Alternatives to Cedar Gate

Although clinical health is essential, better outcomes require a higher level of care. HELIOS provides a 360deg view that encompasses all aspects of a member’s health. The care team can collaborate to determine the best interventions and reduce avoidable readmissions by using a holistic view of the member. VirtualHealth's HELIOS platform allows for unparalleled collaboration and coordination between the member and their care team. It also provides visibility across the entire healthcare organization. Our clients can achieve more than traditional care management by connecting their entire care team to one integrated ecosystem. This allows them to drive greater efficiency, transparency and cost reduction.

Over 25 years ago, one of our founders was working as the IT Director of a large behavioural health and residential services agency in New York. Sensing a need for a better way to track and report on their services, he developed a case management system for his agency. Over time, two other agencies joined in and helped expand the software so that it could serve the needs of virtually any human services agency in the country. Today, Foothold’s team and our software support hundreds of agencies across the nation, in Guam, and in Puerto Rico. With our technology expertise and roots in human services, we continue to empower agencies to focus on their missions.

Lightbeam facilitates population health improvement by converting data insights into tangible outcomes, effectively bridging care gaps and reducing risks. This approach enhances both the quality of care and the overall quality of life for patients. By utilizing its robust population health management platform, Lightbeam integrates various data sources to create a comprehensive 360-degree view of patients, which is essential for maximizing the benefits of value-based care. In the contemporary landscape of value-based care, effective risk management hinges on data-driven intelligence. Lightbeam's innovative platform consolidates patient information in unique ways, enabling the strategic application of relevant data precisely when it is needed. The impact of Lightbeam extends beyond just altering how clients navigate value-based care; it has been instrumental in generating significant financial benefits, having saved clients over 2 billion dollars since its inception in 2014, and its journey is only beginning. Furthermore, Lightbeam's technology-enabled services approach effortlessly complements these initiatives, providing additional support to enhance client outcomes. As a result, organizations that partner with Lightbeam are equipped to achieve remarkable advancements in their population health strategies.

HealthAxis provides integrated solutions to payers, providers, and health organizations. These integrated solutions include an advanced claims processing system, TPA services, and actionable analytics. We simplify operations and improve patient and client outcomes. Healthcare is becoming more technologically connected, but it is still hindered by legacy technology, coordination problems, and information management. We aim to bring innovation to those who are struggling with these issues. Our client philosophy is to be a complete business partner. HealthAxis believes that our success is not based on selling our solutions, but rather on our business partners' continued success and growth. We empower our partners to bring value to the communities that they serve. We thrive with them as they grow their membership and expand their scope. Each member of our team is aware of their responsibility to help our partners realize their potential.

Streamline your case management initiatives with post-acute care providers while implementing a value-based care model. Obtain real-time insights and take timely action for every patient within your PAC network, while also receiving prompt assistance from your acute care partners. Enhance both patient outcomes and quality of care, fostering stronger referral relationships in the process. Join Olio to ensure your success in navigating value-based care. Leadership in population health has sought to boost PAC performance by initially assessing their providers, leading to significant industry advancements. Unfortunately, many PAC providers lack the necessary resources, expertise, or knowledge to effectively carry out your intricate population health initiatives, as they are often expected to perform more with limited means. Olio assists in modernizing communication across your PAC network, equipping your entire team with the tools needed to successfully implement your population health strategy while enhancing collaboration among all stakeholders. Ultimately, this approach not only benefits patients but also strengthens the entire healthcare ecosystem.

Our innovative data-driven approach, combined with the expertise of our talented team and the strength of our products, drives the transformation of advanced Value-Based Care technology. We hold the conviction that healthcare is an invaluable resource, and everyone deserves to maximize the benefits of their healthcare experience. This involves stratifying and identifying patient needs, coordinating care efficiently, and actively engaging members throughout their healthcare journey. We also focus on generic drug equivalency, pricing strategies, and providing educational materials for patients. In addition, we manage referrals, encounters or claims, eligibility, enrollment, and member reward programs. Comprehensive analytics, detailed reports, enhanced patient engagement, and seamless EHR integration are also key components of our approach to healthcare improvement. Ultimately, our mission is to ensure that every interaction and service is tailored to enhance health outcomes for individuals.

