Aggregation

  • Aggregation
  • Interpretation
  • Transformation

Our powerful healthcare analytics solutions not only respond to today’s pressing issues—like fee-for-value, expanding Medicaid benefits and accountable care—they make possible proactive, evidence-based management of the challenges and opportunities in today’s health care paradigm. 

Learn more about our platform

For Providers

  • Performance Management

    Improves goal alignment, communication, and transparency to drive action and accountability via an integrated strategic plan.

  • Patient Access

    Provides real-time analytics, dashboards, and an integrated workflow to verify insurance eligibility, improve collections, and reduce denials and collection costs.

  • Revenue Integrity

    Shows how clinical operations affect the bottom line to improve revenue capture, audit risk, and ICD-10 coding.

  • Business Office

    Optimizes cash flow, bad debt, and collections with a single, integrated view of patient accounting data.

  • Population Health for Providers

    Aggregates clinical and claims data to identify high-risk patient populations, mitigate risk, evaluate providers, and track utilization and cost savings.

For Payers

Health Plans

  • Employer Reporting

    Improves client satisfaction and retention by sharing performance metrics and health plan value via an interactive platform and print-ready reports.

  • Healthcare Economics

    Controls rising medical expenses while ensuring quality care by giving insight into cost drivers, quality, and opportunities.

  • Medicaid Management

    Enables Medicaid organizations to manage expanded coverage, vulnerable populations, and care for high-volume, multi-comorbid, chronically ill beneficiaries.

  • Performance Management

    Improves goal alignment, communication, and transparency to drive action and accountability via an integrated strategic plan.

  • Provider Analytics

    Gives insight into provider cost and performance to address value and usage, centers of excellence opportunities, and provider practice patterns.

  • Provider Engagement

    Improves provider initiatives, satisfaction, and cooperation by enabling compliance with health plan policies and strategic programs.

  • Quality Management

    Provides scalable, quality reporting with speed, frequency, and analytics power including member-level granularity and custom measures matching plan requirements.

  • Population Health

    Enables health plans to give providers enterprise-grade capabilities to deliver on shared risk arrangements.

State Government

  • Medicaid Analytics

    Offers analytics, business intelligence, legislative reporting, and geospatial analysis to guide decision-making and support Medicaid directors’ initiatives.

  • Enrollment and Eligibility

    Leverages an enterprise master patient index to perform a systematic, accurate evaluation of Medicaid and CHIP eligibility.

  • Enterprise Data Warehouse

    Breaks down the silos of government programs to provide insight into eligibility, enrollment, and benefit utilization.

  • Population Health

    Enables health plans to give providers enterprise-grade capabilities to deliver on shared risk arrangements.

  • Provider Access

    Enables clinicians to view longitudinal patient records within the clinical data repository, giving instant, 360-degree access to clinical data.