Alternatives to MMIT
Compare MMIT alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to MMIT in 2026. Compare features, ratings, user reviews, pricing, and more from MMIT competitors and alternatives in order to make an informed decision for your business.
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IQVIA
IQVIA
Thousands of organizations around the world trust IQVIA to speed drug development, ensure product quality and safety, improve commercial effectiveness, get the right treatments to patients, improve access to and delivery of healthcare, and ultimately drive better health outcomes. Reimagine clinical development by intelligently connecting data, technology, and analytics to optimize your trials. The result? Faster decision making and reduced risk so you can deliver life-changing therapies faster. With a foundation in data, advanced analytics, and expert insight, IQVIA brings specialized capabilities to customers across the healthcare ecosystem. Read and watch the latest from IQVIA data scientists, doctors, researchers, and other subject matter experts on the topics that matter to you. From industry trends to how we are applying our capabilities to help, you can find it here. -
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Definitive Healthcare
Definitive Healthcare
Access the highest quality data and intelligence on hospitals, physicians, and other healthcare providers - updated daily. We help companies across the healthcare ecosystem grow their businesses and create new paths to commercial success. Here are just a few reasons why we’ve been a leader in healthcare commercial intelligence for 10 years and counting. Fueled by powerful data science and AI, we have intelligence for all your commercial needs. Healthcare commercial intelligence untangles the web of data on delivery systems, physicians, payor, patients, government organizations and more to identify the people, opportunities and organizations that are the best fit for your product. Building and selling a product for the healthcare market is complex. Answers to critical questions are often buried in disparate information systems, making centralized insights hard to come by. Healthcare commercial intelligence (HCI) is a new category of software that untangles the web of data on delivery. -
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H1
H1
At H1, our mission is nothing short of creating a healthier future worldwide by unlocking and democratizing global access to critical expertise, HCP information, claims data, ground-breaking research and discoveries, and connected insights for all – doctors, researchers, industry and, ultimately, patients – bringing everyone closer together to advance medicine and clinical outcomes. Insights derived from H1’s solutions help life sciences and other healthcare organizations accelerate the development, launch, and dissemination of life-saving treatments, drive meaningful engagements with key opinion leaders, and help ensure equitable access to healthcare services. -
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Claude for Healthcare
Anthropic
Claude for Healthcare is a HIPAA-ready AI platform built on Anthropic’s advanced Claude models that helps healthcare organizations move faster without sacrificing safety, accuracy, or compliance by connecting to trusted medical, payer, and clinical data sources. It enables use cases such as prior authorization review, insurance claims appeals, clinical documentation generation, patient message triage, care coordination, and other administrative workflows by validating provider credentials, medical codes, coverage requirements, and drafting recommendations or summaries with traceable sources for verification. Claude can integrate with industry standards and databases, including CMS coverage policies, ICD-10 codes, provider registries, and PubMed, and supports secure connection to personal health records (e.g., lab results and medical histories) with user consent so patients or clinicians can get plain-language summaries and insights.Starting Price: $17 per month -
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PatientIQ
PatientIQ
Founded in Chicago, Illinois, PatientIQ serves provider organizations, medical device & life sciences, and payers with its platform to learn their practice with data-driven medicine. The largest platform for healthcare professionals to collaborate and improve patient outcomes. Empower healthcare providers with industry-leading technology to practice data-driven medicine. In the U.S. healthcare market, all stakeholders are under increasing pressure to prove their value. A critical component to assessing "value" is an objective measure of patient outcomes. The challenge of measuring outcomes is expensive, nuanced, and ladened with technological barriers, but outcomes are the most valuable currency in value-based healthcare of the future. A transparent solution to systematically measure, analyze, and compare outcomes across stakeholders is the next big market opportunity in digital health. -
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Infinx
Infinx Healthcare
Leverage automation and intelligence to overcome patient access and revenue cycle challenges and increase reimbursements for patient care delivered. Despite the progress AI and automation is making in automating patient access and revenue cycle processes, there still remains a need for staff with RCM, clinical and compliance expertise to ensure patients seen were financially cleared and services rendered are accurately billed and reimbursed. We provide our clients with complete technology plus team coverage with deep knowledge of the complicated reimbursement landscape. Our technology and team learn from billions of transactions processed for leading healthcare providers and 1400 payers across the United States. Get quicker financial clearance for patients before care with our patient access plus a platform that provides complete coverage for obtaining eligibility verifications, benefit checks, patient pay estimates, and prior authorization approvals, all in one system. -
