Alternatives to ReferWell
Compare ReferWell alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to ReferWell in 2026. Compare features, ratings, user reviews, pricing, and more from ReferWell competitors and alternatives in order to make an informed decision for your business.
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OhMD
OhMD
OhMD is the fastest and easiest way to communicate with your patients and team. You can give your patients the convenience of texting without ever needing to download an app, and your staff the tools to save hours each day. Decrease appointment no-shows while your patients rave about ease and efficiency. OhMD is the best way to communicate with your patients and team as a part of your HIPAA-compliant texting approach. Do away with the phone calls, voicemails, and phone tag with patients. Give them what they want, texting and video, with no need to download an app. Communicate quickly and effectively with colleagues, care teams, and referring providers all from the OhMD HIPAA-compliant texting app on iOS, Android, and the web. Replace phone tag and voicemails by texting patients efficiently while improving care. Want to get the most out of OhMD and save all of your patient communication into your patient charts? We have over 50 EHR integrations that make interoperability a breeze. -
2
ABOUT
ABOUT
Our suite of solutions streamlines access into and beyond your hospital in minutes. Success in today’s distributed networks of care relies on intelligent access and orchestration solutions across the full continuum. ABOUT streamlines every step of patient transfers into hospitals and beyond, whether skilled nursing, rehab, behavioral health, or home care. As a result, more patients are referred and retained to grow your health system. ABOUT solutions empower health systems to operate as one connected network of care, enabling clinicians to easily transition patients across care settings. Centralized and predictive enablement and management of all aspects of patient transitions, whether into, through, or out of the health system, powered by transfers, decision support, and the integration hub. Care setting specific application features, custom forms, curated networks, and insights to enable access across the continuum of care; from acute and post-acute to behavioral health. -
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Rovicare
Rovicare
The path to wellness is unclear for patients and their family members. Rovicare removes barriers, streamlines care coordination and enables real-time communication among all stakeholders. Rovicare’s unique design creates pathways for communicating with all stakeholders throughout the care transition process. Improve patient handoffs, create consistent communication with healthcare partners, and reduce readmissions. Increase transparency, engage your entire team, and automate manual processes. Engage patients throughout their stay and actively involve them in care coordination. Identify and capitalize on partnerships, and improve patient retention. Identify key partners, streamline your provider network, and actively monitor and measure compliance. -
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PowerSoftMD
Data Tec
Protect electronic health information created or maintained by the CEHRT through the implementation of appropriate technical capabilities. Use computerized provider order entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines. The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral. -
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careMESH NAVIGATE
careMESH
At the core of careMESH’s offering is NAVIGATE, a purpose-built solution that modernizes patient navigation. NAVIGATE enables care teams to coordinate complex care journeys—particularly in oncology and specialty care—by streamlining referrals, reducing leakage, and improving visibility into patient progress and outcomes. It integrates seamlessly into clinical workflows, helping organizations scale navigation programs without adding administrative burden. Complementing NAVIGATE are two additional solutions: CONNECT and SEARCH. CONNECT provides secure, role-based communication across organizations, enabling care teams to collaborate efficiently without relying on outdated or fragmented tools. SEARCH delivers real-time provider intelligence, making it easier to identify the right specialists, services, and referral pathways within and across networks. -
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Viz.ai
Viz.ai
Viz alerts multidisciplinary care teams earlier in the workflow, coordinating care by connecting frontline health care professionals (HCPs) to specialists facilitating efficient communication and coordinating care. Connecting care teams earlier in the workflow enables faster treatment decisions, significantly improving patient outcomes. Time saved increases provider productivity. With more time, providers can treat additional patients or recharge effectively when off call reducing physician burn out. Reducing length-of-stay minimizes resources required to treat a patient. Less cost per patient and more available bed space increases your center’s capacity to treat more patients with the resources you already have. Identifying more patients who benefit from therapy increases appropriate procedural volume. Improved care coordination reduces patient leakage enhancing operating economics. -
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WoundSuite
Healogics
