OptumIQ Alternatives

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.

Whether seeking treatment for a common cold or a chronic condition like diabetes or heart disease, when people are sick or have a family member facing illness, they often have questions, concerns, or could use guidance to ensure they understand and are able to adhere to their treatment. Health Dialog offers a suite of personalized population health solutions that address these issues and empower your members to improve their whole-being health, while reducing overall costs. Our healthcare experts provide one-on-one health coaching through personalized outreach to help identified members better manage their chronic conditions, such as asthma, diabetes and heart disease. We identify members at-risk for nonadherence, determine the best method for engaging them, and educate them to encourage ongoing medication-taking behavior. Give your members 24/7 access to a live registered nurse who can provide clinical advice, refer services, impart skills and provide relevant educational materials.

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.

Our HITRUST CSF®-certified, SaaS solution, Aerial™, optimizes the delivery of personalized, predictive and prescriptive next best actions for clinicians, physicians, consumers and their caregivers. All of this is made available in ways that cannot be accomplished in legacy EMR, registration, financial or claims systems. Resulting in better care, lower costs and improved outcomes. Aerial is built on an advanced, modular architecture, making it possible to choose the components that meet your organization’s unique business requirements today, while providing the flexibility to integrate more components as your business grows and changes.

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.

Lightbeam provides population health enablement by transforming insights into outcomes. Closing care gaps and minimizing risks. Improving quality of care and quality of life. Lightbeam’s proven population health management platform transforms disparate data into a full 360-degree patient picture, bringing true value to value-based care. In today’s value-based care model, managing risk begins and ends with data intelligence. Lightbeam’s powerful population health management platform pulls patient data together in unprecedented ways, unlocking the value that comes from deploying the right data in the right place at the right time. Lightbeam isn’t just revolutionizing how our clients manage value-based care. It’s proving to be a game changer in driving results and saving our clients over 2 billion dollars since 2014 and we’re just getting started. Lightbeam’s tech-enabled services approach seamlessly supports these efforts.

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.

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.

HealthEC’s best population health management platform, comprising our care management module CareConnect™ and our analytics module 3D Analytics™ - is designed to elevate quality of care and patient experience by overcoming the healthcare industry's toughest data challenges. Conquer system chaos with a universal data warehouse of normalized claims, clinical, and SDoH data, from any source. CMS certified for reuse. Eliminate workflow disruption with integrated, customizable care plans, decision-support tools and robust care management support. Deliver patient-centric care by seamlessly coordinating with community resources and addressing social determinants of health. Inform strategies with actionable insights at the diagnosis, provider, practice, and organizational levels, presented in clear dashboards or at the point of care. Enhanced MCO performance reviews and CMS interoperability rule compliance.

Simplify case management efforts with post-acute providers and operationalize value-based care. Get real-time feedback and intervene when appropriate for all your PAC network patients. Get immediate support from your acute partners. Improve quality and patient outcomes and form stronger referral partnerships along the way. Have a seat a the table with Olio and succeed in value-based care. Population health leadership have tried to improve PAC performance. They started with evaluating their PAC providers and the industry evolved from there. PAC providers don't have the resources, experience, or knowledge to execute your complex population health strategy. You are asking them to do more with less. Olio helps modernize communication to your PAC network and give your entire team the resources to execute your population health strategy.

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.

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.

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.

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.

Plans and providers are under pressure to deliver higher quality and more cost-effective whole health care for the most vulnerable and complex members. Let us help. We can help solve burdensome processes, fragment care teams and disparate data silos that get in the way of delivering integrated whole-person care while managing new value-based requirements and solving for behavioral health and social factors. Our country spends $33 billion dollars annually on avoidable hospital admissions as a result of poor care coordination and care transitions management, an effective solution is overdue. CareEmpower is a feature-rich solution like no other care navigation system you have used. Whether your organization’s goal is to quickly accelerate your medicare advantage program or to deploy a robust population health program for any of your at-risk populations, CareEmpower has what you need. Stratification and prioritization of all care opportunities for at-risk populations.

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.

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.

PopulationManager®, a powerful health analytics and data visualization platform, achieved the highest customer rating score in the 2017 KLAS™ Population Health Management Performance Report. PopulationManager focuses on patient-level, point-of-care quality improvement support and aggregation of measures within a single health care provider organization. Quick to get up-and-running and easy-to-use, PopulationManager is making a difference—in the quality of care and the well-being of patients, and in the financial health of provider organizations.

