneficiary levels. Additionally, the platform allows groups to quickly stratify their opportunities and measure ROI so they can focus on the areas with the greatest potential return.

The industry-leading capabilities of the Inovalon ONE® Platform empower our clients and partners to succeed by leveraging extensive industry connectivity, massive primary-source real-world datasets, sophisticated analytics, and powerful cloud-based technologies to improve the outcomes and economics of healthcare. At the core of healthcare today is the need to aggregate and analyze large amounts of disparate data, garner meaningful insight from the results, and use these insights to drive material change in patient outcomes, business performance, and healthcare economics. Our analytics and capabilities are used by more than 20,000 customers and are informed by the primary source data of more than 69.5 billion medical events across one million physicians, 611,000 clinical settings, and 350 million unique patients.

SCORE+™ is a modular solution that helps you design and implement a robust, scalable HEDIS strategy through comprehensive reporting, workflow automation and NLP-based intelligence. The platform is designed to give health plans the granular visibility and transparency they need at their speed-of-business, to accelerate their journey to quality improvement. Reduced provider abrasion and increase in provider collaboration by identifying the right provider to chase and to close the right gaps. Variety of self-service capabilities viz. Rule authoring, Audit 360 etc. to extend time savings and fast-track business decisions. BI-Clinical powered Measure Engine with the flexibility to configure runs at the speed of business, produces measure output with in-depth auditability and available in various formats to drive active collaboration and quality improvement.

Data has the power to save more lives in disaster and enhance the resilience of our communities. Geospiza SWIFT™, our web-based workflow and decision support software, makes high quality data accessible and actionable to all communities, regardless of size and financial resources. The platform integrates and operationalizes more than 1000 disparate datasets and models to provide clear actionable insights, empower informed decisions, and measure effectiveness over time. Geospiza SWIFT™ enables public safety, disaster, and homeland security organizations to make evidence-based decisions faster. By combining a constellation of mapped data sources and extensive population vulnerability models, users can easily navigate their communities, target limited resources, set metrics for success, and track ROI over time. Our tool is intended for day-to-day use, where users can understand who is most vulnerable in their community and why.

Get a comprehensive view of your patient with data aggregation from both traditional and non-traditional sources. Amadeus is the platform for Population Health Management and Precision Medicine that provides healthcare professionals with the real-time cognitive support they need to make the best possible decisions at the point of care. The open platform scales to accommodate the vast amount of data generated by new models of care, to support the journey from population health management to precision medicine. Amadeus's API management layer allows third party developers to build new capabilities on the platform, creating an innovative healthcare ecosystem. An advanced, granular privacy capability provides controlled access to patient information based on user roles and the sensitivity of patient data.

There’s a safer way to manage risk. Our population health service helps you coordinate care and engage patients, so you can easily manage populations of any size across multiple EHRs. The latest breakthroughs in medicine aren’t medicine: Population health management solutions help large practices stay connected and engage patients, so you can manage populations—of any size—across multiple EHRs. Stay connected to the vital data you need to manage your patient population. Uncover cost and utilization trends among your population, and identify actionable insights to address them by using more than 140 pre-built reports or creating custom reports with our data visualization tools. Care managers can use configurable, evidence-based content to create the right care plan for every patient, in less time. Automated outreach services help you reach more patients and close more care gaps with less work.

Greenway's mission is to make a difference in healthcare by delivering high-quality solutions that serve our practices, their patients, and their communities. An all-in-one, interoperable healthcare software solution and client service experience that accommodates the needs of ambulatory care specialties. Our team of clinical, financial, and technology experts consistently delivers solutions to help our clients achieve success in the evolving healthcare landscape. We focus on emerging client needs, consistently delivering products and services based on direct client feedback to create enhanced provider experiences. Reliable and easy-to-use medical software for ambulatory practices. Our client-first model delivers a full suite of adaptable, data-based EHR, practice management, and revenue cycle solutions to help practices keep pace with industry changes. End-to-end EHR, practice management, and medical billing systems.