Becker's Hospital Review highlights population health management companies to know.
Contact Laura Dyrda at ldyrda@beckershealthcare.com to add a company to this list.
1bios (Truckee, Calif.). 1bios is a digital health platform designed to help payers and providers monitor and support covered populations as well as reward those with the best health. The platform takes a mobile-first population health management approach, integrating apps into the individual's everyday life. The platform allows for simple integration of wearables, devices and apps to track clinical and claims data in real time. The platform also engages members with alerts and incentives for better health.
3M (St. Paul, Minn.). To support population health management, 3M offers multiple data tools and services, such as risk adjustment, health risk assessment, medical records coding and auditing, care management analytics, provider profiling, and value-based payment design. These solutions leverage leading-edge technologies — predictive modeling, natural language processing and data mining — to help payers, providers and government agencies measure and manage healthcare performance. In October 2016, 3M and Verily, an Alphabet company, entered a strategic partnership to develop new population health technology for managing clinical and financial performance.
Advantmed (Santa Ana, Calif.). Advantmed is an integrated risk adjustment optimization and quality improvement company dedicated to helping risk-bearing entities. Advantmed partners with organizations to deliver the optimal combination of unique solutions to help them achieve their objectives. The company's solutions include medical record retrieval, medical record abstraction, risk adjustment coding, risk adjustment suspecting and targeting, NCQA-certified HEDIS® software, compliance and audit services, and health risk assessments. Advantmed's ELEVATE! Healthcare™ platform delivers fully transparent insights for all solutions.
Advisory Board (Washington, D.C.). Advisory Board is a best practices firm combining research, technology and consultation to improve performance. The firm offers a population health services solution designed to help healthcare organizations transition to value-based care and deliver population health. Advisory Board provides customized support for care transformation strategy and execution in addition to a consultation team and the Crimson applications technology to help organizations build a transformational population health program.
Allscripts (Chicago). Allscripts CareInMotion population health management platform is designed to enhance care coordination, patient engagement, connectivity, data aggregation and analytics. The platform helps hospital leaders manage care transitions and coordinate teams in all aspects of population health. The platform includes Allscripts Analytics intelligence, the dbMotion health information exchange platform, Allscripts CareInMotion Care Transitions and Care Team Management tools and the Allscripts FollowMyHealth vendor-agnostic patient engagement platform.
Altruista Health (Reston, Va.). Founded in 2007, Altruista Health has a mission to provide innovative healthcare technology solutions that drive significant improvements in cost savings and health outcomes across all populations. The company connects payers, providers and beneficiaries in an integrated software-as-a-service-based platform to manage the entire continuum of care. Altruista's GuidingCare platform is a comprehensive solution that integrates preventative care, acute care, chronic disease management, behavioral health, long-term care and community services into a patient-centered care model that is currently used in 38 states to manage care for 38 million members.
Apixio (San Mateo, Calif.). Apixio is a data science company focused on healthcare whose artificial intelligence-driven software solutions enable health plans and providers to pull novel insights from both medical text and codes in order to improve healthcare delivery to their populations. Apixio's HCC Profiler and Code Compliance Auditor leverage its platform's proprietary algorithms to help coders achieve unprecedented accuracy and efficiency for risk adjustment, and help providers ensure their patients receive the best care possible.
Arcadia Healthcare (Burlington, Mass.). Arcadia Healthcare provides technology expertise to complex healthcare organizations. The company offers technology and expertise to gather data and develop action steps to meet quality improvement and population health goals. Arcadia Healthcare has more than 30 connected EHR platforms and has measured 40,000-plus providers.
Athenahealth (Watertown, Mass.). Athenahealth's population health solution, athenahealth Population Health, partners with large and small organizations to manage the health of their populations. The company's solution is designed to help provider organizations reach financial and quality goals as well as coordinate across the care network and engage patients in personal health and wellness. The population health solution supports organizations in data aggregation, analytics reporting, care management, patient self-management and quality management.
AxisPoint Health (Westminster, Colo.). AxisPoint Health is a population health management company that combines technology with care management services to reduce costs, improve outcomes and boost consumer satisfaction. The company's care team leverages predictive analytics, an advanced care management platform and consumer engagement technology to personalize the care experience. Axis, the population health management software, aims to improve care coordination, communication and decision making. In April 2018, HGS Population Health acquired AxisPoint Health.
Ayasdi (Menlo Park, Calif.). Ayasdi's machine intelligence platform combines computing and big data infrastructure with machine learning, statistical geometric algorithms and topical data analysis to help organizations become more productive. The company's population risk manager aims to predict at-risk patients and populations, and then provide the interventions most likely to help the individual or group succeed at the lowest possible cost. The platform analyzes patient records, financial and socio-economic data to help healthcare organizations with population health management.
Babyscripts (Washington, DC). Babyscripts is a virtual care platform for obstetrics that allows OBGYNs to deliver a new model of prenatal care. The platform is powered by a suite of mobile apps that drive better patient decision making, internet-connected devices for remote monitoring, and a host of population health tools to give providers access to patient data in real time. When using these tools, patients experience increased engagement and satisfaction, while OBGYNs are able to identify patient risk more quickly, improve clinic workflow, and make more money.
BaseHealth (Sunnyvale, Calif.). BaseHealth created a predictive health platform driven by evidence-based data. The platform doesn't rely on retrospective claims and ICD data; instead, it evaluates medical, environmental, behavioral and genomic data to identify risk factors and assist in big picture planning. The BaseHealth platform can predict the onset of 41 diseases and includes an engine that comprehensively integrates genomic data with behavioral and medical data to provide targeted risk stratification and intervention. In October 2017, BaseHealth raised $8.5 million in Series C funding.