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.

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.

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.

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.

Actium’s AI-driven next best actions and digital marketing tools are tailored to meet your organization’s most pressing needs, from improving retention to managing high-risk patients and driving service-line growth. Actium’s proactive, hyper-personalized outreach drives lifetime value, closes care gaps and reduces total cost of care. By accurately predicting individual patient risks, Actium helps shift your organization’s focus from treatment to prevention. Maximize service-line and revenue growth by identifying and influencing your highest-risk patients. Your solution to data overload, Actium Health identifies, prioritizes, & initiates clear next steps for every patient. Reverse declining patient loyalty and achieve maximum patient value through hyper-relevant outreach. Your success is assured with world-class support from the leading minds in data intelligence.

Virgin Pulse’s flexible, culture-first technology solutions are designed to meet you where you are on your wellbeing journey today, and grow with you as your business and wellbeing needs evolve. Health is personal. Homebase for Health® simplifies the human experience. Our vision is to eliminate uncertainty by assisting people in navigating their health journey. Homebase for Health® makes it easier for people to understand and take action towards their personal goals. Our solutions deliver on the Homebase for Health® vision and transform the mental, physical, financial, social, community and emotional health of organizations and their people by empowering, inspiring and engaging them to make small, achievable changes in their regular routine. By weaving relevant and trusted nudges into our member’s daily, established routines, we are able to drive meaningful change and measurable health outcomes through sustained empowerment.

Make it easy for healthcare organizations, including hospitals and clinics, health plans and life sciences, to connect with app developers and health data partners to build new FHIR API-based digital services. Improve the efficiency and safety of transitions across the continuum of in-patient and out-patient care. Provide targeted personal wellness and prevention guidance to at-risk participants. Empower collaboration between patients, physicians, and healthcare providers to effectively manage chronic conditions. Improve chronic condition management. Deliver patient-centric digital services. Reduce risks during care transitions. Manage, secure, and scale APIs with an enterprise-grade platform that is FHIR-server agnostic. Easily ingest healthcare data from internal, external, or open-source FHIR-ready partners. Deliver on the promise of patient-centric healthcare and data interoperability by quickly launching digital services like new mobile apps.

Access comprehensive, timely data to help improve patient outcomes, reduce costs, and grow your business. Our solutions unlock the power of your data for comprehensive views of your patients, members, prospects, organization, and community to help you improve quality of care, increase revenue, and meet compliance guidelines. Our solutions use statistically significant, deidentified, targeted data sets to help you understand local, regional, and national trends related to healthcare use, population health, and the impact of social determinants of health. Find and share knowledge, exchange ideas, and collaborate with peers and Change Healthcare experts to drive your solutions to success. Attract and impress patients with a seamless, unified experience that drives engagement, loyalty, and revenue. Empower your patients to shop for services, schedule appointments, complete forms, and pay for care on their own digital devices.

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.

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.

Acuity Advanced Care™ is an on-premise population health platform that provides flexibility to support the specific needs of case, utilization, disease, and population health management programs. The system allows organizations to have full control of their environment and is configurable to each organization’s unique care. Over 90% of our Acuity Advanced clients are NCQA or URAC accredited or hold both accreditations. Acuity Advanced Care provides the flexibility that on-premise offers and full database access. The on-premise installation provides control of where data resides. Customers with experienced IT teams that manage the setup, securing, and maintenance of complex systems. Chordline Health is the leading provider of software designed to support health plans, TPAs, ACOs, and other risk-bearing organizations. The Chordline team of US-based clinicians and developers are recognized for their best-in-class managed care expertise and customer support.

Coordinate care across a community of providers with Healthy Planet. Bring in data from any standards-based EHR or compatible data source. Create a single longitudinal plan of care accessible to patients, providers, care managers, and affiliates. Give external providers tools to review and resolve care gaps through a web-based care management portal. Engage the patient by providing access to health and wellness information. Delight them with appointment scheduling, e-visits, remote monitoring, and telehealth. Drive outcomes through advanced analytics and machine learning. Use claims-based analytics to better manage spends and trends.

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.