Address the complexities of value-based care regardless of your existing EHR system. Gain a comprehensive understanding of your patient demographics through consolidated data from various sources, presented in an intuitive visual format. Leverage data-driven insights to enhance the management of chronic diseases and facilitate smoother transitions in care, while also working to prevent illnesses, reduce costs, and enhance care management initiatives. Promote effective care coordination through tools designed for a proactive mindset, including a pre-visit dashboard, risk assessment capabilities, and automated monitoring of admission, discharge, and transfer activities. Activate care management strategies to broaden the reach of healthcare providers. Encourage essential patient interactions and ensure meaningful follow-up between visits. Utilize the Johns Hopkins ACG system for risk stratification to pinpoint patients most at risk for high-cost healthcare utilization. Efficiently allocate resources to areas where they are most urgently needed. Aim to elevate performance metrics related to quality care. Engage successfully in value-based payment initiatives and maximize reimbursement opportunities as you navigate this evolving landscape. By implementing these strategies, healthcare organizations can improve patient outcomes and foster a more sustainable care environment.

By offering a groundbreaking array of solutions and the most integrated care collaboration network available, we are pursuing a holistic approach to healthcare that is transforming expectations and altering the landscape of the industry. This journey toward more informed decision-making and improved outcomes is anchored in a commitment to ongoing dialogue, teamwork, and innovation. This dedication is the cornerstone of our mission, enabling us to achieve significant results across diverse care environments. Empower yourself to choose the best care paths and proceed with confidence, leveraging real-time insights and the nation's most extensive care collaboration network. Efficiently pinpoint the best course of action with streamlined solutions that enhance workflows and accelerate patient treatment. Minimize risks, reduce expenses, and hasten the shift to value-based care through access to previously unavailable proactive intelligence. Bring the concept of whole-person care to life by integrating essential context that encompasses both physical and mental health experiences, ensuring comprehensive support for patients’ well-being. This holistic approach guarantees that every individual receives the tailored care they deserve, addressing all facets of their health journey.

Health plans today prioritize population health management (PHM) as a critical focus area. The key issue lies in balancing the overall health of the population while still recognizing and addressing the needs of each individual. ZeOmega emphasizes the significance of the individual member in the context of evolving value-based care initiatives. Our Jiva solution for population health management aggregates extensive data at the population level and incorporates analytical tools that allow for real-time identification of ways to enhance care or modify patient behavior. It is designed around five vital pillars that are crucial for successful population health management. ZeOmega’s robust platform provides strategic, high-value solutions aimed at enhancing both individual health outcomes and provider performance. With our deep expertise in the field, we are well-equipped to tackle the intricate challenges presented by population health dynamics, ensuring that both collective and individual needs are met effectively.

Our platform simplifies all parameters, raw data, and technical jargon, ensuring clarity regardless of your background. At Syntax, we lead the charge in transforming value-based care and incentive structures. Utilizing our proficiency in advanced analytics and collaborative platforms, our SaaS-driven enterprise solution equips payors and providers to confidently navigate the intricate healthcare environment. We demystify the complex frameworks of value-based care, enhancing processes and eliminating obstacles that impede collaboration. Our commitment to transparency and trust fosters seamless cooperation among all stakeholders, ultimately improving outcomes and reshaping healthcare delivery. Whether it's through standardizing contracts, modeling incentives, or promoting open collaboration, our mission is to make value-based care more accessible, efficient, and impactful for all involved. We believe that by putting these principles into practice, we can create a healthier future for everyone.

Enhance your value-based initiatives by swiftly evaluating and comprehending the expenses associated with episodes of care. Foster provider participation and engagement by facilitating discussions rooted in data and evidence regarding overall episode costs as well as the specific practice patterns of individual providers. Propel enhancements in cost and quality by addressing discrepancies in care delivery and performance among providers. Utilize analytics to empower value-based strategies, offering insights that assist in refining network structures and advancing clinical transformations. Discover opportunities for value-based care by analyzing episode costs, using clinically validated definitions for episodes. Engage providers in value-focused conversations by examining patterns of utilization, costs, and variations in care. Employ episode analytics to refine network designs, reshape clinical guidelines, and boost consumer engagement effectively. Simplify the process of creating episode budgets by establishing average costs per episode alongside the related clinical services, ensuring a comprehensive understanding of financial requirements. This focused approach not only drives efficiency but also lays a strong foundation for sustainable improvements in healthcare delivery.

The significance of quality and cost cannot be overstated. As value-based care models become more prevalent, it is essential for hospitals, physicians, employers, and insurance plans to have access to precise and insightful analytics. With Quantros’ exceptional insights, both providers and recipients of care can make informed, data-driven choices. The analytics software from Quantros equips healthcare providers to comprehend, forecast, and enhance their performance effectively. Additionally, it offers healthcare purchasers a transparent view of the reliability with which hospitals and physicians are achieving optimal outcomes and delivering suitable care throughout the healthcare continuum. This level of transparency not only fosters trust but also drives improvements in healthcare delivery.