BioIQ (Santa Barbara, Calif.). The BioIQ Platform provides tools for orchestrating health testing programs and biometric screening events across multiple healthcare vendors, as well as multi-channel communication tools for engaging participants. The platform simplifies health testing for health plans, employers and organizations of all sizes, empowering individuals to take action that will improve their health. The platform organizes at-home health testing programs and biometric screening events across multiple vendors and provides a means to intervene when risks for chronic care are detected.
CapsicoHealth (Palo Alto, Calif.). CapsicoHealth offers a risk technology platform designed to help healthcare organizations manage episode of care-based payments as well as develop bundles and forecast revenue. The company's CapsBundle is a preconfigured analytics tool for bundle design, identification, risk, care tracking and revenue estimation. The Care Pathway Trackers technology streamlines population risk management and relationship assessment workflows based on current and past experiences with providers.
Caradigm (Seattle). Caradigm's software portfolio aims to help healthcare organizations deliver effective population health management. The portfolio includes data control, healthcare analytics, care coordination and engagement. The company's solutions are already installed at 1,500 hospitals worldwide and include data for more than 175 million patients. In October 2016, IDC Marketscape named Caradigm a leader for population health management.
Caravan Health (Kansas City, Mo.). Caravan Health provides population health programs to providers across 250 health systems and ACOs, as well as serves around 1 million patients in collaborative ACOs. The company offers services to support population health, such as analytics, practice transformation support, quality reporting, governance and change management as well as strategic consulting. Partnering companies may experience new revenue from population health services that support enhanced primary care as well as higher quality scores. Caravan Health also pioneered the Collaborative ACO, which allows unaffiliated providers to benefit from scale and more predictable savings.
CareAllies (Piscataway, N.J.). CareAllies is a Cigna company focused on connecting patients and providers in a value-based arrangement. The company aims to help providers transition to value-based care and manage long-term health plans for patients in a multipayer environment. CareAllies takes a consultative approach that emphasizes physician engagement, culture change, actionable data and analytics. The company's population health solutions aim to help transform practice economics so groups can thrive in value-based arrangements with consultative services, data collection and health IT tools.
CareJourney (Arlington, Va.). CareJourney was founded on the belief that open data and standard APIs will bring about a revolution in population health analytics. They have harnessed these trends to provide actionable insights and patient data warehousing to improve population health and reduce costs for patients. Their member-driven open health data service assembles a longitudinal view of the patient, ingests each point of contact, and measures performance continuously to inform new interventions.
Carelike (Atlanta). Carelike is a senior housing and elder care directory with more than 350,000 options in its database. The company powers a comprehensive senior care database and provides a marketing platform for senior care facilities. Carelike also refers users to organizations and resources for senior care.
CareSkore (Mountainview, Calif.). CareSkore's per-patient population health software-as-a-service platform provides advanced prescriptive analytics and autonomous personalized patient engagement at scale. CareSkore uses diagnosis, clinical, claims and social determinants to profile per-patient needs, generate autonomous care plans and apply AI to offload 30 percent of team tasks, allowing greater patient coverage. It supports video, SMS, in-app, IVR, wearables and smart devices, improving response times and patient satisfaction.
Carestream Health (Rochester, N.Y.). Carestream's population health offering includes imaging analytics software that can improve early detection rates for many conditions. This software can calculate liver density from a CT chest or abdomen study to detect a fatty liver; identify emphysema by detecting levels of trapped air in the lungs from a non-contrast CT chest study; and determine levels of coronary calcium from non-contrast CT chest studies in addition to assessing bone density. The software is part of Carestream's Clinical Collaboration Platform that provides monitoring and analysis for business and operational planning, system performance, clinical decision support, quality metrics, clinical results, regulatory compliance and peer review.
Casenet (Bedford, Mass.). Casenet creates configurable, scalable population health technology that unites disparate systems and data, enabling commercial, Medicaid, Medicare, TPA, provider/ACO and specialty provider organizations to manage care efficiently and effectively. Casenet solutions include care management, disease management, utilization management, appeals & grievances, and home & community services. Casenet solutions enable healthcare organizations to adapt quickly to changing market and regulatory dynamics and to identify and target populations having unique risk characteristics with specific care management programs— taking the first step toward better individual health and total population health management.
CentraForce Health. Close the gap with Comprehensive Determinants of Health™ - As the healthcare industry shifts to value-based care and improving the health of populations, to optimally manage population health, care management, and business improvement programs - the industry must look beyond the data traditionally captured in the medical record, insurance claim and outdated publicly available data. With pressures to understand Social Determinants of Health and other factors that impact populations in the 4000 hours between office visits, CentraForce Health’s 132 proprietary health, risk and engagement scores streamline your analyses so you’ll know exactly how to manage patients, develop better products and move the needle forward in providing care.
Cerner (North Kansas City, Mo.). EHR vendor Cerner's suite of solutions focused on population health is designed to help organizations predict at-risk populations, engage individuals and take action to improve healthcare. HealtheIntentSM is Cerner's population health management platform designed to scale at the population level while facilitating care at the provider and patient level. The platform can collect and reconcile data across the continuum of care as well as identify and stratify populations to pinpoint gaps in care.
Change Healthcare (Atlanta). Change Healthcare's population health program takes a strategic approach to population health management. The company helps healthcare providers with organizational structure, incentives, processes and technologies needed for the transition to value-based care. Change Healthcare provides consultants with clinical, operational and system experience as well as digital tools and technologies to drive better outcomes and align provider incentive.