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IntegriChain ICyte
IntegriChain
Life science organizations of all sizes and complexity rely on the ICyte platform to streamline pharma market access and therapy commercialization. ICyte provides biotech and pharma manufacturers with world-class channel and patient data aggregation, contracts and pricing managed services, gross-to-net forecasting and accrual systems and expert launch and pricing transparency solutions. With ICyte, pharmaceutical and biotech companies improve market access by quickly transforming patient, payer, complex transaction, and channel data into actionable insight. ICyte also supports analytics-as-a-service, which allows common models and metrics to be deployed as a centralized service across applications, data, and analytics uses. Key performance indicators (KPIs) specific to Life Sciences companies are built into the platform. Also included are advanced analytics such as forecasting, scenario modeling, and a machine-learning-powered recommendation engine. -
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Ember
MetiStream
Unite and free your unstructured health data Interactive AI and NLP solution delivering health insights to Providers. Payers. Life Sciences. Interactive AI and NLP solution to unlock health insights from unstructured clinical notes data for: Provider. Accelerate data abstraction from and clinical validation of information contained in clinical notes. Decrease time and reduce costs required to identify care gaps, review care quality dashboards, and generate registry reports. Payer. Integrate and analyze both claims data and clinical notes to more effectively manage high risk and high cost member cohorts. Life Sciences. Rapidly match patients to clinical trials–and vice versa–using clinical trial databases and data from clinical notes. Leverage the power of real world clinical data and evidence. Ember is an end-to-end solution at the intersection of NLP and predictive analytics. Streamline. Healthcare Analytics for Unstructured Data to Improve Quality, Efficiency, and Outcomes -
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Inovalon Insurance Discovery
Inovalon
Insurance Discovery reduces uncompensated care and underpayments by identifying active billable coverage previously unknown to the provider. Using sophisticated search capabilities, this solution identifies if patients have multiple active payers to help boost reimbursement opportunities. Prevent reimbursement delays and increase the speed of revenue capture by sending claims to the right payers on the first submission, enabled by more accurate coverage information. Run Insurance Discovery with verified patient demographic data to get accurate coverage and eligibility information. Replace manual insurance discovery methods with one quick, comprehensive search that inquires numerous databases in seconds to deliver detailed, accurate coverage information. Improve the patient/resident experience and estimate accurate out-of-pocket costs to improve their financial experience. -
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SteepRock
SteepRock
SteepRock's suite of AI-powered tools is designed to expand your market reach by identifying influencers and processing vast data, automating analytics, uncovering hidden insights, and summarizing multimedia for more efficient decision-making. Our flagship product, Opinion Leader Analytics (OLA), is a state-of-the-art healthcare big data search engine that provides comprehensive insights on healthcare professionals (HCPs), healthcare organizations (HCOs), systems of care, payers, congresses, and digital/social media. The Opinion Leader Management System (OLMS) offers a 360° view of key individuals, patient/professional organizations, and accounts impacting your brand by compiling real-time data on billions of external activities and integrating internal company activities. Our AI analytics platform transforms data into clear, actionable strategies by eliminating personal biases and subjective preferences, empowering accurate, objective, and impactful choices. -
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HexIQ
HexIQ
The HexIQ software provides fast and easy access to negotiated rate data and tools that help users search, download, and analyze complex healthcare reimbursement rates for any code, payer, provider (NPI), or tax identification number (TIN) of interest so they can leverage transparency in coverage requirements to inform business decisions and negotiations. It ingests hundreds of machine readable files (MRFs) from payers every month, cleans and enhances the data with provider names, addresses, and network relationships, and updates it regularly so users can benchmark their negotiated rates against peers in the same specialty and region without manual Excel manipulation. Advanced search features let users filter by code, specialty, state, place of service, payer, NPI, or TIN and download results in CSV format for further analysis, while built-in analytics and visualization tools show rate distributions, average and mode rates, and contracted provider networks to reveal market insights.Starting Price: $25 per month per code -
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mydimed
mydimed