Transform your healthcare experience with the revolutionary Soliton® AI, which is powered by 30,000 evidence-based rules and advanced machine learning techniques. By automating various healthcare and care management functions, Soliton® equips you with the tools necessary to thrive in a value-based care environment, offering unmatched capabilities. It efficiently analyzes vast amounts of patient data in real-time, leading to enhancements in both clinical outcomes and financial performance, while also supporting a range of Alternative Payment Models (APMs). The solution boosts the effectiveness of telehealth by forecasting billable codes during patient interactions and predicting future healthcare costs through sophisticated risk stratification models. Furthermore, it provides timely clinical decision support to assist in managing intricate patient populations. Soliton® optimizes the patient journey, facilitating seamless transitions from acute to post-acute care through AI-driven care coordination. Moreover, it identifies care gaps, uncovers service and coding opportunities, and generates tailored patient assessments and personalized care plans, while also enabling the creation of custom cohorts for targeted interventions. As a result, Soliton® not only enhances operational efficiency but also elevates the overall quality of patient care.

Credo Health is an innovative SaaS platform fueled by artificial intelligence, designed to propel the future of value-based healthcare. It empowers physicians, MSOs, ACOs, and health plans to effectively diagnose, document, and treat each patient through a wealth of clinical intelligence. By consolidating disparate patient data, Credo’s platform generates nearly complete longitudinal records seamlessly integrated into existing EHR workflows. Its AI-driven tools facilitate the acquisition of medical records, enhance data analysis, boost patient engagement, and optimize performance. Clinicians receive actionable insights right at the point of care, alleviating additional administrative burdens. Meanwhile, administrators gain access to real-time analytics that enhance risk adjustment precision and quality performance. Ultimately, Credo Health equips healthcare organizations with the means to cut costs, elevate patient outcomes, and function more efficiently within value-based care frameworks, paving the way for a transformative shift in the healthcare landscape. This comprehensive approach not only supports immediate clinical needs but also fosters long-term improvements in healthcare delivery.

Our web and mobile solutions, which are easy to implement, assist physician practices and health systems in extracting deeper insights from healthcare data, synchronizing workflows with value-based care initiatives, and enhancing revenue integrity. Achieving excellence goes beyond just having superior technology. Become one of the many satisfied practices and health systems that trust Ingenious Med as their partner, benefiting from our dedicated and experienced support team along with ongoing product updates that cater to changing demands. Ingenious Med provides mobile and web solutions that enhance physician productivity and hospital efficiency directly at the point of care. We empower health systems and physician groups to boost their revenues, enhance data intelligence, align care with quality standards, and streamline workflows throughout the healthcare landscape. With over two decades of experience collaborating with providers and organizations, we are well-equipped to meet the diverse needs of the healthcare industry. Our commitment to innovation ensures that we remain at the forefront of healthcare technology advancements.

blueBriX delivers unique digital health solutions designed to empower healthcare systems to excel in value-based care, prioritizing accessibility, cost-effectiveness, equity, and quality.

Envision a transformative approach to care management that lowers healthcare expenses, reduces both admissions and readmissions, enhances star ratings and HEDIS metrics, and elevates health quality and outcomes through a mission-focused data platform driven by artificial intelligence. As the healthcare sector increasingly embraces value-based care, Health EM.AI emerges as a pioneer, redefining care management and enhancing care delivery through innovative data utilization and AI technology. By streamlining patient information from various care settings and leveraging AI/ML-driven predictive analytics, we equip healthcare organizations with actionable insights that significantly enhance care quality. Our approach ensures measurable improvements at the individual patient level, particularly within palliative and chronic care management workflows. The integration of unified patient 360 data across all care settings leads to meaningful advancements in star ratings, risk adjustment, and the effective closing of care gaps. Additionally, our localized healthcare models examine over 1,000 clinical and non-clinical variables based on geographical context, further refining the effectiveness of care. This comprehensive strategy not only fosters better patient outcomes but also encourages a more efficient healthcare ecosystem.

Your aim is to provide outstanding care for your patients, and that aligns perfectly with our mission. Aledade equips primary care practitioners with advanced data analytics, intuitive guided workflows, unmatched knowledge of regulations, robust relationships with payers, and dedicated local support from knowledgeable professionals. We strive to simplify the process for your primary care practice or community health center to engage in value-based care, thereby enhancing patient outcomes and fostering a cost-efficient, high-quality healthcare system for your community. Independent primary care providers and community health centers interested in participating in the Medicare Shared Savings Program, in addition to other governmental initiatives or various commercial contracts, have the opportunity to join an Aledade accountable care organization (ACO) alongside fellow healthcare providers in their area. Together, we can transform healthcare delivery and make a meaningful impact on the lives of patients.