Chronic Care Management (Solon, Ohio). Chronic Care Management is a technology and services care management provider focused on "in-between visit" care. The physician-founded company's solutions connect healthcare providers with a patient-centered care plan to drive positive clinical and financial outcomes. The company also provides a pathway for the transition from volume to value and offers a formal platform for practices participating in alternative payment models.
Clinigence (Atlanta, Ga.). The Clinigence Quality Performance Platform simplifies physician's interaction with clinical and claims data in support of improved patient care and cost reduction initiatives. With proven clinical integration expertise to connect disparate EHRs and software applications, Clinigence offers a window to real-time clinical information necessary to close gaps in care and improve population health. In March 2018, Clinigence and Signallamp partnered to deliver value-based care services to hospitals and health systems.
Cognizant (Teaneck, N.J.). Cognizant is a professional services company focused on operating and technology models for the digital era. Cognizant Healthcare Business Consulting services address industry trends driving business and IT spend. The company's TranZform is a software-as-a-service, multi-channel, modularized solution to support shared decision-making and collaboration, with a focus on empowering consumers to make more informed decisions about their care.
Conifer Health Solutions (Frisco, Texas). Conifer Health Solutions aims to help healthcare providers lower costs, optimize revenue and manage risk. The company's Conifer Population Health Management for Providers is an integrated offering powered by the ConiferCore Population Health Intelligence Platform. The solution is designed to identify at-risk individuals, manage acute and chronic care, support wellness initiatives, efficiently utilize nursing resources and streamline care coordination with a focus on delivering high quality, cost-effective care.
COPE Health Solutions (New York). COPE Health Solutions partners with our clients to help them achieve visionary, market relevant health solutions. The company's team has deep expertise in all aspects of strategy, clinical integration, population health management, managed care solutions, financial modeling, care coordination, behavioral health integration, CMS demonstrations, technology assessment and implementation and workforce development. The firm is known for working hand-in-hand with our clients on successful large-scale implementations of managed care and population health management strategies. We are the partner of choice for providers and payers across the United States who are committed to success in the evolving value-based payment environment and developing the diverse talent needed to fill future healthcare roles.
Cotiviti (Atlanta & Waltham, Mass.). Cotiviti offers solutions and analytics for payers, providers and employers to collaborate and improve healthcare. The company’s Payment Accuracy platform is a real-time, pre-pay, integrated claim accuracy and fraud detection solution scalable for all payer sizes. Cotiviti also includes quality improvement solutions and a risk adjustment solution with end-to-end support for payments in a risk-adjusted payment model. Finally, the performance analytics solution, which includes DxCG intelligence risk adjustment and predictive models, helps payers minimize clinical and financial risk and serves as a foundation for healthcare payers in their mission to lower healthcare costs. Cotiviti was acquired by Verscend Technologies in August 2018, and the combined healthcare IT company operates privately as Cotiviti.
Deloitte (New York City). Deloitte is a global network of independent firms that provide audit, consulting, financial advisory, risk management, tax and related services to clients. Deloitte's population health management specialists offer knowledge across the healthcare spectrum as well as analytical tools to help healthcare organizations demonstrate population health. Deloitte population health management specialists deliver advanced analytics assistance; strategies to leverage partnerships and cut expenses; and help healthcare organizations build a brand.
eClinicalWorks (Westborough, Mass.). eClinicalWorks was founded in 1999 as a cloud-based EHR; today more than 850,000 medical professionals use eClinicalWorks solutions. The company's population health solution includes cost utilization dashboards, clinical quality measure dashboards and population health alerts configurable by community or quality thresholds. eClinicalWorks also provides a care coordination platform that manages secure data exchange between ancillary service providers, health information exchanges, immunization registries and ambulatory EMR. KLAS reported eClinicalWorks is among the most-used population health solutions across all functional ACO categories.
Eastside Health Network (Bellevue/Kirkland, Wash.). As a joint venture between Bellevue, Wash.-based Overlake Medical Center and Clinics and Kirkland, Wash.-based EvergreenHealth, Eastside Health Network aims to improve access to care and care coordination. With more than 1,300 providers, 128 specialty practices and 43 primary care locations, the network aligns independent providers with health systems and their employed provider network to avoid duplicate or unnecessary tests. It has a shared infrastructure and resources to coordinate care and engage in value-based contracting.
Emmi (Chicago). Emmi designs technology-based solutions for participants and partners to improve their health and well-being, thereby improving the business performance of healthcare and payer organizations. Emmi provides multimedia programs and interactive calls to assist with population health management so organizations can conduct scalable, personalized outreach to patients outside of the clinical setting. The company helps organizations maximize staff and outreach for screenings such as colonoscopy and mammography, as well as build relationships beyond the clinical setting.
Enli Health Intelligence (Beaverton, Ore.). Enli Health Intelligence is a population health technology company with a platform that integrates healthcare data with evidence-based guidelines embedded in provider workflows throughout the population as well as at the point of care. Enli's platform enables risk stratification to pursue payment incentives and value-based programs; care coordination for high-risk patients; and recognition of unwarranted care variation to streamline care delivery. The platform seamlessly integrates with EHRs and was co-developed by more than 20 health systems.
Epic (Verona, Wis.). Epic's population health services aim to coordinate care across the provider community. The company aims to promote communication with other EHR and external providers to resolve care gaps as well as promote efforts to create a single plan of care accessible to patients, providers, care managers and other affiliates. Epic also aims to help healthcare organizations implement and support population health programs with business intelligence scientists and information to assist with cost and resource management.
EQ Health Solutions (Baton Rouge, La.). EQ Health Solutions' eQSuite population health management technology employs software that can identify high-risk and high-cost patients as well as categorize and prioritize patients by illness and severity of illness. The software can also help identify gaps in care and provide predictive modeling capabilities to identify good candidates for care coordination. The company's population health management solution touches more than 10 million lives per year.