Preventive medicine is the future of medicine. We help healthcare providers identify and intervene with high risk patients. Helping clinicians keep patients safe. Lowering ADR inside Healthcare providers facility Between 5%-10% of hospitalized patients have an ADR during their hospitalization, an adverse event that increases risk, increases length of stay, and denies reimbursement from payers for additional hospitalization days and procedures. These Adverse Drug Reactions can be prevented. Helping ACO's, HMO's and payers to reduce preventable ER visits and hospitalization. Lowering ADR among the population with emphasis on the Elderly. Between 15%-30% of all 65+ years old patients ER visits are due to an ADR. These visits are often accompanied by hospitalization. These Adverse Drug Reactions are preventable. What We Do. Advanced Science Multi disciplinary science. Our technology is based on medical research and advanced data science, a powerful combination that yields better -
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LexisNexis MarketView
LexisNexis
LexisNexis® MarketView™ delivers medical claims-based intelligence to healthcare payers, providers, life sciences companies and health IT organizations across the United States. MarketView delivers actionable insights to remain competitive, allowing businesses to see valuable insights, and visualize ways to transform business. Whether you are a life sciences company, a health plan, a health system, or a health IT vendor, MarketView can help transform key business work streams including marketing, sales, strategic planning, physician relations and outreach, market research, network optimization, recruitment, pricing, contracting, clinical teams and more. Your business needs the most actionable insights to remain competitive. But it’s hard to diagnose the right areas of focus when the picture is unclear. MarketView delivers insights into areas including referral patterns, physician alignment strategies, the quality of clinically integrated networks, patient volumes, etc. -
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Agilum
Agilum
We enable the leap to value-based care by comparing treatments, drugs, processes, and costs to help hospitals, life science companies, and payers identify treatment plans that achieve the best patient outcomes. Our CRCA™ P&T platform empowers P&T committees to yield data-driven improvements in quality metrics, such as average length of stay (ALOS) and 30-day readmissions. Our unique POP-BUILDER Rx™ solution provides comparative analyses between selected cohorts and CRCA’s real-world data index of over 140MM longitudinal patient records. Our drug remittance dashboard analyzes and reports drug remittance data across payer types and for focused groups of high-cost drugs down to the NDC level. We help hospital finance departments quickly and easily monitor and improve service line costing and profitability, productivity, and revenue cycle performance via insightful analytics, reporting, and our Agilum Healthcare Intelligence team. -
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Inovalon Eligibility Verification
Inovalon
Eligibility Verification Standard streamlines patient access and billing workflows by enabling staff to assign and prioritize patients/residents, payers, and tasks during eligibility verification. This technology goes beyond basic eligibility needs, providing a dashboard to confirm, manage, and store every inquiry. Speed up eligibility verification processes with automated enrichment of incomplete or incorrectly formatted transactions from the payer. Perform multiple eligibility inquiries at once with batch file uploads that verify Medicaid, Medicare, and commercial coverage quickly and efficiently. Easily assign tasks to team members, apply follow-up flags, and create eligibility documentation for future reference. Manage patients between batches and resolve issues with just a few clicks. Save time and ensure coverage accuracy with one cloud-based, all-payer health insurance eligibility verification software that empowers staff to manage benefit inquiries however, works best for them. -
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TikaMarketAccess
TikaMobile
TikaMarketAccess provides Market Access teams with the ability to: -Manage contracts and pricing -Handle clinical requests and accepted response dates -Analyze a comprehensive overview of competitor activity -Gain insight into formulary plan coverage for different therapeutic groups -Drill into specific plan details, including number of lives by plan or by state; and push real-time alerts to sales reps for formulary wins by location and physician Tika’s powerful app leverages data and information to establish the best practices in value-based contracting, ensuring success from contract initiation to execution and evaluation. The solution also enables teams to uncover optimal payment and delivery approaches, balance value, accessibility and affordability for patients, ultimately upholding the goal of a patient-centric approach to healthcare. -
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Aetion Evidence Platform
Aetion
Aetion Evidence Platform® delivers real-world evidence for life sciences companies, payers, and at-risk providers. We help you answer the high-stakes questions in health care: what works best, for whom, and when. Because better answers lead to better decisions. As a partner to the majority of the top 20 global biopharma firms, leading payers, and the FDA, Aetion informs the most critical decisions in the industry. Our transparent analyses guide product development, commercialization, and payment innovation into health care’s modern era. Aetion Evidence Platform moves the application of real-world evidence from descriptive analytics to causal conclusions. And it delivers answers within days and weeks—the rapid results needed to improve clinical and financial outcomes. Turn your best available information into insights you can use now. -