Responding, recovering, and thriving in the aftermath of Covid-19 requires a robust approach. By utilizing a flexible platform equipped with powerful tools, healthcare providers can enhance patient engagement effectively. It is essential to virtualize care across the entire continuum and cater to diverse patient populations. Organizations should shift towards unified care models that harmoniously integrate both virtual and in-person services. Spark Health offers a comprehensive suite of solutions tailored for various clients who oversee patients within multiple payment frameworks. They play a critical role in linking the healthcare ecosystem, promoting seamless virtual and in-person care, and facilitating the transition to innovative value-based healthcare. This integration connects all stakeholders in the healthcare ecosystem, including patients, providers, families, communities, and systems, along with EMRs, devices, and remote patient monitoring tools. Communication is streamlined through secure methods such as talk, text, video, notifications, alerts, patient and provider portals, and permission-based access. Additionally, they promote engagement across a variety of platforms, ensuring compatibility with web, apps, wearable technology, iOS, Android, Alexa, and Google Home, thus enhancing the overall patient experience and accessibility to care. Ultimately, this comprehensive approach is crucial for fostering resilience and adaptability in today's healthcare landscape.

MDLand’s array of products is designed to enhance workflow efficiency for both medical professionals and their support teams, ultimately saving time and reducing redundant tasks. The iClinic® offers a comprehensive and certified electronic health record (EHR) system that streamlines processes, minimizes time dedicated to data entry, and equips you to fulfill quality payment program standards and earn additional incentives, allowing you to concentrate more on patient care. As an ONC certified EHR vendor, MDLand supports healthcare providers in achieving meaningful use, adhering to MACRA/MIPS, and participating in various value-based payment initiatives. This software package includes a user-friendly EHR, electronic billing, payment processing, and an assortment of patient engagement tools all conveniently accessible. Transitioning from a fee-for-service model to a value-based reimbursement system means that healthcare providers have the opportunity to increase earnings by delivering high-quality care. By leveraging MDLand’s innovative solutions, you can focus on what truly matters—enhancing patient outcomes and satisfaction.

Retrieving a patient's medical records is now just a search away, thanks to the PRISMA health information search engine, which consolidates data from primary care providers, specialists, clinics, urgent care centers, and hospitals into a comprehensive, searchable timeline of a patient’s health. Our Customer Success Stories showcase how our healthcare IT is being utilized in real-world scenarios, highlighting how eClinicalWorks customers are enhancing value-based care and overall healthcare outcomes. With a dedicated team of 5,000 employees, eClinicalWorks is committed to advancing healthcare in collaboration with our clients. Over 130,000 physicians across the United States, along with more than 850,000 medical professionals worldwide, depend on our EHR software for thorough clinical documentation as well as solutions that encompass telehealth, population health, patient engagement, and revenue cycle management. As a privately held company focused on innovation and excellence, our primary goal is to equip our customers with secure, cloud-based solutions that meet their evolving needs. Our commitment to improving healthcare continues to drive every aspect of our operations.

Our cutting-edge platform was crafted by healthcare providers, incorporating insights from medical professionals nationwide, leading to our consistent recognition as a top-tier EHR by Black Book™ for excellence in performance, dependability, support, and customer service. Our celebrated, cloud-based EHR software empowers providers to deliver care in a more effective and efficient manner. With over twenty years of experience in the healthcare sector, we have honed our expertise to better serve our clients. Since our debut in 1999, we’ve refined our platform through significant collaboration with both our providers and specialized industry vendors. Today, we offer more than just EHR software; we serve as a vital partner in the journey toward value-based care. Our primary objective is to equip practices with state-of-the-art healthcare technology that improves clinical workflows, lowers operational costs, and strengthens the provider-patient dynamic. By continuously adapting to the evolving needs of the industry, we ensure our solutions remain relevant and effective in enhancing patient care.

ThoroughCare is an all-encompassing care coordination software platform that aims to improve the delivery of care across numerous healthcare sectors, such as chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness assessments, and advance care planning. This platform empowers healthcare providers to fulfill all service criteria, utilize evidence-based practices, and generate additional revenue while effectively addressing care gaps. By implementing a robust care management strategy, ThoroughCare meticulously monitors quality and performance metrics, consolidates data from various clinical locations to assess patient engagement and outcomes, and generates reports on risk stratification, claims, missed revenue opportunities, encounters, and call performance. The analytics feature of ThoroughCare equips decision-makers with visual insights into operational, financial, and patient data, thus facilitating informed choices. Additionally, the platform seamlessly integrates with electronic health records (EHRs), health information exchanges (HIEs), and remote monitoring technologies, ensuring a holistic approach to patient care. This interconnectedness not only streamlines workflows but also enhances the overall efficiency of healthcare delivery systems.