Evolent Health (Arlington, Va.). Evolent Health acquired Chicago-based Valence Health in October 2016 for $219.4 million, enhancing the company's population health and advisory services. Valence Health provides expertise in Medicaid and pediatric markets, adding to Evolent Health's overall population health management portfolio. The portfolio includes care management, predictive technology and support for healthcare organizations to achieve their goals. Evolent provides a full-service care management team as well as physician and practice engagement training and tools.
Experian Health (Franklin, Tenn.). Experian Health has a suite of solutions to improve the healthcare experience, including patient services, real-time integrated workflow for faster processing and enhanced transparency, as well as built-in data enrichment across the healthcare ecosystem. Experian's eCare NEXT featuring the Touchless Workflow is designed to create more efficient, accurate and productive user and patient experience. The company also automates revenue cycle management, contract management and collections to improve efficiency and increase reimbursement.
Forward Health Group (Madison, Wis.). Forward Health Group's PopulationManager is a health analytics and data visualization platform designed to focus on patient-level, point-of-care quality improvement support. The software aggregates measures within a single healthcare provider organization and aims to help improve patient health as well as the healthcare organization's financial health. In the 2015 KLAS Population Health Management Performance Report, PopulationManager achieved the highest possible customer rating score. The company's offerings also include PopulationCompass, a data visualization platform that allows users to track patient care over time in and out of the organization's network.
The Garage (Orlando, Fla.). As a partner to more than 25 ACOs and 7,000 providers nationwide, The Garage provides automated and intuitive solutions for integrated, value-centered and patient-focused care. Bridge, the company's collaborative population health management platform, and its integrated multimedia telehealth platform Ignite, touches around 6 million patient lives. The company's Root solution leverages machine learning and artificial intelligence to drive real-time clinical and operational insights for high-performing healthcare organizations.
Geneia (Harrisburg, Pa.). Geneia's population health management solution aims to help healthcare organizations customize and implement population health risk management initiatives. The company provides advanced analytics capabilities, visualization tools and training to create an "actionable 360-degree plan for success." Geneia's population health suite can identify and segment at-risk patients, examine variations in care delivery, expand proactive disease management and customize chronic disease care plans across care settings. Geneia partnered with Salesforce Health Cloud in December 2017.
Greenway Health (Tampa, Fla.). The Greenway Community, a population health solution, provides data for value-based program participation as well as clinical and financial performance measurement capabilities. Greenway Health's solution can examine data at the enterprise, practice, provider and patient level, working with EHRs as well as practice management systems and health data registries to gather all available information. Greenway's population health solution includes Greenway Analytics, Greenway Community Manager and Greenway Exchange, a cloud-based clinical connectivity platform.
GSI Health (Philadelphia). GSI Health's population health management solution combines care coordination with analytics in a single platform: the GSIHealthCoordinator. The technology analyzes medical and behavioral data as well as social information to create a complete picture of the overall healthcare needs of individual patients as well as populations. The insights help care teams address gaps in patient care, allocate scarce resources and identify at-risk patients for cost-effective interventions.
GoMo Health (Asbury Park, N.J.). GoMo Health, a division of Gold Group, is a population health management company with personalized patient engagement solutions designed to support the continuum of care and incentive-based reimbursements. The company's proprietary methodology, Behavioral Rx The Science of Population Health, delivers scalable and cost-effective solutions for managing high-risk, chronic and complex wellness issues in partnership with healthcare organizations nationwide. GoMo Health also offers a concierge care suite to help health plans and providers connect with populations along the continuum of care.
H3C (Omaha, Neb.). H3C offers staffed remote services to providers so they can extend their reach beyond the clinic. H3C Enable's platform delivers an enterprise grade call center capability and allows licensed staff to provide annual wellness visit scheduling, chronic care management, transitional care management support and additional non-face-to-face services including scheduling and patient follow up calls. The goal of H3C is to provide the integration, adaptive processes and remote clinical staff necessary to expand patient engagement services while increasing patient revenue.
H4 Technology (Omaha, Neb.). H4 Technology is a data management and analytics provider to hospitals, ACOs, health information exchanges and behavioral health organizations. The company's health analytics dashboard can help organizations drill down to identify provider or patient impact and benchmark an organization's effectiveness against national standards.
HBI Solutions (Palo Alto, Calif.). HBI Solutions' Spotlight Data Solution includes predicative risk models, dashboards, reports and scorecards that support population health, risk management, readmission management and quality improvement initiatives. The company also provides implementation services, training and managed service to help clients make meaningful performance gains.
Hc1 (Indianapolis). The hc1 HealthcareRelationship Cloud platform connects health system departments, diagnostic labs and post-acute care organizations to deliver coordinated care. More than 1,000 healthcare locations use the platform, which received the "Best Healthcare CRM" award by Frost & Sullivan in 2016. In April 2017, hc1 and Vivizer Healthcare partnered to help healthcare organizations increase CMS star ratings, implement growth strategies and succeed with bundled payments. The company raised Series B capital in August 2018 to fund continued expansion of precision health initiatives, including solutions to combat the opioid crisis.
Health Catalyst (Salt Lake City). Health Catalyst is a next-generation data, analytics and decision support company that provides solutions for population health and value-based care. Health Catalyst is developing a product strategy for today's population health environment to increase a health system's ability to manage risk-based contracts and bundled payments. The company also aims to help organizations build relationships and develop care management with tools that can risk stratify members and promote communication among the care team.