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Anomaly
Anomaly
Anomaly is an AI-powered payer management platform built for healthcare revenue teams to “know your payers as well as they know you.” It surfaces hidden payer behaviors by decoding complex rules and detecting payment patterns across hundreds of millions of healthcare encounters. The core engine, Smart Response, continuously analyzes payer logic, adapts to shifting policies, and embeds learnings directly into existing revenue cycle workflows to provide real-time denial prediction, assisted claims correction, and alerts to revenue risks. By integrating payer-specific insights into existing systems, users can anticipate revenue loss, negotiate payer contracts from a stronger position, and proactively correct or reverse denials before they impact cash flow. The system helps level the playing field between providers and payers by turning opaque billing logic into actionable intelligence and embedding it into day-to-day financial operations. -
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NeuralRev
NeuralRev
NeuralRev is an AI-powered Revenue Cycle Management (RCM) platform that automates and accelerates end-to-end financial workflows in healthcare, reducing manual effort and errors while improving cash flow and operational efficiency. It automates insurance eligibility verification by connecting to clearinghouse networks in real time so patient intake and coverage checks happen instantly, and it handles prior authorization by assembling clinical and payer requirements, submitting requests electronically, and tracking approvals to reduce denials and delays. It also delivers real-time patient cost estimates by combining eligibility data with payer rules to improve transparency and upfront collections, and it streamlines medical coding, claim submission, claims processing, post-claim follow-up, and recovery, so teams spend less time chasing paperwork. -
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HRA
HRA
HRA® (Healthcare Research & Analytics) is a full-service healthcare market research agency that provides unique access to a pure, proprietary panel of physicians, payers, patients, caregivers, pharmacists, and other key stakeholders to support your brand strategy. More than 100,000 community-based healthcare professionals and key opinion leaders (KOLs), payers, pharmacists, patients, and caregivers who provide unique insight on issues that are critical to your success. Leveraging 75+ years of combined experience partnering with healthcare companies to deliver insights and guidance for pre-launch, launch, and post-launch success. Supporting your commercial needs through brand strategy development, execution and real-time assessment of stakeholder attitudes, behaviors, and insights. Offering strategic solutions for a breadth of healthcare clients, HRA® combines clinical and commercial expertise, powerful connections, and creative solutions to keep you ahead of the healthcare community. -
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The Physician Empowerment Suite
SE Healthcare Quality Consulting
SE Healthcare’s Physician Empowerment™ Suite, a set of specialty-specific data analytics tools, contains solutions that empower your practice to be more successful in an increasingly competitive market. Get the reimbursement you deserve from payers. Make your practice more attractive to networks. Improve your reputation and transparency to convert website visitors into new patients. Retain current patients by uncovering issues and creating a better patient experience. Enhance workplace culture for physicians. Enhance patient engagement and satisfaction. Address critical issues like physician burnout, quality, and safety. Insights into hidden problem areas to improve patient experience, patient engagement, quality, safety, and overall practice performance. -
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Flexpa
Flexpa
Flexpa is a healthcare data interoperability tool that gives developers and organizations instant, patient-consented access to comprehensive health records from insurers, electronic health record (EHR) systems, and nationwide health exchanges through a unified API, replacing slow, manual record collection with real-time standardized data retrieval using FHIR (Fast Healthcare Interoperability Resources) standards and a 3-in-1 network that includes CMS-9115 payer APIs, ONC (g) (10) provider APIs, and TEFCA IAS nationwide exchange support. Flexpa handles the entire authentication and authorization process, including digital consent flows, SMART Health Links, IAL2 identity proofing, and conversion-optimized UX, so applications can onboard patients, collect compliant consent, and begin pulling data quickly without building custom integrations. Flexpa’s Records API extracts and enriches complete patient data, including claims history (EOBs, coverage details), clinical records, and etc.Starting Price: $65,000 per year -
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Optum AI Marketplace
Optum
Optum AI Marketplace is a curated ecosystem of AI-powered solutions designed to transform healthcare by providing payers, providers, and partners with tools to deliver better outcomes efficiently. It offers a diverse range of products and services across categories such as patient & member engagement, eligibility & claims, care operations & management, payment & reimbursement, and analytics & insights. Notable offerings include the prior authorization inquiry API, which enables payers to check a patient's prior authorization status in real-time, and SmartPay Plus, an e-cashiering payment platform that simplifies patient payments and streamlines the collection process. Additionally, Optum Advisory Technology Services provides expert support for digital transformation initiatives, offering system selection, procurement, implementation, and AI tools. It also features partnerships with trusted resellers, such as ServiceNow, to offer cutting-edge healthcare solutions. -