Epion’s patient engagement platform integrates solutions for patient access, check-in, and telehealth, facilitating seamless connections with patients throughout their healthcare journey—before, during, and after their appointments. Patients anticipate receiving care that actively reaches and engages them in their current environment. To meet this expectation, healthcare practices must utilize the appropriate tools and automation to enhance engagement, satisfaction, and return on investment. Committed to transforming healthcare, Epion focuses exclusively on creating innovative digital access solutions that lead to improved clinical and financial results. By serving as a reliable partner to healthcare providers, we help advance your value-based care objectives while ensuring exceptional customer support and a wealth of resources. This commitment to excellence is among the reasons why our leading platform has gained traction with medical practices nationwide, spanning from small, single-provider offices to large health systems. Ultimately, Epion's dedication to enhancing patient experiences solidifies its position as a key player in the healthcare technology landscape.

Introducing Optimum, an innovative solution designed to enhance hospital operations by improving workflow automation and achieving superior financial outcomes for patient care. This platform allows for the intelligent and secure exchange of data. With the increasing emphasis on value-based care, there is a growing demand for enhanced security, expedited access to essential information, and more efficient methods for care coordination. Optimum facilitates seamless care transitions and fosters open communication among various healthcare systems using multiple data sources, including HL7, all while ensuring peace of mind. Isn't it important for denial claim management to prevent missed payments and minimize uncollected claims? We believe it is. Optimum empowers healthcare providers to effectively address issues such as missing or duplicate information early in the billing cycle, enhancing efficiency and timeliness. Furthermore, Cantata Health Solutions provides top-tier electronic health record and financial management software tailored for hospitals, skilled nursing facilities, and assisted living communities, ensuring they can meet the complex demands of modern healthcare. By utilizing these advanced solutions, healthcare providers can significantly improve their operational capabilities and patient satisfaction.

In alignment with our dedication to enhance the healthcare experience for all, we have partnered with NextGen Healthcare to boost productivity, elevate clinical care standards, and enrich patient interactions, all while prioritizing strong financial results and guiding providers towards value-based care. By opting to implement patient self-scheduling for your available appointments, you will be pleasantly surprised by the significant reduction in both staff workload and operational costs. Medfusion’s patient portal empowers patients to manage routine tasks online, while also streamlining workflows for your practice. This solution not only facilitates secure communication between patients and providers but also functions as a personal health record that integrates across different electronic medical records (EMRs). Whether your goal is to enhance efficiency, foster patient engagement, or provide patients with round-the-clock access to back-office services like billing and scheduling, Medfusion stands ready to assist. Additionally, it helps ensure compliance with Meaningful Use, MACRA, and MIPS standards, making it an invaluable asset for modern healthcare practices.

The Talix platform facilitates advanced workflow applications designed for risk-bearing healthcare organizations to thrive in a value-based care environment. Our solutions for both payers and providers depend on sophisticated technologies that operate seamlessly and efficiently across large scales. We have developed the Talix Platform to accommodate the requirements of thousands of users globally, ensuring simultaneous access. Additionally, our architectural design supports a variety of SaaS applications, optimizing the processing of millions of patient records and encounter data. The Talix Platform consists of a network of interconnected technology components, which are essential for driving scalable software solutions for healthcare providers and payers. These components serve as foundational elements for artificial intelligence (AI), enhancing the platform's capabilities and effectiveness in the healthcare sector. Ultimately, the integration of these technologies positions the Talix Platform as a leader in the evolution of healthcare workflows.

The Amadeus Digital Care Record (DCR) offers a thorough solution that aims to give healthcare professionals a consolidated perspective of patient data right when it is needed. By merging information from various healthcare systems into a Health Information Exchange, the platform generates a comprehensive, up-to-date profile for every patient. This efficient methodology enhances clinical decision-making and boosts productivity, while also alleviating clinician fatigue by minimizing redundant tasks. Furthermore, the Amadeus DCR incorporates analytical tools and care coordination features, which play a crucial role in promoting improved patient outcomes by detecting risks at an early stage and facilitating effective care throughout the entire patient journey. Ultimately, this integrated system not only optimizes workflow but also fosters a more patient-centered approach in healthcare delivery.