Founded and funded completely by research grants from the National Institute of Mental Health (NIMH), Motivity is an enterprise-level software dedicated to applied behavioral analysis electronic data collection. The days of updating individual target instructions and parameters are over. End all of the tedious tasks of managing your learner programs with Motivity's features like copy & pasting target lists and bulk editing. Because Motivity is built on next generation technology, we've only been "down" a total of 4 minutes in the last 3 years. You never have to worry if you'll be able to log in, or be able to access your data.

The Monsenso digital health solution connects individuals and clinicians to provide optimal care. The Monsenso digital health solution is redesigning the treatment of individuals with mental health conditions by collecting their health-related data and sharing it with their clinician. The patient app collects self-reported data and provides tools to practice helpful skills in day-to-day life, enabling them to better manage their condition between consultations. The Monsenso app for individuals can help you increase awareness and learn more about your symptoms to support you and your clinician in the treatment process. The app can help you play a more active role in your treatment, empowering you to better manage your mental health in between your consultations with healthcare services. Offer HCPs Monsenso as digital adjunct to medication, improving adherence to treatment.

Taking any and all data, Spotlight uses proven machine learning to optimize risk insights and infuse them into any clinical workflow and any technology platform. While many of our competitors rely only on medical claims data that’s often 30 to 90 days old, we start with a comprehensive, up-to-date data set. We use real-time clinical, billing and claims data, as well as proteomic and metobolomic data to derive insights from cellular processes and metabolic pathways. Unlike other vendors that provide a single model tested on a specific data set, HBI takes the data you have—any and all data—to calibrate and optimize our proven models to the data you make available. Then we recalibrate each year or whenever your data set changes to assure you’ve always got the best results for your populations.

There are patients who desperately need your home health services — yet many physicians who could be referring them aren’t. That’s likely because your sales and marketing teams aren’t seeing the 75% of Medicare claims associated with office visits. Demonstrate your ability to lower costs and improve patient outcomes. Home Health Agency A can quickly demonstrate how it outperforms Home Health Agency B on hospitalization and readmission rates. Marketscape for Home Health helps you redefine your sales and marketing strategy to ensure you’re focusing on high-potential physician and facility referral sources. Our breakthrough technology and support help you: Quickly evaluate how you compare to your peers by hospital and readmission rates, diagnostic category, acuity level, time to start of care, total cost of care, and many other quality metrics.

Extract meaning from unstructured data with integrated Amazon Comprehend Medical for easy search and querying. Make predictions on health data using Amazon Athena queries, Amazon SageMaker ML models, and Amazon QuickSight analytics. Support interoperable standards such as the Fast Healthcare Interoperability Resources (FHIR). Run medical imaging applications in the cloud to increase scale and reduce costs. Amazon HealthLake is a HIPAA-eligible service offering healthcare and life sciences companies a chronological view of individual or patient population health data for query and analytics at scale. Analyze population health trends, predict outcomes, and manage costs with advanced analytics tools and ML models. Identify opportunities to close gaps in care and deliver targeted interventions with a longitudinal view of patient journeys. Apply advanced analytics and ML to newly structured data to optimize appointment scheduling and reduce unnecessary procedures.

HITRUST CSF®™-certified and widely recognized as the market leader in enterprise population health management platform and applications, we help providers and health plans accelerate positive outcomes by reducing medical expenses, improving risk adjustment accuracy and the quality of care provided.Success starts with the difficult step of creating an enterprise healthcare data asset — one that your team trusts and can use daily to support vital care decisions and address key business challenges. Arcadia curates the highest quality, most complete, and up-to-date data assets based on normalized clinical EHR data, adjudicated claims-based data, social determinants of health (SDoH), pharmacy data, ADTs, and other sources. This solid foundation makes sustainable financial success possible for our customers in the ever-changing landscape of value-based care payment.

Leverage analytic insight to reduce variation, improve care quality, optimize care coordination and manage financial performance. Whether you’re operating in a fee-for-service or risk-based environment, you can use the unsurpassed data and analytics capabilities and expert guidance of Optum® Performance Analytics to position your organization for success in an ever-evolving health care landscape. Optum Performance Analytics offers enriched clinical and financial longitudinal views of your patients, physicians, facilities and networks. Integrating your diverse clinical and claims data with a growing set of sociodemographic, behavioral and patient-reported data adds greater context and insight. Optum Performance Analytics is built with the flexibility to meet the goals of any health care system. Organizations seeking specific direction can leverage pre-built dashboards and opportunity reports to surface opportunities for enhancing care or reducing costs.