Healthy Interactions (Chicago). Healthy Interactions, LP is a global leader in patient engagement and health education. We create and deliver innovative and highly engaging programs for people with diabetes and other chronic conditions that integrate high-touch in-person sessions, with a digital coaching and support platform. We have a global network of healthcare educators we can deploy anytime and anywhere to deliver our programs. We have helped millions of people take control of their health and live better lives. Our programs receive, on average, a net promoter score of 80+ from participants. Additionally, our programs are proven to improve key quality metrics and clinical measures; and ultimately, lower medical costs. We work with health systems and other healthcare providers, payers and employers, retail pharmacies, and pharmaceutical companies around the world.
Health Dialog (Boston). Health Dialog provides total population health management services with a health portal, coaching, chronic care management, wellness programs and a 24/7 nurse line. The company contributes analytics that combine raw healthcare data with unique assets such as census and financial data to develop comprehensive individual profiles. Health Dialog's Care Pathways framework is designed to analyze a patient's disease trajectory progression and stratify a population based on key risk factors.
Health Endeavors (Scottsdale, Ariz.). Health Endeavors' technology converts historical and patient-generated data into automated care plans for patients and EHRs. Their HealthE Care platform tells the patient what they need to do to stay healthy based on their health history. These "Healthy Activities" are generated automatically from the data and populated in the patient's OneTouch Journal and EHR, and sent via secure text alerts. Interactive goal-oriented disease care plans, such as hypertension and diabetes are also populated based on the patient's data. APIs push the data back to the EHR point of care.
Health Recovery Solutions (Hoboken, N.J.). Health Recovery Solutions supplies home care agencies with an advanced remote monitoring platform focused on changing patient behavior to reduce readmissions and improve clinical outcomes. The software allows clinicians to manage high-risk patients and engage in seamless communication through video chat, wound imaging and text messaging.
HealthBI (Scottsdale). Deployed across 60,000 clinical sites by some of the nation's largest payers, HealthBI offers the most widely-used care management and care coordination platform today for population health management. But Health BI isn't just a system vendor. The company's technical engineering expertise is a true differentiator, rescuing valuable data and using it to prove value-based care compliance. In March, the company partnered with Optum to provide better risk-based contract management.
HealthEC (Piscataway, N.J.). HealthEC's population health management suite is designed to optimize patient outcomes and quality of life while managing costs. The technology aggregates data from across the healthcare enterprise as well as external sources to identify high-cost and high-risk patients. HealthEC also provides an advisory service, care coordination, quality reporting and patient engagement applications. Beaumont Health became a HealthEC client in June.
HealthSignal Partners (Phoenix). Health Excellence Institute founded HealthSignal Partners to support chronic care management in the Medicare population. HealthSignal Partners conducts annual wellness visits, creates best practice-based care plans, provides disease management technology and arranges medical equipment when necessary. The company can also reconcile medication as well as arrange transportation and meal services to Medicare beneficiaries at little or no cost to consumers.
hMetrix (Bala Cynwyd, Pa.). hMetrix is a healthcare business intelligence, data science and operational solutions provider serving payers, employers, heath systems, providers and care management companies. hMetrix's innovative tools help healthcare providers gather information that can positively impact clinical and business outcomes.
i2i (Franklin, Tenn.). i2i delivers integrated population health management and analytics solutions to more than 2,500 healthcare sites in the U.S., supporting more than 20 million lives. Healthcare providers can use the technology for real-time, proactive care management. The PopIQ, a big data platform, is a cloud-based comparative analytics toolset that includes multiple consumers' data sets and can provide cross-population views into population health management.
IBM Phytel (Dallas). IBM Phytel is an integrated solution designed for providers to better manage population health. The automated technology can reach a patient population and motivate patients to participate in their care. Providers can use the technology to develop automated communication tools as well as identify and stratify at-risk patients.
IBM Watson Health/ Explorys (Cleveland). IBM Watson Health offers a HIPAA-enabled, cloud-based analytics platform for healthcare providers to gather big data for clinical integration, predictive analytics and business intelligence. IBM Explorys data and analytics solutions have applications in life science industry research and commercial strategies to help translate data into meaningful insights. The technology is designed for primary and specialty care in the inpatient, ambulatory and post-acute settings.
Influence Health (Birmingham, Ala.). Influence Health offers the Digital Marketing Cloud for healthcare marketers in addition to the Population and Patient Engagement Suite for clinicians. The clinician's suite includes a clinical portal and patient portal to help healthcare organizations develop a population health management solution. The platform's clinical portal allows patients to access information externally with a mobile-friendly view.
Innovaccer (San Francisco). Innovaccer is a healthcare data platform company that combines analytics with transparent and accurate data. The company's healthcare data platform, InData, is a scalable, Hadoop-based big data repository that has the capability to ingest data from a variety of sources and perform rapid integration for robust analytics needed to act on population health initiatives. Built on top of the platform are modules for care management, smart point-of-care alerts and population health and network analytics. In May 2018, Innovaccer raised $25 million Series B funding to build a data platform and drive savings.
Informatica (Redwood City, Calif.). Informatica developed an intelligent data platform and the CLAIRE engine to accelerate and automate data. In the healthcare field, Informatica provides an enterprise information management system for flexible data management, patient communication and engagement and cloud connectivity for the Salesforce administrator to integrate data with on-premises applications like EMR.