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Inovalon Payer Cloud
Inovalon
Improve clinical quality metrics, risk score accuracy, patient and provider engagement, patient outcomes, operational transparency, and economic performance, all with one comprehensive suite of software solutions. The Inovalon Payer Cloud transforms traditional workflows into data-driven processes that support your health plan’s key objectives. Backed by industry-leading analytics capabilities, our converged SaaS solutions deliver the member-centric insights and speed, accuracy, and flexibility you need to stay ahead in this diverse, ever-changing marketplace. Inovalon's SaaS suite of healthcare payer solutions delivers member-centric insights and actions to help health plans measure, manage, and improve healthcare outcomes, economics, and quality of care. Payer solutions to improve member care and outcomes while achieving greater operational performance and efficiency with sophisticated analytics and dynamic business intelligence. -
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Gigasheet
Gigasheet
Gigasheet uses AI to turn healthcare price transparency data into actionable market intelligence. The platform processes Transparency in Coverage datasets at scale and benchmarks payer and provider rates to reveal outliers, savings opportunities, and competitive insights. Users can combine transparency data with their own claims, contract, or network information in a spreadsheet-style interface built for large datasets. Gigasheet’s AI agent generates reports, dashboards, and executive summaries that help teams compare pricing, evaluate networks, and make informed contracting decisions without complex setup or external tools. -
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Salesforce Agentforce Life Sciences
Salesforce
Agentforce Life Sciences, formerly Life Sciences Cloud, is Salesforce’s AI-first engagement platform built for Pharma, MedTech, Consumer Health, and Animal Health organizations. It unifies clinical, medical, commercial, and patient services functions on a compliant, industry-specific CRM foundation. The platform enables cross-functional teams to engage healthcare providers and patients using real-time, data-driven insights. AI-powered automation accelerates clinical trials, improves medical inquiry management, and enhances commercial engagement. Life Sciences Cloud supports compliant workflows with audit trails and governance embedded directly into daily operations. Patient services teams can streamline benefits verification, adherence programs, and adverse event management. Agentforce Life Sciences helps organizations bring therapies and devices to market faster while improving operational efficiency and stakeholder engagement. -
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Clinithink
Clinithink
Clinithink is a leading healthcare technology company specializing in artificial intelligence solutions that transform unstructured medical data into actionable insights. Our patented CLiX platform utilizes Clinical Natural Language Processing (CNLP) to interpret complex clinical narratives, enabling healthcare organizations to enhance patient care and operational efficiency. Clinithink offers tailored solutions across life sciences, revenue cycle management, and population health, addressing challenges such as patient cohort identification, reimbursement optimization, and disease progression tracking. Clinithink's innovative technology has garnered trust from leading pharmaceutical and healthcare organizations worldwide, positioning it at the forefront of healthcare AI and digital health advancements. CLiX is capable of understanding a vast quantity of unique and detailed clinical concepts such as; certainty, severity, laterality, and temporality. -
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Turquoise Health
Turquoise Health
Turquoise Health delivers a comprehensive suite of solutions built around healthcare price-transparency and contracting workflows, offering modules such as Clear Rates Data (which aggregates over a trillion provider, payer, professional, drug, and device rate records covering institutional and professional services) and Clear Contracts (a centralized cloud application that supports contract creation, negotiation, and storage for payers and providers). It also includes Compliance+ to help organizations remain compliant with machine-readable file requirements and Good Faith Estimate rules, Analytics tools to benchmark and query market-level rate data, Custom Rates extracts tailored for specialty healthcare segments, Standard Service Packages (pre-built bundles of common procedures), Search and Care Search dashboards for rate discovery and comparison, and a Turquoise Verified program enabling providers and payers to publish and manage price transparency data. -
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TreatWrite
TheraTech Pathways
TreatWrite is a visionary, responsible, web-based service that produces quality, accountable healthcare documentation, improves the patient care process, improves patient health, enhances the clinical provider experience, supports provider reimbursement, and optimizes allied health practices to conserve payer resources. Progress tracking technology data opens future doors of opportunity for TheraTech to lead the allied health professions into Learning Healthcare. Planned product expansions include the addition of an allied health performance quality center. The performance quality center, coupled with progress tracking data, offers exciting possibilities to define service delivery efficiencies that conserve payer resources and grow a culture of constantly improving healthcare service and delivery models. Customizable templates, and data transfer from document to document make TreatWrite efficient.Starting Price: $49.00 -