AIDA enhances value-based care by establishing robust communication channels among providers. These adaptable channels facilitate connections with nearly any downstream provider and offer in-depth insights regarding the strengths and growth areas within your network. It also allows for customized placement solutions for all patients, including those with complex needs. Ensuring secure communication and seamless data exchange with all downstream providers is a priority, along with providing comprehensive analytics that contribute to effective value-based care. Our application is specifically designed for integration with Epic, allowing users to take advantage of three key features: the elimination of user provisioning challenges through single sign-on (SSO), the ability to utilize AIDA as a fully integrated component within the Epic interface, and direct access to all patient records through APIs. This last advantage paves the way for entirely standardized and paperless referral packets, which can be tailored according to the type of Care Provider, thereby removing the need for outdated practices such as faxing, printing, and manual file handling. With AIDA, healthcare providers can streamline their workflows and enhance overall patient care.

Solventum Ambulatory Potentially Preventable Complications (AM-PPCs) Classification System is a clinically designed classification methodology that helps healthcare providers, payers, and researchers evaluate the quality and safety of outpatient procedures. The system identifies potentially preventable complications that occur after elective ambulatory procedures by analyzing sequenced billing data and coded clinical information. AM-PPCs links procedures with related complications that may occur within 30 days after treatment, even when patients receive follow-up care in different healthcare settings. The classification framework covers more than 3,350 procedures grouped into 116 clinically defined procedure categories and identifies complications from over 1,900 diagnoses organized into 70 complication groups. Healthcare organizations can use these insights to track performance by provider, facility, service line, and procedure type. The system also includes benchmarking capabilities based on Medicare, Medicaid, and commercial populations across multiple service lines. By providing structured outcome data and complication tracking, AM-PPCs enables healthcare systems to identify improvement opportunities, enhance patient safety, and better manage outpatient care quality.

Since becoming part of the Netsmart team in 2017, the DeVero software has been seamlessly integrated into Netsmart’s offerings, resulting in an exceptional, cloud-based platform that unifies various care environments. The myUnity® solution from Netsmart brings together the most effective elements of both Netsmart and DeVero’s leading home care, hospice, and senior living services into one cohesive enterprise platform. Tailored for value-based care, this innovative platform encompasses analytics, connectivity, population health management, and electronic referral management, ensuring it meets your specific needs. Explore the Netsmart solutions designed to enhance the efficiency of your home health organization, ensure compliance, and prepare for the evolving landscape of healthcare. Discover how Netsmart’s hospice solutions adeptly handle regulatory and payment challenges, allowing you to concentrate on the well-being of your patients. If you're interested in experiencing our home care and hospice solutions firsthand, please complete the form to initiate the process. Embrace the future of healthcare with tools that empower your organization to thrive.

We facilitate the transition to value-based healthcare by evaluating various treatments, medications, processes, and costs, which aids hospitals, life sciences firms, and payers in pinpointing the most effective treatment strategies for optimal patient results. Our CRCA™ P&T platform equips Pharmacy and Therapeutics committees to implement data-driven enhancements in key quality indicators, including metrics like average length of stay (ALOS) and 30-day readmissions. The innovative POP-BUILDER Rx™ solution offers comparative evaluations among chosen cohorts against CRCA’s extensive real-world data index, which encompasses over 140 million longitudinal patient records. Additionally, our drug remittance dashboard provides an in-depth analysis and reporting of drug remittance information across different payer categories, focusing on high-cost medications at the National Drug Code (NDC) level. Furthermore, we assist hospital finance teams in effectively tracking and enhancing service line costs and profitability, productivity, and revenue cycle performance through our insightful analytics, detailed reporting, and the expertise of our Agilum Healthcare Intelligence team. This comprehensive approach ensures that healthcare providers can make informed decisions that positively impact both operational efficiency and patient care.

myUnity®, - Leveraging the most strategic elements of the Netsmart market-leading senior living, hospice, and home care solutions into a unified enterprise platform. All your post-acute care settings can be accessed from a single location or across hundreds. It is user-friendly and gives your clinical staff the right information at the right moment so they can concentrate on patient care. This platform is designed to provide value-based care through connectivity, analytics, population health management and electronic referral management.

Our electronic health record and behavioral health billing services were designed to allow practices to prioritize what is truly important—delivering outstanding patient care. As the landscape of behavioral healthcare transforms with advancements in value-based care and the rise of virtual teletherapy sessions, we are here to assist you in reimagining the models of care that effectively address your clients' requirements. It’s time for progress. Together. Discover how a long-term psychiatric treatment and residential rehabilitation facility transformed its patient care approach with the help of NextStep. Find out how one outpatient behavioral health practice experienced significant business growth after forming a partnership with NextStep. Explore how our innovative technology has empowered the behavioral health sector to flourish. After that, let us demonstrate how we can elevate your practice to new heights. At NextStep Solutions, our unwavering dedication to our clients is founded on three core principles: passion, people, and products. By focusing on these areas, we ensure that we not only meet but exceed the expectations of those we serve.