WoundSuite is wound care management software that streamlines your operations. WoundSuite is a fully integrated wound care product suite designed for wound care centers to help increase provider satisfaction and staff productivity by automating clinical processes through technology enablement. It can also increase patient satisfaction and improve outcomes by reducing pre- and post-debridement times, and increase patient capacity by reducing appointment cancellations. WoundSuite serves providers in multiple care settings, supporting efficiency and cost reduction while integrating evidence-based medicine. WoundSuite tackles common issues in the healthcare sector such as decreased revenue due to reimbursement leakage and appointment cancellations, decreased patient satisfaction due to inconsistent and lengthy wound assessments, and decreased provider and staff productivity improvement potential. -
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naviHealth
naviHealth
naviHealth is the future of senior-centered care through our partnerships with health plans and providers. Simplify and improve care transitions with technology. News, insights, and analysis from the experts improving the health care experience for seniors. naviHealth offers in-market clinical support with proprietary post-acute care planning tools to improve patient functional recoveries and reduce unnecessary medical costs. naviHealth enables our partners to effectively and efficiently manage care transitions through our unique patient care management. We pair in-market clinical support with proprietary technology to help guide the individual’s path to recover, increase patient satisfaction, reduce unnecessary post-acute care spending, and streamline processes. naviHealth employs in-market care coordinators who provide connected support between the patient, their family, and their healthcare providers. -
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CareEmpower
HealthBI
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. -
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HealthAPIx
Google
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. -
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CarePort
WellSky
WellSky is the largest care coordination network in the United States, with thousands of providers connected across the country. The WellSky CarePort solution suite provides visibility into the entire patient journey, allowing providers, payers, and ACOs to connect with each other efficiently and effectively to coordinate patient care and better track and manage patients throughout the continuum. CarePort solutions assist providers in meeting and complying with the Condition of Participation for patient event notification, as part the CMS Interoperability and Patient Access final rules and the IMPACT Act. To improve workflows, you can track when, where, and for how long patients are receiving care across the continuum. Get contextual clinical updates and alerts that can be used to monitor or redirect patients to appropriate levels of care. -
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symplr Directory
sympr
symplr Directory is a centralized provider data management solution designed to streamline healthcare operations and improve patient experiences. By consolidating and maintaining accurate provider data in a single platform, symplr Directory helps healthcare systems reduce errors, enhance network retention, and improve the accuracy of patient-provider matching. The platform enables seamless integration with electronic health records (EHRs), allowing providers to spend less time on administrative tasks and more time delivering care. It also helps healthcare organizations reduce patient leakage, improve revenue cycles, and increase patient acquisition through a user-friendly, digital front door. -
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CareCost Estimate
CareCost
CareCost Estimate helps infusion centers and specialty medical practices answer the question every patient asks: what will this cost me? Staff pick the drug, dose, and insurance. CareCost returns the patient's out-of-pocket cost in about 90 seconds — including Medicare Part B coinsurance, secondary insurance and Medigap, weight-based dosing, and vial waste (JW/JZ). It then applies the manufacturer copay programs and foundation grants the patient may qualify for, so the number the patient hears is the real one. The same lookup shows what the payer requires first: prior authorization, step therapy, and site-of-care rules, quoted from the payer's own policy with a link. Drug prices come from CMS Average Sales Price files, updated every quarter. Estimates run in the browser, so patient data never reaches our servers. CareCost also publishes free billing and coding references for infusion CPT codes, J-codes, and modifiers, and the quarterly Infusion Reimbursement Index.Starting Price: $189/month (first seat), $89/m -
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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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ThoroughCare
ThoroughCare
ThoroughCare is a comprehensive care coordination software platform designed to enhance care delivery across various healthcare services, including chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness visits, and advance care planning. The platform enables providers to meet all service requirements, leverage evidence-based standards, and capture new revenue while closing gaps in care. ThoroughCare supports a comprehensive care management approach by tracking quality and performance, aggregating data across clinical sites to monitor engagement and performance, patient risk stratification reports, claims details, missed revenue, encounters, and call metrics. ThoroughCare Analytics informs decision-makers by visualizing operational, financial, and patient-related data. The platform integrates with electronic health records (EHRs), health information exchanges (HIEs), remote monitoring devices, etc. -