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Post Acute Analytics
Post Acute Analytics
Post Acute Analytics (PAA) leads the transformation of care delivery to improve patient lives by actioning real-time insights across a connected healthcare system. This is possible by implementing our AI-based, turnkey integration solution – PAA Anna™ Platform – with healthcare providers’ and payers' systems. Anna permits total transparency of their patients’ journeys through post-acute care in real-time and enables proactive intervention to prevent negative quality and cost events from occurring. Through proprietary analytics, turnkey integration engine, and medical leadership, our solutions ensure that providers and payers can make real-time decisions that improve patient outcomes while reducing total cost of care. -
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MantraComply
MantraComply
MantraComply is a provider credentialing and enrolment platform. We deliver comprehensive services in provider credentialing, payer enrollment solutions, license verification, hospital privileging, and healthcare compliance management. Trusted by thousands of providers, health plans, payers, group practices, and digital health companies, MantraComply ensures faster provider onboarding, reduced denials, and improved regulatory compliance. Our model integrates AI-driven insights, customizable credentialing workflows, and 24/7 expert support, enabling providers and organizations to stay compliant while focusing on patient care. MantraComply is proudly backed by $15M in funding from Impanix Capital. -
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Microsoft Cloud for Healthcare
Microsoft
Microsoft Cloud for Healthcare is a comprehensive platform designed to transform the healthcare industry through AI-powered solutions, data integration, and secure, connected experiences. The platform helps healthcare providers, payors, and life sciences organizations improve patient care, streamline operations, and enhance research capabilities. It offers tools for safeguarding sensitive data, optimizing clinical workflows, and improving patient engagement. Microsoft Cloud for Healthcare leverages actionable insights from unified clinical and operational data, enabling healthcare organizations to drive positive outcomes, increase efficiency, and reduce costs. -
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Droidal
Droidal LLC
Droidal is an AI-powered revenue cycle management platform that helps healthcare organizations reduce costs, increase revenue, and improve patient experiences. By leveraging Generative AI and large language models (LLMs), Droidal automates complex billing, claims, and payment workflows with precision and speed. The platform processes over 2 million claims monthly across 1,800+ locations while maintaining coverage for 3,500+ payers. Its AI agents streamline operations for hospitals, clinics, and care providers — cutting denials, accelerating payments, and boosting cash flow. Designed for seamless integration, Droidal enhances productivity without replacing existing systems or workflows. With enterprise-grade compliance and a subscription-based model, Droidal delivers measurable ROI while freeing up staff to focus on patient care. -
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Panalgo
Panalgo
Panalgo’s Instant Health Data platform is a comprehensive healthcare analytics software suite built to eliminate complex programming and speed real-world data analysis for life sciences, pharmaceutical, payer, provider, government, and academic teams. It ingests diverse health data sources, including claims, electronic health records, registry data, and other real-world datasets, and converts them into a unified, analysis-ready format with a healthcare-specific data model and an extensive library of algorithms, enabling scalable, transparent, and rapid analytics without traditional coding barriers. IHD supports point-and-click analytics, custom dashboards, statistical analysis, machine learning forecasting, automated documentation, and collaborative reporting so stakeholders can explore, interpret, and share insights efficiently. Integrated components such as Ella AI provide natural-language, generative-AI assistance to build cohorts, generate insights, and make decisions. -
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Aledade
Aledade
You want to deliver the best possible care for your patients. That’s our goal, too. Aledade offers primary care providers access to cutting-edge data analytics, user-friendly guided workflows, unparalleled regulatory expertise, strong payer relationships, and local, hands-on support from attentive experts. Our goal is to make it simple for your primary care practice or community health center to participate in value-based care while improving outcomes for patients and supporting a cost-effective, high-value healthcare system for your community. Independent primary care providers and community health centers who want to participate in the Medicare Shared Savings Program, other government programs, or available commercial contracts can join an Aledade accountable care organization (ACO) with other healthcare providers in their region. -
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Inovalon ONE Platform
Inovalon
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. -
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MedInsight
Milliman MedInsight