Envolve is committed to transforming healthcare by leveraging strategic partnerships and extensive experience to deliver value-based and cost-effective care solutions. The services offered by Envolve MSO equip organizations with essential strategies, skilled personnel, and streamlined processes aimed at implementing value-driven, affordable healthcare and facilitating genuine transformation in the sector. As a prominent provider of healthcare management services, we infuse innovation and expertise to enhance performance within outcomes-oriented and value-based reimbursement frameworks. Our comprehensive healthcare management services improve both quality and efficiency in care delivery through top-tier business administration services, effective data usage, clinical excellence, and robust operational support. By investing in pioneering benefit designs across a variety of products nationwide, Envolve significantly contributes to publicly funded, marketplace, and commercial programs that enhance individuals' health and overall quality of life. This commitment to innovation and improvement positions Envolve as a leader in reshaping the future of healthcare for all.

Mosaic offers exceptional insights into comprehensive market performance metrics that span various provider categories, enabling you to assess risks prior to engagement, enhance relationships, and succeed in the current value-driven healthcare environment. In the endeavor of constructing and sustaining a robust network, the effectiveness of your team is heavily influenced by any underperforming partners. Uncover strategies to tackle deficiencies and capitalize on potential opportunities. Set and accomplish targeted objectives, such as incorporating new provider types or establishing a preferred provider group. Work alongside providers to elevate quality, optimize utilization, and manage costs effectively. Ultimately, achieve a reduction in the overall cost of care while simultaneously enhancing patient outcomes, ensuring a win-win situation for all stakeholders involved. By leveraging these insights, you can foster a culture of continuous improvement and adaptability in your healthcare network.

HealthEC offers a premier population health management platform, featuring the CareConnect™ care management module and the 3D Analytics™ module, aimed at improving the quality of care and enhancing patient experiences by tackling the most significant data challenges in healthcare. By utilizing a universal data warehouse, it effectively integrates normalized claims, clinical, and social determinants of health (SDoH) data from various sources, ensuring CMS certification for reuse. The platform minimizes workflow interruptions through customizable care plans and decision-support tools, providing comprehensive care management assistance. It fosters patient-centered care by promoting seamless coordination with community resources while addressing SDoH. With clear dashboards and point-of-care access, it empowers healthcare professionals with actionable insights at the diagnosis, provider, practice, and organizational levels. Additionally, it enhances managed care organization (MCO) performance reviews and ensures compliance with CMS interoperability rules, thereby supporting healthcare providers in delivering superior outcomes. The integration of these features leads to a transformative approach to population health management.

By combining cutting-edge navigation technology with top-tier primary care services, we aim to lead and expand value-based care within the commercial sector. Over the past ten years, we have focused on data aggregation, system integrations, and the refinement of machine learning models to create a highly personalized navigation experience that enhances member engagement and drives better health outcomes. Our platform consolidates health and wellness benefits into a user-friendly digital resource that is available every day of the year. Additionally, we offer personalized advocacy that enhances the digital experience for your members, allowing them to manage their health and wellbeing in a way that suits them best—utilizing digital tools when convenient and accessing human support when necessary. As healthcare costs rise, placing a significant financial strain on employers, we collaborate closely with you to enhance health results within your workforce, reduce expenditures, and achieve savings for your organization. Together, we strive to create a healthier future while ensuring financial sustainability for your business.

Elevate the effectiveness of value-based care through the OMS Trace Analytics® cloud platform, which specializes in the analysis and reporting of essential cardiovascular metrics. As reimbursement increasingly hinges on value, it's important to note that in the 2018 performance year, 60% of Medicare reimbursements were associated with quality metrics under the Quality Payment Program. This emphasizes the growing necessity for a precise data-driven and evidence-based quality reporting solution aimed at measuring, targeting, and enhancing your quality initiatives. The OMS Trace Analytics® cloud platform is expertly crafted to provide profound clinical insights into cardiovascular conditions, featuring dedicated dashboards that focus on key cardiovascular issues such as Hypertension, Dyslipidemia, Atrial Fibrillation, Heart Failure, Coronary Artery Disease, and Peripheral Artery Disease. With the integration of such advanced analytics, healthcare providers can better navigate the complexities of value-based care while actively improving patient outcomes.