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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. -
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Medbridge
Medbridge
Trusted by over 350,000 healthcare providers and over 3,000 healthcare systems, Medbridge provides education, training, and care delivery software that empowers clinicians and organizations to improve outcomes, consistency of care, and patient satisfaction. Medbridge's integrated platform combines the highest quality continuing education, learning management, clinical reference, with evidence-based patient care software such as digital care pathways and a customizable home exercise builder.Starting Price: $209/year/user -
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VectorCare
VectorCare
Agile healthcare solutions. Build and deploy new patient services and localized care delivery workflows in seconds, no coding required. Patient data is fully encrypted. Whether at rest or in transit, all patient data is stored securely. Data is power. Receive end-to-end visibility across the entire care delivery continuum. Collect data, then iterate and improve. Remove the broker and manage the end-to-end delivery of care across any type of healthcare service for your members. Build or use a network of contracted and credentialed vendors to deliver care, then utilize powerful insights to manage costs, drive accountability and eliminate fraud. Deploy workflows for any service request, then allow care teams to broadcast to a network of local credentialed vendors for any service. No more faxing or hours spent on hold with vendors: spend your time with patients, not paperwork and phones. -
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One Healthcare Solution
One Healthcare Solution
Healthcare payers are transitioning from a volume-based to value-based payment model, meaning that medical professionals will only get paid for the success of care, rather than for conducting the care itself. This shift requires quality metrics to assess outcomes, which can only be achieved through consistently delivered care plans and comprehensive health data tracking. When the feedback loop of an intervention engine is achieved, the effectiveness of standardized interventions can be understood to improve national healthcare as a whole. Digital, standardized, dynamic, care plans will both augment the effectiveness of our limited supply of medical professionals and empower patients to engage in cost-effective self-care behaviors. Our experienced team provides patient-centered coordination along with advanced software solutions that reduce the burden of managing in-practice CCM. Remote patient monitoring enables medical professionals to track their patients in real-time. -
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CareJourney
Arcadia
CareJourney is a cloud-based healthcare analytics platform offering deeply comprehensive, clinically-relevant intelligence derived from one of the largest longitudinal claims datasets in the U.S., covering hundreds of millions of beneficiaries across Medicare, Medicaid, Medicare Advantage, and commercial populations and profiling more than 2 million providers. It empowers organizations to assess markets and patient cohorts to uncover opportunities for cost savings and better outcomes, build and grow high-performing networks, make smarter contracting decisions, identify referral patterns and leakage, and benchmark provider performance against peers. It also supports management of at-risk populations through segmentation models, helping organizations understand chronic condition prevalence, care utilization, and cost drivers. -
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Care Management Suite
Health Catalyst
The Care Management Suite is a data-driven care management solution with tools and processes that deliver visibility across the continuum for high-risk and at-risk populations, facilitate more streamlined and patient-centric workflows, improve the quality of patient care, and reduce overall costs. With data analytics revealing opportunities for improvement throughout the process, the Care Management Suite improves clinical, operational, and financial outcomes. The Care Management Suite consists of three applications: Population Builder™: Stratification Module, Population Care Workflow, and Population Care Insights. An end-to-end, streamlined workflow for everything from patient enrollment, active care management, patient records, and care coordination between all care team members saves time and improves care. An analytics-driven DOS platform aggregates disparate claims and EMR data to provide a comprehensive patient view. -
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Support wound care best practices, resource use, and communication with virtual solutions available through OTN. Support wound care best practices, and maximize resource use, and communication, while ultimately enhancing patient-centered care and furthering Ontario’s digital health goals with virtual solutions available through OTN. Integrating virtual wound care tools helps relieve financial resources, and staffing issues, thereby promoting adherence to evidence-based best practices. Reduce healing times, pain, and need for hospitalization, as well as costs for wound care management. Mobile solutions support the patient-specialist connection, regardless of patient geographic location. The solutions support clinical best practice guidelines and are embedded in the clinical pathway. Decreased time to heal means increased quality of life for patients, as well as boosted satisfaction for caregivers and health care providers.