Founded in 1998, Milliman MedInsight® is a leading provider of healthcare data and analytics, trusted by over 300 payers, providers/ACOs, employers, and government agencies worldwide. Our comprehensive suite of analytics and data solutions empowers organizations to leverage healthcare data for informed decision-making and improved clinical and financial outcomes. With deep industry expertise and advanced technology, we deliver actionable insights into healthcare utilization, costs, quality, and performance. From risk management to value based care, Milliman MedInsight empowers stakeholders to navigate the complexities of the healthcare landscape and achieve sustainable success. -
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OpenLoop
OpenLoop
OpenLoop is a fully white-label telehealth platform designed to help organizations launch and scale virtual care quickly and efficiently. It provides end-to-end telehealth infrastructure, including technology, clinical staffing, licensing, credentialing, and regulatory support. Built to integrate seamlessly with existing systems, OpenLoop supports both synchronous and asynchronous care models. It is trusted by millions of patients annually and operates across all 50 U.S. states. OpenLoop enables organizations to deliver branded telehealth experiences with scheduling, payments, and patient support included. Nationwide payer coverage, including Medicare and Medicaid, simplifies reimbursement and revenue cycle management. With AI-powered operations and 24/7 patient support, OpenLoop helps organizations scale care while maintaining quality and compliance.Starting Price: Free -
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AWS HealthOmics
Amazon
Securely combine the multiomic data of individuals with their medical history to deliver more personalized care. Use purpose-built data stores to support large-scale analysis and collaborative research across entire populations. Accelerate research by using scalable workflows and integrated computation tools. Protect patient privacy with HIPAA eligibility and built-in data access and logging. AWS HealthOmics helps healthcare and life science organizations and their software partners store, query, and analyze genomic, transcriptomic, and other omics data and then generate insights from that data to improve health and advance scientific discoveries. Store and analyze omics data for hundreds of thousands of patients to understand how omics variation maps to phenotypes across a population. Build reproducible and traceable clinical multiomics workflows to reduce turnaround times and increase productivity. Integrate multiomic analysis into clinical trials to test new drug candidates. -
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Genoox
Genoox
Through our diverse and growing community, Genoox accumulates the most relevant database and delivers actionable, real-world genomic insights that impact lives, improve clinical outcomes, and shape the business of healthcare. Our solutions are changing the face of genomics. Genoox uses the power of its community and combines public data with community data to streamline the path from DNA sample to clinical report, impacting patient care by making genomic data accessible and actionable at the point of care. Genoox enhances research and life sciences companies by providing an insight platform derived from real-world data and evidence and powered by our community with robust genomic analytics, helping researchers simplify complex genomic data and make impactful discoveries using the most advanced genetic tools and applications. Genoox helps biosystems companies such as DNA sequencing companies to bundle its state-of-the-art genomic engine with dedicated assays. -
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Approved Admissions
Approved Admissions
Approved Admissions is a secure platform that automates tracking of coverage changes for Medicare, Medicaid, and commercial payers bundled with real-time eligibility verification and coverage discovery. The platform's primary goal is to help providers minimize the number of claim denials due to a missed insurance coverage change and accelerate the billing cycle. Approved Admissions is using the innovative RPA (Robotic Process Automation) Bridge solution to ensure patient data consistency across multiple systems, and benefit coverage search. Key Features: - Automated eligibility verifications and re-verifications - Email or API notifications if any coverage changes are detected - Real-time verifications - Batch eligibility verification - Seamless integration with RCM, EHR platforms (PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, and many others) - RPA-powered cross/platform synchronizationStarting Price: $100 per month -
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Availity
Availity
Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS. -
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HealthNexus
PurpleLab
HealthNexus is trailblazing innovation across the healthcare continuum. We’ve made our platform medically fluent so no information is left off the table. Get ongoing results you can trust, faster and more economically. Benefit from our billions of intelligently structured and harmonized data points, enabling deeper and more precise real-world insights and outcomes across patients, providers, and payers. These include patient and provider social determinants of health (SDOH), Risk Adjustment factors (RAF), Hierarchical Condition categories (HCC), and quality scores. A variety of comprehensive reports are at your fingertips from predefined reports templates to highly customized complex, user-generated queries that speed access to insights across the entire healthcare ecosystem. Access to PurpleLab’s universe of medical terminology and crosswalk concept groups allows you to systematically govern and manage medical terminology reference data across your organization. -