InteliChart (Fort Mills, S.C.). Founded in 2010, InteliChart has a mission of improving the health of patients outside of their office visits. The company's HealthyOUTCOMES Solution Suite helps facilitate and innovate in population health management, health informatics exchange and patient engagement. The platform's hub, PopulationHEALTH, is an application that enables organizations to acquire, aggregate, standardize and analyze patient records and define populations across a wide array of clinical identifiers.
iPatientCare (Old Bridge, N.J.). iPatientCare is a privately held corporation nationally recognized as one of the leading companies providing EHR and integrated solutions and intelligent medical billing and revenue cycle enhancement services to physician offices providing primary and specialty care, rural health clinics and community/federally qualified health centers nationwide. The company aims to help healthcare providers reduce accounts receivable days, improve collection rates and reduce billing costs.
KPMG (New York City). KPMG guides healthcare organizations with a strategic approach to population health management as the economics move toward rewarding value over volume. KPMG offers insights into healthcare policy, data-driven technology platforms for clinical support and assessing total cost of care inside and outside the hospital.
Lightbeam Health Solutions (Irving, Texas). Lightbeam Health Solutions offers a patient population and associated risk management platform that sheds light on health data through analytics that will help healthcare providers determine the appropriate care at the right time. The company offers an end-to-end population health management platform, including applications for patient and physician engagement, care management, referral management, risk stratification and artificial intelligence-powered analytics. The platform aims to find gaps in care that lead to poor outcomes and increased cost.
Lumeris (Maryland Heights, Mo.). Lumeris is the long-term operating partner for organizations transitioning from volume to value-based care that supports improved clinical and financial outcomes. Lumeris provides population health strategic advising, operations and technology to guide health systems and providers through the transition from volume to value seamlessly. The platform enables population health management anchored in accountable primary care.
MedCPU (Pittsburgh). MedCPU's Reader Technology acquires data entered into the EMR in real time, bypassing HL7 connectivity. The company also improves efficiency with the Context Engine, which translates the clinical context in patient records to develop a comprehensive clinical picture of each patient. Finally, MedCPU's Advisor compiles data from free text and structured fields within the organization to create a patient database ready for business intelligence, research and real-time processing.
Medecision (Wayne, Pa.). Medecision's Aerial population health management solution offers software apps and tools built into a flexible software-as-a-service platform. Fee-for-service and value-based healthcare organizations can leverage the solution to improve population health management. Ariel can identify high-risk patients and help providers use analytics to segment, manage population health data, streamline clinical processes, promote consumer self-management and enable proactive care. In May 2018, Medecision acquired Minneapolis-based Aveus, a consulting services firm.
Medical Advantage Group (East Lansing, Mich.). Medical Advantage Group, a subsidiary of The Doctors Company, provides onsite support to optimize clinical functions, customized tools and meaningful market information that can improve population health initiatives and maximize payer incentive opportunities. The company works with physician practices and networks on value-based contracts, management agreements and population health.
Medocity (Parsippany, N.J.). Medocity provides enterprise virtual care management, patient engagement and care coordination solutions to healthcare providers. The company focuses on real-time early detection and proactive interventions to improve patient outcomes and population health. Medocity's virtual care platform combines remote monitoring, artificial intelligence, chronic condition management and secure telehealth communications in a single cloud-based ecosystem to enable continous, patient-centered care outside the hospital setting.
NextGen Healthcare (Horsham Township, Pa.). NextGen Healthcare solutions are designed to help practices transition to value-based care and improve population health. The company includes EHR, revenue cycle management, practice management and analytics services in addition to interoperability/HIE and managed cloud services. NextGen's population health services help organizations achieve interoperability across silos and exchange private health information in a compliant fashion. The solutions can also measure and report population health for value-based reimbursements.
Nexus Health Resources (Middletown, N.Y.). Nexus Health Resources' proprietary software NexusConnexions helps healthcare providers ensure patients have services they need outside the hospital to prevent readmissions. The company also oversees the Nexus Health Call Center, which provides a standardized, centralized approach to discharge calls, and Nexus Health Academy, offering patient-based educational videos about understanding and managing conditions.
ODH, Inc. (Princeton, N.J.). ODH, Inc. fuses the latest behavioral science and technology to put game-changing solutions at the fingertips of healthcare professionals at payer organizations. Mentrics, ODH's integrated care technology, brings a 360° view of member health by integrating behavioral health, physical health, pharmacy, and social determinants data, and helps achieve better health for high-risk, high-need populations while improving financial performance. By pinpointing pre-super utilizers, Mentrics helps improve utilization, unit cost and reimbursement through population segmentation, integrated care management and network strategies. In February 2018, ODH Inc., joined Hashed Health to develop blockchain and distributed ledger technologies for payers and providers.
OnPointe (Plano, Texas). OnPointe, formed in 2012, created a network of services to deliver person-centered care to senior citizens more than 16 years ago. The company manages episodic risk through sub-capitation agreements with managed care organizations, primarily dealing with the post-acute spending. OnPointe's platform has 50,000 lives under contract and the network includes transitional care, long-term care, assisted living, home health, hospice and personal care.
Optum (Eden Prairie, Minn.). Optum provides insight and resources for healthcare providers to achieve success with population health. Optum provides services for effective and sustained consumer engagement as well as deep population health analytics and financial services. Optum's population health management solutions include behavioral health, advocacy and care management, financial services, population analytics and consulting.
Orion Health (Auckland, New Zealand). Orion Health provides an end-to-end population health management solution that includes seamless data integration and visualization. The company's Amadeus platform integrates and aggregates health data to provide a complete patient record. The technology also allows providers to analyze datasets and identify at-risk populations and individuals that need intervention. Orion Health's platform also engages patients with a portal and mobile applications.
Ovia Health (Boston). Ovia Health is a digital health platform designed to help women and families take control of their healthcare. Ovia Health partners with employers and insurers to provide comprehensive maternity benefits from pre-conception through return-to-work while reducing costs. The platform provides tools to assess high-risk pregnancy and enroll women in programs to improve outcomes; fertility tips; personalized benefit information and real-time health alerts.