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Innovaccer
Innovaccer
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. -
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Acclivity
Acclivity Health
Welcome to Acclivity Health. Transforming the Management of Advanced Illness. Built on a foundation of compassionate care, Acclivity Health delivers the technologies providers need to ensure patients with advanced illness receive the right care at the right time in the right setting – while honoring the patient’s dignity, goals and values. Our Connected Care platform utilizes analytics, machine learning, and workflow management to uncover insights needed to avoid unnecessary emergency department and hospital stays. By shifting the setting of care to the home or community, palliative care and hospice improve quality of care and reduce health care spending for America’s sickest and most costly patient populations. The Acclivity Platform: Building Connected Care Communities. Technology is at the core of what we do. With the Acclivity Connected Care Platform, we are transforming what has historically been a fragmented, uncoordinated care approach. -
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Buzz Medical Messenger
Skyscape
Buzz has been developed with the healthcare professional in mind. Buzz Medical Messenger is feature-rich to dramatically improve the efficiency of your communication. Create a secure and trusted network of healthcare professionals and staff who are part of your daily workflow. Create groups/teams that mimic your normal workflow allowing for information to be shared seamlessly and efficiently. Buzz provides in-context integration within conversations to get Lightning™ fast answers via Skyscape's comprehensive portfolio of gold-standard medical information trusted by over 1 million healthcare professionals. Buzz has a strong track record in medical clinics & hospitals as well as home health, physical therapy, and other agencies handling the transition of care. Customer case studies show improvements in patient experience, enhanced provider satisfaction, as well as a reduction in hospital readmission rates. -
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VisuWell
VisuWell
VisuWell is your healthcare organization optimized for greater access and more efficient care delivery. The VisuWell platform was designed to modernize today’s healthcare provider organizations by enabling consumer-friendly access, facilitating modern engagement, and extending telemedicine to better meet the needs of today’s patients at reduced costs. Get more information on ways patient engagement and telehealth can positively impact patients. Become a leader in your specialty by extending access and improving the patient experience. Provider groups including hospitals, health systems, long-term care facilities, ACO’s, and EAPs use VisuWell telemedicine and engagement solutions to leverage networks and improve outcomes. -
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Trella Health Marketscape
Trella Health
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. -
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ChronicCareIQ
ChronicCareIQ
ChronicCareIQ’s award-winning technology integrates remote patient monitoring, chronic care management, and telemedicine to connect you to your patients, optimize reimbursement and minimize documentation, all for one low monthly fee. ChronicCareIQ is a remote care management solution that helps doctors and hospitals generate and sustain net new recurring revenue through monitoring and e-visits for chronic care management, remote patient monitoring, and transitional care management programs. Our simple-to-use, turnkey solution empowers physicians to connect with their patients by utilizing technology patients already have, including smartphones, tablets, computers, and even landlines. Mitigate disease progression by extending care oversight outside your practice and into the patient’s home. Get paid for the work your staff is already performing while boosting care quality and patient satisfaction.Starting Price: Free -
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iionLife
iionHealth
iionLife by iionHealth is a free patient portal specifically created for behavioral health professionals. This effiicent and fully HIPAA secure system enables users to extend the care they deliver outside of their office. iionLife offers standardized assessment tools (i.e. PHQ-9) and a range of features for longitudinal tracking of patient results, patient journaling, activity tracking, secure email messaging, and so much more. The solution also includes Community of Care, Care Plan, Reference Library, Accounting, among others. -
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FirstEMR
First Medical Solutions
FirstEMR® is one of the leading Ambulatory EMR software providers in the medical IT industry with proven features that streamline care processes, strengthen the patient-provider relationship with inter-communication among all specialties. FirstEMR® replaces the traditional paper chart and Patient record process, freeing users from the hassles associated with incomplete or missing non-digital information. Our EMR solution ensures that care is well coordinated whenever patients are referred to different Healthcare providers for treatment. Efficient workflow and Patient management practices are automated using our software. A customizable and highly intuitive user interface encourages a physician to more readily adopt the new EMR-based application. Simply put, FirstEMR®, is an EMR package that Staff and Physicians love to use. FirstEMR® is intuitively designed with real-world clinical functionality to mimic your practice’s workflow.Starting Price: $250 per month -
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Biofourmis
Biofourmis
Biofourmis is a technology-enabled care delivery company that partners with health systems, hospitals, and payers to revolutionize the delivery of care across the continuum. Their connected technology platform enables personalized and scalable care delivery, extending care beyond traditional settings. Biofourmis offers solutions designed to provide high-quality care in patient's homes. Their platform integrates continuous and episodic data collection, FDA-cleared AI-enabled analytics, and in-home service coordination to manage patients and improve outcomes. Biofourmis has partnered with over 50 global health systems and payers to expand access to care and therapeutics in their communities. Biofourmis addresses challenges impacting the health and pharmaceutical industries today across the continuum from drug development to care delivery. -
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Careficient
Careficient