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Harris Affinity RCM
Harris Healthcare
Optimize transforming patient care into cash with clear insight into every financial decision. Affinity Revenue Cycle Management reduces the need for bolt-on applications thus lowering an organizations overall cost to collect from both payers and guarantors. Bringing together the best of healthcare software solutions under one integrated platform. Lower the cost to collect by automating the revenue cycle and expediting claim processing. Harris Affinity helps healthcare organizations focus on what matters most: patient care. We do this through our RCM software, which helps automate the revenue cycle, expedite claim processing and lower the cost to collect. Use electronic transactions (EDI) to send & receive data directly to a payer or clearinghouse. Unlock screens without needing to contact support. Analyze data with easy to read dashboards. Optimize complex scheduling procedures. Send automatic appointment reminders to patients. -
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Medius Health
Medius Health
Unleashing the power of Medius’ multi-cloud artificial intelligence platform to deliver greater than 90% accuracy and coverage on various health intelligence and risk predictions using just a few health variables. Using just a few health data co-ordinates, Medius’ multi-cloud artificial intelligence platform aggregates, and mines massive datasets to create all relevant health risk and underwriting insights within seconds, with over 90% accuracy and coverage that can help providers and payers with their health and life needs assessments, distribution, operations efficiency, and cost optimization needs. Medius’ proprietary UW Studio™ is a complete underwriting platform delivering the AI revolution that has fundamentally altered the insurance landscape whereby multiple science-based underwriting ensemble models are deployed to address the business and technical requirements by reproducing humanistic deductive actuarial reasoning with clinical accuracy. -
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Veradigm AccelRx
Veradigm
Veradigm AccelRx delivers a free, automated, comprehensive solution to help you streamline specialty medication fulfillment for your patients. With faster time to therapy comes better odds for medication adherence and positive outcomes, as well as fewer phone calls and faxes for your staff. Combining electronic enrollment, consent, prior authorization, and script into an all-in-one system, AccelRx can help your practice significantly cut time-to-fulfillment for all specialty drugs, with any payer. Automatically populate patient data on enrollment and other forms with the click of a button. A single user-friendly platform to help you transform specialty medication management. Enhance your management of most specialty drugs all in one place, including electronic prior authorization (ePA). Access your enhanced specialty medication management as part of your existing electronic health record (EHR) workflow. -
47
Oracle Health
Oracle
Connected technologies and unified data empower individuals and enable the health ecosystem to accelerate innovation and influence health outcomes. Oracle Health is building an open healthcare platform with intelligent tools for data-driven, human-centric healthcare experiences to connect consumers, healthcare providers, payers, and public health and life sciences organizations. With the largest global EHR market share, we are able to bring data together to enable clinicians, patients, and researchers to take meaningful action, advance health, and work to improve outcomes worldwide. Rated the largest revenue cycle management (RCM) leader by IDC MarketScape, we provide timely, predictive, and actionable health insights to automate processes, optimize resources, and drive efficiencies. Accelerate innovation, benefit from flexible infrastructure and platform resources, and drive clinical intelligence through our open, extensible ecosystem of partners and technologies. -
48
ReferralMD
ReferralMD
ReferralMD is the leading centralized referral management, patient engagement, and provider management platform. Reduce leakage and grow market share with referral management, e-consults, patient access and scheduling, and provider CRM. ReferralMD delivers proven referral management, e-consult and telehealth, patient access and CRM marketing solutions that help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage and improve communication between providers and patients. With powerful clinical decision support tools and real-time analytics, ReferralMD helps healthcare providers increase revenue, drive operational efficiencies and improve customer service. Referral management solved. -
49
TriZetto
TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes. -
50
Change Healthcare
Change Healthcare
Our platform builds consistency, continuity, and scalability across our integrated portfolio, enabling our customers to improve operational efficiency, decision-making, and patient outcomes—and enabling innovation as our healthcare system evolves. With innovative data and analytics, plus patient engagement and collaboration tools, the Change Healthcare platform helps providers and payers optimize workflows, access the right information at the right time, and support the safest and most clinically appropriate care. We enable access to data and facilitate the interoperability of data between sources to support CMS patient access and interoperability rules, as well as enable real-time access to clinical documents to help better manage risk adjustment, improve HEDIS scores, and support accurate payments with faster adjudication.