Providers and healthcare plans are facing increasing demands to enhance the quality and affordability of comprehensive care for their most vulnerable and complex patient populations. We are here to assist in addressing the cumbersome processes, fragmented care teams, and isolated data systems that hinder the delivery of integrated care for the whole individual while adapting to new value-based care requirements, including those pertaining to behavioral health and social determinants of health. Currently, our nation allocates $33 billion each year to preventable hospital admissions stemming from inadequate care coordination and management of transitions, highlighting the urgent need for effective solutions. CareEmpower stands out as a comprehensive solution unlike any other care navigation system you've experienced. Whether your organization seeks to swiftly advance its Medicare Advantage program or establish a strong population health initiative for at-risk groups, CareEmpower offers the essential tools required. It effectively stratifies and prioritizes care opportunities for these vulnerable populations, ensuring that their needs are met in a timely and efficient manner. With our innovative approach, the path to better care coordination is clearer than ever.

Optimized workflows in operations, clinical practice, and billing enable you to prioritize patient care effectively. Additionally, an advanced outcomes-focused recommendation system empowers therapists to create individualized care plans that achieve optimal results for each patient. Net Health Therapy stands out as the premier choice for addressing the challenges of value-based care. Enjoy comprehensive features designed to enhance the efficiency, productivity, and quality of therapists and staff alike. With user-friendly admissions, effortless one-click scheduling, compliance notifications, and customizable workflows, transitioning and managing patient care becomes seamless. Equip therapists with the essential tools they need to ensure high-quality care, maintain compliance, and improve patient outcomes. Notably, the platform includes the top-rated clinical content library in the industry, offers flexible mobility options, provides offline access, and incorporates compliance measures, all while the recommendation engine supports the formulation of patient-focused care plans, including specific treatment objectives and interventions, making it an invaluable asset in modern healthcare.

Enhancing the financial and operational processes within your practice presents a significant challenge. You aim to optimize provider schedules, boost reimbursement rates, thrive in alternative payment models and value-based care, reduce claim inaccuracies, and ensure secure data access, all while striving to deliver exceptional patient care. This multifaceted task can be daunting; however, aligning with a knowledgeable partner equipped with the necessary resources can help you enhance performance effortlessly. The Practice Management system facilitates seamless scheduling and registration, allowing for immediate access to referrals and eligibility checks. Through Practice Management, your staff can efficiently handle walk-ins, cancellations, and regular appointments. Additionally, the patient-focused ledger provides a comprehensive solution for account management, enabling you to view service and payment history, detailed reimbursement notes, and collection activities all within a single interface. This streamlined approach ensures that both administrative tasks and patient care can be managed more effectively, ultimately leading to improved outcomes for both the practice and its patients.

Let therapists be focused on patients, quality, and outcomes. Net Health Therapy for Skilled Nursing Facilities provides contract therapy companies, skilled nurses facilities (SNFs), assisted-living facilities (ALFs), and continuing care retirement communities with the best therapy management software in the industry. You can focus on your patients with simplified billing, clinical, and operational workflows. A powerful outcome-driven recommendation engine allows therapists to create patient-centric care plans that maximize patient outcomes. Net Health Therapy is the best option to meet the needs of value-based care.

Remote Patient Monitoring (RPM) enables individuals to utilize connected medical devices for routine assessments and transmit the results to their healthcare providers. By enhancing access to medical care and lowering healthcare delivery expenses, RPM assists safety-net providers in moving beyond sporadic patient visits to establish an ongoing, real-time patient record, thereby transforming healthcare practices from a reactive to a proactive approach that supports value-based care (VBC). Through Care Management services, patients with complex medical needs can receive continuous, patient-centered care. Those grappling with chronic conditions who participate in these initiatives experience better health results due to consistent care coordination, uninterrupted communication with their healthcare providers, and regularly scheduled telehealth consultations. Additionally, the implementation of telepharmacy plays a pivotal role in improving patient outcomes by ensuring that individuals adhere to their medication regimens, including specialized treatments. Moreover, these innovations in healthcare delivery systems contribute to a more holistic approach to patient wellness, fostering an environment where proactive management can significantly reduce the potential for health complications.

The GuidingCare solution suite offers user-friendly, state-of-the-art tools for data integration and workflow management, designed to enhance the implementation of a person-centered, evidence-based Care Management strategy for various populations. Its advanced features in data analytics, workflow oversight, care coordination, and reporting empower organizations to effectively serve specific groups while ensuring compliance throughout the process. By utilizing GuidingCare, you can optimize coordination across the entire care spectrum, efficiently manage both clinical and behavioral health requirements, automate planning for care and services, and accurately identify and address high-risk populations, thus delivering comprehensive care. Additionally, the suite fosters improved outcomes within a fully integrated, patient-centric ecosystem focused on value-based care. Ultimately, GuidingCare positions your organization to achieve both operational excellence and enhanced patient satisfaction.