Careficient is a cloud-based EMR software platform built for home health, hospice, home care, and palliative care agencies. The system helps agencies manage clinical workflows, intake, referrals, admissions, client health records, caregiver management, scheduling, point-of-care documentation, billing, payroll, reporting, and interoperability. Careficient is designed to reduce manual work, improve productivity, support regulatory compliance, and help agencies get paid faster. The platform can scale from a single agency to large multi-agency operations while supporting multiple lines of business in one connected EMR. Its module suite includes tools for claims management, Medicare claims automation, revenue cycle analytics, EVV, document management, partner interoperability, patient and family portals, and Medicare fiscal intermediary connectivity. Careficient gives care agencies a flexible EMR solution for improving operational efficiency, care coordination, cash flow, and compliance. -
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VitalsMD
HNI Healthcare
VitalsMD® harnesses real-time, physician-generated data to provide analytics, reporting, communication, and a knowledge base to support value-based clinical decisions at the point of care. Auto-flagging and reporting on patients that meet criteria for BPCI Bundles and other value-based programs. Identifying high-risk patients through readmission risk identification and tracking. Always know how your practice and individual providers are doing with the VitalsMD® real-time monitoring and reporting capabilities. Identifying KPIs and value-based alternatives in real-time — facilitating optimum treatment plan options. Improving and supporting documentation with real-time risk scoring. Communicating with provider groups within the care network to support the patient's transition to home. -
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CipherHealth
CipherHealth
Send automated appointment reminders, procedure prep and screening questions to patients in the modality and language of their choice – and connect with every single one of them. Show patients you care about their unique needs, from their dietary preferences to their favorite visitor, with purposeful digital rounding. Proactively call or text patients post-discharge using individualized scripts to confirm adherence with care plans and address questions before they escalate, ensuring smoother transitions of care. Delivering compassionate patient-centered healthcare can come at the expense of your staff and their well-being, especially now. Discover how to create more meaningful ways to engage your staff that keep patients healthy and happy. Hospital leaders are under increasing pressure to find new ways to generate revenue and keep patients coming through the door. Discover how you can save money and drive sustainable growth with a single, modernized patient engagement platform. -
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SwiftShift
SwiftShift
We're building a trusted network of professional caregivers who love what they do and are empowered to provide the best in-home healthcare in America. Choose the home care services that best match your needs or those of a loved one. From home services to companion care and skilled nursing –– we have a team built to support your needs. When discharge managers are ready to transition their patients to home care, it’s important to make the process fast, efficient, and timely – and to feel secure in that they’ll be in good hands. SwiftShift’s “smart matching” algorithm simplifies transitional care management. For both our care team members and their clients, we strive to deliver the highest quality of care. From the initial family meet and greet to the first shift and beyond –– our support team will make sure all care needs and expectations are met and exceeded. Along with our efficient on-boarding process we are able to offer training and development for our nurses and caregivers. -
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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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ABN Assistant
Vālenz
For providers, medical necessity denials cost thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. For payers, the same is true on the other end of the claim management spectrum: Paying for medically unnecessary procedures and treatments – and time spent working on denial appeals – raises costs without improving outcomes. And of course, for the patient, there can be unnecessary copays and other out-of-pocket costs, not to mention a poor patient experience involving costs and moments of care they did not need. ABN Assistant™ from Vālenz® Assurance delivers the prior authorization tools providers need to validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90 percent of medical necessity denials by verifying necessity before care is delivered to the patient.Starting Price: $1039.00/one-time/user -
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Watershed Health
Watershed Health
Join our network for improved care coordination across communities. Watershed Health is a community-wide care coordination platform that empowers providers to deliver seamless care and improve patient outcomes. Access essential patient data in a single convenient location for more informed clinical decision-making. Receive timely, relevant patient data from all care team members as soon as it's created. Uncover valuable insights into key patient populations to drive forward value-based care and population health management initiatives. As providers share data and collaborate, Watershed uses transparent, real-time quality metrics to measure and incentivize care coordination activities. Screen for social determinants of health (SDOH) and connect patients with community-based resources that can address their identified needs. Our solution effortlessly integrates with existing tools, systems, and workflows, minimizing implementation time and effort. -
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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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Backline
DrFirst
Collaborative communication technologies such as HIPAA compliant texting can have a substantial impact on healthcare, dramatically improving speed, safety, precision and efficiency. The widespread use of smartphones makes communication possible practically anywhere, anytime. Physician use of mobile devices is widespread and growing rapidly. Nearly 90% of American health care workers use their personal phone at work, and 45% of clinicians already use mobile apps to collect data at bedside. DrFirst’s Backline communication and collaboration tool, specifically designed for use in healthcare environments, helps providers achieve better care coordination, better health outcomes, better transitions of care and lower hospital readmissions. -