Coordinating care, evaluating and demonstrating quality, identifying risks, and monitoring compliance all require data from multiple sources and systems — and all are key to improving the patient and provider experience. ​ ​Midas Health Analytics improves operational and clinical performance with solutions that manage risk, control cost, and turn data into actionable insights.​ Track and trend performance over time, proactively manage and mitigate risk, make data-driven decisions amid constant regulatory changes, and elevate and foster a safe care environment for all. ​ ​Reach unprecedented operational efficiency when evaluating, interpreting, and demonstrating quality of care performance results to stakeholders in today's complex healthcare ecosystem.

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

Data is the lifeblood of the organization and operations professionals are the data primary care providers. Inaccurate or out-of-date data is unhealthy – it can cost money, damage reputations and derail deals. Make an appointment at the DataCliniq to restore the health of your data, eliminate outdated records, ensure accurate emails for maximum deliverability and reduce risk. Whether your database contains a few thousand or many millions of records, cleaning, enriching and extending your data can help you boost the impact of your sales and marketing activities and comply with data privacy and protection legislation. Conduct a simple health check of your account and contact records to identify issues with accuracy, currency and completeness of your existing data. Incomplete data can be just as costly to the business as inaccurate data, so step 3 is to improve the fill rates of those fields that are most valuable to you.

KPI Dashboards™ provides data visualization for clinical, financial and operational data, as well as the ability to create user-defined views and filter aggregated data by program, service type, client access and more. Flexibility and ease of use means performance can be viewed regularly by staff members who can affect these key data points through performance and clinical outcomes. As a result, your organization can make steady, measurable progress toward well-defined goals. Compare your organization’s financial, operational and clinical performance metrics in our healthcare benchmarking tools. Track services and treatments for individuals across care settings to reduce duplicate services and simplify care transitions with secure data exchange. Care coordination solutions connect organizations to a network of providers and support secure data sharing across local health information exchanges (HIEs) and large interoperability frameworks, such as Carequality.

Jvion goes beyond traditional predictive analytics, identifying hidden patient risk across various diseases and clinical events and if that risk trajectory can be changed towards a positive outcome. Our prescriptive AI then recommends appropriate action for each patient, taking into account clinical, socioeconomic and behavioral data, in addition to clinically-validated best practices. Armed with this intelligence, healthcare organizations can improve quality, cost, and the overall patient experience. Analyze clinical, socioeconomic, environmental and behavioral data to find hidden health and financial risks. Evaluate modifiable patients and their unique attributes to drive action plans. Provide evidence-based, prioritized, and patient-specific recommendations within existing workflows. The home is the new hospital. Since the pandemic started, home care has seen a renaissance as patients look to avoid care facilities where they could be exposed to Covid-19.

Use the latest cloud analytics and data science technologies to analyze healthcare data and build new AI applications. Create evidence-based care models and understand how to improve patient experiences and clinician satisfaction. Reduce the cost of care and enhance population health. Oracle Autonomous Data Warehouse is a cloud data warehouse that eliminates all the complexities of operating a data warehouse and developing data-driven applications, including database management and security. Store, manage and use your data easily with a seamlessly integrated set of data ingestion, preparation, and machine learning (ML) tools. Use your insights to develop evidence-based care and precision medicine models. Empower executives, analysts, and IT staff to access business intelligence from wherever they are, in the office or at your clinics. Jump-start your analyses with automated data preparation and built-in ML.

The SCIOVantage solution suite aids organizations in making better decisions by connecting disparate data sources and offering helpful views that: describe what happened, predict what will happen, and prescribe what should happen to achieve optimal results.

Mosaic provides unparalleled visibility into market-wide performance metrics across provider types, so you can evaluate risk before you take it on, optimize relationships, and thrive in today’s value-based care landscape. When it comes to building and maintaining a winning network, you’re only as strong as an underperforming partner. Discover what’s needed to address gaps and seize opportunities. Achieve specific goals, such as adding provider types or creating a preferred provider group. Collaborate with providers to improve quality, utilization, and cost. Reduce total cost of care while improving patient outcomes.