PeakMed (Denver). PeakMed is developing and implementing initiatives aimed at providing better patient care, wellness and prevention. PeakMed improves access to care by restoring the relationship between doctors and patients while decreasing the cost for individuals and employers. PeakMed members pay a flat monthly fee for unlimited doctor visits and 24-hour, seven-day-a-week access, along with many other benefits. Headquartered in Denver, PeakMedoffers an innovative approach to primary care by creating a platform for doctors and patients to collaborate, coordinate and communicate on personalized care plans that shift reactive medicine to proactive health.
Philips (Amsterdam). Philips provides analytics to simplify complex data and advance comprehensive care management as well as payer collaboration. Philips customers receive more than $700 million annually in value-based revenue through improved outcomes. The company's platform includes intelligence from 2.5 billion customer data points per month.
PointRight (Cambridge, Mass.). Founded in 1995, PointRight focuses on business intelligence and predictive analytics solutions for post-acute care providers, hospitals and insurance companies. The PointRight data-driven decision support solutions drive proactive care planning and promote quality improvement programs while reducing readmission rates. The company's solutions are currently used at more than 8,000 skilled nursing facilities. In October 2018, PointRight raised $7 million from Accel-KKR to drive growth and accelerate development of innovative solutions.
Populytics (Allentown, Pa.). Populytics' mission is to increase the quality and value of the patient experience through advanced healthcare analytics, insights and comprehensive population health management. The company transforms claims and clinical data into actionable strategies and solutions. Skilled informatics specialists, business professionals, physicians, nurses, pharmacists, social workers, behavioral health specialists and educators are all part of the Populytics team. The corporate wellness arm employs Master Certified Health Education Specialists and certified health and wellness coaches who are experts at one-on-one and group motivation. Every professional on staff has direct experience working with a leading health network ranked by U.S. News & World Report for 22 consecutive years as one of America's Best Hospitals.
Premier (Charlotte, N.C.). Premier offers population health management solutions to help providers develop value-based care and participate in alternative payment models. The company's Premier Performance Partners assesses population health management needs; all organizations Premier has assisted successfully applied for Medicare Shared Savings Programs and Next Generation ACOs. Premier also supports a population health management collaborative to help providers improve patient health status as well as a bundled payment collaborative to assist with episode-based care.
Previta (Baja, Calif.). Previta is a population health management company dedicated to improving care in Latin American workplaces. The company provides e-healthtracker software for remote patient monitoring to detect health risks and prevent complications. In January 2018, Previta partnered with BewellConnect Corp.
Privia Health (Arlington, Va.). Privia Health provides physician practice management and population health technology to physicians. The company offers proprietary cloud-based technology combined with patient engagement and physician-driven wellness to manage patient populations. In addition to Privia Medical Group, the Privia umbrella includes Privia Quality Network, an ACO.
Privis Health (Morrisville, N.C.). Privis Health is a digital health solutions company, focused on helping healthcare organizations deliver efficient care. The company's cloud-based care management platform has an intuitive interface for providers to coordinate services as well as address medical, social, behavioral and economic issues. Privis' population health tools include analytics and other solutions that identify gaps in care, manage risk and update workflows based on reporting requirements.
Qlik Tech (Radnor, Pa.). Qlik's healthcare platform provides clinical, financial and operational data through visual analytics that can help reduce costs, improve care and deliver value to patients. More than 1,500 healthcare providers use Qlik's solutions to uncover bottlenecks, remove unnecessary clinical variation and drive improvements.
Quantiphi (Maharashtra, India). Quantiphi health solutions give healthcare organizations access to more than 300 publicly reported performance measures and pinpoint measures that can drive maximum impact to incentive-linked payments. Organizations can also use the technology to run scenarios and sophisticated sensitivity analysis to develop goals that can maximize benefits within capacity and budgetary constraints.
Quire (Memphis, Tenn.). Quire developed a data analytics platform to support healthcare providers focused on value-based care. The technology not only identifies which groups of patients to target for intervention, but why. Artificial intelligence algorithms drive predictive models by combing through the deepest knowledge existing on patients, the unstructured text from providers' clinical notes and EMRs. The software enables healthcare providers to make more informed decisions about how and where to direct their limited intervention resources.
Radix Health (Atlanta). Radix Health is a health care technology company which helps provider groups, health centers, and hospitals improve population health by simplifying patient access and improving patient engagement. The DASH software suite enables efficient scheduling to automate doctor-patient matches for large systems; optimizes access center scheduling for coordinated care and chronic disease management; enables patient communication that aligns with the patient journey; and closes the loop on referrals.
SAE & Associates (New York City). Founded in 2003, SAE & Associates is a behavioral health consulting firm providing managed care readiness, population health management services and parity compliance monitoring. SAE & Associates works with healthcare organizations to implement system solution tools and provides guidance to address behavioral health in a population health management context.
Siemens Healthineers (Erlangen, Germany). Siemens Healthineers creates innovations to support patient outcomes, specifically focused on medical imaging, laboratory diagnostics and health IT. Siemens Healthineers more recently incorporated managed services and consulting services into its offerings.
Senscio Systems (Boxborough, Mass.). Senscio Systems uses a unique artificially intelligent platform called Ibis to provide continuous intelligent self-management support and timely situational awareness to minimize health deteriorations caused by complex chronic conditions. Results to-date show that those who use Ibis feel more in control of health, age longer at home and have fewer episodes of hospitalization.