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Document Plus
Document Plus Technologies
The DocPlus Solution is designed to capture all of the necessary patient intake information and the chiropractor's notes. The data is then archived to produce quality correspondence communicating the patient encounter - all with the click of a mouse. The increasing demand for documentation by Medicare, attorneys, and 3rd party payers have created a paperwork nightmare for chiropractic physicians. Treating the patient is, and should be, priority number one. The DocPlus solution was designed to streamline the creation of all records and narrative reports. Document Plus uses the best scientifically proven clinical tools for the job to make documentation quick, easy, and accurate, every time. Reduces consultation time and improves quality of care by providing an easy-to-use diagnostic tool as well as standardizing comprehensive records, documentation, and correspondence from the patient’s initial visit through their ongoing treatments. -
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VoiceCare AI
VoiceCare AI
VoiceCare AI is an agentic AI platform that automates the entire healthcare revenue cycle (RCM) from patient intake to claims across payer portals, voice, SMS, web chat, and legacy systems, with native EHR integration. One AI agent, Joy, orchestrates benefit verification, prior authorization, and claims & denials management by talking to patients and payers directly and navigating payer portals autonomously. The platform is built for specialist medical practices, dental groups and DSOs, RCM enterprises, and integrated delivery networks (IDNs) and health systems. Every agent action is logged, audit-ready, and transparent, with a human-in-the-loop safety net for complex clinical exceptions. VoiceCare AI is HIPAA-compliant and SOC 2 Type II attested.Starting Price: $30000 -
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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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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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Lightning Bolt
Lightning Bolt Solutions
Provider Scheduling powered by Lightning Bolt delivers healthcare’s most advanced physician and staff scheduling software to reduce burnout and improve patient access. This software is the first and only solution that automatically generates daily case assignments in accordance with your group’s policies to save time, minimize human error, support teaming between credentialed doctors and surgeons, and allow you to focus on patient care. Align clinician supply with patient demand to avoid patient leakage and optimize the organization’s use of its most valuable resources. Ensure patient access to quality care while preventing burnout for clinicians and increasing job satisfaction. By looking at these templates, the system knows a provider’s capacity for different appointment types. Then our system builds a schedule that optimally aligns patient demand with available clinician resources. -
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Notable
Notable Health
Engage more patients, optimize your operations, and improve outcomes by automating healthcare workflows with Notable. Complex administrative workflows have inflated costs, compromised patient experiences, and hindered the transition to virtual care. Notable provides AI-enabled digital assistants that perform repetitive administrative, clinical, and revenue cycle workflows just like a human would, empowering healthcare providers to identify and serve more patients in need of care while reducing administrative costs. 1/2 of physician time is spent in EHRs, and only 1/4 is spent with patients, leading to 80% of medical records copied and pasted. Patients forget 40-80% of medical information provided by doctors due to rushed visits, foreign terminology, and a lack of education. Deploy solutions essential automation use cases out-of-the-box, customize as needed, or create your own with our fully configurable platform. -
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Pieces Predict
Pieces Technologies
Pieces Predict (formerly Decision Sciences) is a cloud-based software platform that improves clinical and operational value throughout a patient’s journey. Pieces Predict harnesses and interprets both structured and unstructured data within your electronic medical record (EMR) – producing precise recommendations and alerting the care team, all in real time. When you combine Pieces Predict with Pieces Connect, it creates a comprehensive solution for connected community health. Use Pieces Connect to seamlessly refer discharged patients to community service organizations and track their ongoing progress. Then rely on Pieces Predict to continue monitoring patients as they receive care in clinical settings. -
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Netsmart KPI Dashboards
Netsmart
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. -
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Welkin
Welkin Health
Welkin is designed to address care coordination. Assign the right team member to address patient needs at every step of the journey. We provide your team members with seamless transitions and a curated experience for every patient he or she serves. Fully automating any program allows you to increase patient engagement, lessen task burden and seamlessly move patients to their next phase. Defining processes and escalations based on outcomes or conditions allows your team to do what they do best – care. Create escalation pathways for events that need monitoring including adverse events, out-of-range results, specific patient responses, or lack of engagement. Automate internal alerts, or trigger emails or SMS to care team members based on an action or inaction, upcoming or missed appointments. -
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signalCCM
Tellihealth
Tellihealth’s Chronic Care Management (CCM) solution, signalCCM and powered by the company’s connected care platform, is a human-centered care program that helps providers support patients with multiple long-term chronic conditions through proactive, continuous care coordination that extends beyond traditional face-to-face visits. It integrates seamlessly with existing electronic health record systems and clinical workflows to streamline documentation, automate administrative tasks, and keep patients engaged with personalized outreach and proactive follow-ups, enabling practices to focus on high-quality, patient-centric care. It harnesses real-time data, advanced technologies, and dedicated care teams (such as trained nurses) to create tailored care plans, monitor progress, manage medications, and coordinate with specialists to reduce complications, avoidable hospitalizations, and care gaps while improving quality metrics.