Smartlink Health Solutions (Cary, N.C.). Smartlink Health Solutions provides value-based healthcare solutions designed for clinically integrated wellness and chronic disease management. The company's MACRA Solution Suite includes end-to-end solutions for annual wellness visits, value-based chronic care management and referral management. The solution allows healthcare providers to share clinical information across disparate EMRs and collaborate through Smartlink's platform. Smartlink Health launched a single-platform solution to help physicians and ACOs leverage Medicare care management programs in February.
SRG Technology (Fort Lauderdale, Fla.). SRG Technology provides a solution for value-based care models to drive better patient outcomes, quality reporting and cost savings. Boston-based Massachusetts General Hospital's Laboratory of Computer Science and SGR Technology jointly developed its population health management solution which uses a combination of descriptive and predictive analytics to identify patient needs, engage patients through outreach campaigns and drive better outcomes.
SPH Analytics (Atlanta). SPH Analytics' MDinsight population health solution has been serving payers and providers since 2006. The company's technologies focus on clinical and financial analytics, healthcare survey capabilities, call center solutions and consulting services for physician groups, ACOs, hospitals, health plans and integrated health networks. SPH's solutions are designed for increased patient satisfaction, engagement and overall cost reduction.
SpectraMedix (East Windsor, N.J.). SpectraMedix assists health systems, hospitals, provider organizations and practices to transition to value-based care. Their population health management platform provides a state-of-the-art suite of solutions for data consolidation and visualization, predictive analytics, and financial risk modeling and profiling to empower hospital leaders to manage all aspects of population health. They are also the leading IT infrastructure and population health platform provider for the New York State Performing Provider Systems that are redesigning Medicaid in New York through the Delivery System Reform Incentive Payment (DSRIP) Program.
SureScripts (Arlington, Va.). Founded in 2001, SureScripts is an industrial-strength health information network designed for increased safety, improved quality and lower costs. The company's solutions include e-prescribing, medication history reconciliation, medication management and solutions for GE Centricity customers to engage patients, streamline workflows and optimize patient care.
SymphonyCare (Madison, Wis.). SymphonyCare's mission is to help payers and providers manage financial risk, improve quality outcomes, and enhance patient engagement by managing the care plan between visits and making valuable intelligence available at the point of care. SymphonyCare model significantly reduces your up-front capital costs, brings efficiencies, and offers tight integration with your onsite care professionals. SymphonyCare combines a leading-edge technology platform and managed care services to manage populations under capitation, improve quality ratings, prevent avoidable hospitalization, and reduce readmissions and ER visits. SymphonyCare solutions are designed for IDNs, ACOs, hospitals, physician groups, Medicare Advantage Plans and Medicaid pay-for-performance plans.
Tractica (Boulder, Colo.). Tractica is a market intelligence firm focused on human interaction with technology. The company provides digital health solutions including wearable devices and a population health management software and services platform. The population health management offerings include data management, analytics care plan development, care coordination and patient interaction capabilities.
Transcend Insights (San Diego). Transcend Insights®, a wholly owned subsidiary of Humana Inc, empowers population health management with The Platform Above — technology that rises above the data silos and connects care teams with the insights they need to succeed in a value-based care world. By leveraging its approach to data aggregation, interoperability and analytics, Transcend Insights provides health systems and care teams visibility into population performance to support a more proactive and coordinated approach to care.
Vital Data Technology (Austin, Texas). Vital Data Technology is dedicated to removing barriers to better performance and member outcomes by consuming data across the entire care continuum. The company's approach is modular in nature and easy-to-use, applying artificial intelligence, risk algorithms and quality metrics to stratify and prioritize care interventions for members. Vital Data Technology's goal is to help optimize quality performance and minimize health plan risk.
VirtualHealth (New York City). VirtualHealth develops end-to-end technologies designed for value-based care. The company aims to empower health plans, managed care organizations, government agencies and ACOs to provide patients better outcomes while maximizing efficiency. Frost & Sullivan honored VirtualHealth with the 2017 Product Leadership Award in Population Health Management for its cloud-based platform that incorporates clinical care management, secure communications, community service management, connected device integration and provider and member portals.
Vivify Health (Plano, Texas). Vivify Health created a remote care platform based on consumer mobile devices. The technology offers a scalable infrastructure for healthcare consumers as well as risk stratification solutions, prescribed apps, video content and embedded video conferencing. Clinicians can use Vivify Health's data for intelligent, predictive and encounter-based stratification.
Well Nation (Sheboygan, Wis.). Well Nation offers corporate wellness programs designed to help employees develop sustained healthy behavior. Founded in 2003, Well Nation's platform is designed to reduce health risk-related costs, improve productivity and attendance while connecting employers with employee health.
Waystar (Louisville, Ky.). Waystar is a revenue cycle management company founded in 1999. The company combines predictive analytics technology with software development to help organizations improve their revenue cycle while streamlining workflows, increasing operating efficiency and driving bottom line performance. The company's cloud-based claims management solution and healthcare reimbursement tools help organizations achieve population health goals.
Wildflower Health (San Francisco). Wildflower Health's mobile health products are designed to connect patients with medical resources and reduce costs. The company was originally conceived to help women manage prenatal visits, insurance coverage and costs throughout pregnancy and now includes a smartphone app for pediatric visits to organize the whole family's healthcare needs as well as the Enterprise Platform, population health engagement dashboards that integrate with existing IT systems. In July 2018, Wildflower Health acquired Circle, a mobile health business.
ZeOmega (Plano, Texas). ZeOmega is a value-based care company providing HIE-enabled population health management infrastructure that can help healthcare organizations overcome interoperability issues and achieve the triple aim. The company's Jive platform is designed to manage multiple lines of business on one platform and generate quality care improvements as well as cost savings.