Hospitals and health systems across the country are developing and implementing population health initiatives aimed at providing better patient care, wellness and prevention. Population health efforts can include targeting at-risk populations for diagnostic testing and preventative measures, chronic care management and home care support.
Population health initiatives rely on data gathering and analytics to develop an understanding of patient populations and gaps of care. Here are more than 65 population health management companies to know, in alphabetical order.
Note: Companies do not pay for inclusion on this list. To add a company to this list, contact Jess Cole at jcole@beckershealthcare.com and Laura Dyrda at ldyrda@beckershealthcare.com.
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 (formerly Google Life Sciences), 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.). Altruista Health was founded in 2007 and now includes a suite of technology solutions to support collaborative, person-centric approaches to population health management. More than 30 organizations in 33 states use Altruista Health. GuidingCare, the company's population health management platform, integrates workflow support for complex case management, long-term care, chronic disease and behavioral health management. The company also offers GuidingSigns Analytics, a clinical decision support system with predictive risk modeling and care gap identification tools embedded directly into the care management system.
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 are matched with 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.
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, the platform examines 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.
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.
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.
CareLink Care Now. Carelink CareNow is a care management company providing services to ACOs, provider organizations, health plans and employers. The company uses a sophisticated technology platform driven by prediction analytics to provide an interdisciplinary team with real-time tasks based on data events such as admission, discharges, abnormal lab results and rising risk populations. The program creates a virtual patient centered medical home to more than 100,000 lives.
CareSkore (Mountainview, Calif.). CareSkore’s per-patient population health SaaS 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's suite of population health and care management solutions are designed for commercial payers, Medicare, Medicaid, third-party arrangements, ACOs and specialty provider organizations. The Casenets platform provides disease and case management as well as home- and community-based services management. In June 2017, the company introduced the TruCare ProAuth provider authorization submission and tracking solutions designed to increase efficiency.
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.
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 like our easy to understand dashboard, Clinigence offers a window to real-time clinical information necessary to close gaps in care and improve population health.
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 health care roles.
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.
e4 Health (Irving, Texas). E4 Health's HealthMap solution relies on clinically validated research to help healthcare organizations understand human behavior related to cost containment while improving individual health and wellbeing. The wellness component combines personal coaching with mobile apps, wearable devices, web tools and text messaging with services such as flu shots and biometric screenings to help employees track behaviors and earn rewards. The e4 Health care coordination component was named among the Top 10 Population Health Companies in 2016.
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.
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.
http://www.eqhs.org/Solutions/eQSuite/Population-Health-Management-Care-Coordination
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.
https://www.evolenthealth.com/population-health-management
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.
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.
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.
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 provides staffed remote services to providers to extend their reach beyond the four walls of the clinic. The H3C Enable 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.
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.
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.
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.
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.
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 form the data and populated in the patient’s OneTouch Journal, 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.
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.
Honeywell (Morris Plains, N.J.). Honeywell's Seymour is digital health technology designed to help families and individuals contribute to their healthcare and connect with providers. The technology collects, analyzes and interprets health and lifestyle data to develop a complete picture of consumer health. Seymour can support a healthcare organization's population health management goals by integrating with consumer-entered health data, EHR, remote monitoring devices, pharmacy records and other consumer devices and apps.
i2i Systems (Franklin, Tenn.). i2i Systems 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 Watson Health/ Explorys (Cleveland). 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 (Berkeley, Calif.). Innovaccer combined big data technology and advanced analytics to build a population health management solution. The company's Datashop – Population Health Management connects with more than 50 EHR, claims and practice management software systems to boost chronic healthcare management. The system can make health registry interoperable and engages patients with a mobile app and web portal equipped with patient education material and health tips.
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.
iPatientCare (Old Bridge, N.J.). Based at Old Bridge, New Jersey, iPatientCare is a privately held corporation that is nationally recognized as one of the leading companies providing EHR and integrated MACRA-ready 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.
Lightbeam (Irving, Texas). Lightbeam provides a single-vendor platform for end-to-end population management. The company's platform supports data exchange and clinical guidance for the payer, physician and patient. Lightbeam's Searchlight risk stratification can identify at-risk patients and avoidable high cost events.
Lumeris (St. Louis). Lumeris acquired Forecast Health, an advanced analytics and predictive modeling company, in April 2017. The company provides strategic advising and technology to help payers and providers transition to value-based care and manage populations. Lumeris works with partnering organizations to provide population health solutions, improve the patient and provider experience as well as support financial stability.
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 and manage population health data and streamline clinical processes, promote consumer self-management and enable proactive care.
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 care coordination and patient engagement programs to healthcare providers. The company focuses on telehealth, remote patient monitoring and care coordination to improve population health and care management. Medocity connects patients with clinicians over real-time video chat and secure messaging for quick assessments.
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, our 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.
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.
Patriot Cyber Defense (Rochester, N.H.). Patriot Cyber Defense is a consulting company focused on IT security. The company's team of professionals includes former cyber security advisors to Presidents George W. Bush and Barack Obama as well as former NASA OIG special agents. The company's core competencies include HIPAA and HITECH privacy and security, cyber security consulting, CISO support and security product evaluations.
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.
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.
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.
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.
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 solution, a 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 has developed a cutting-edge 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 electronic medical records. The software enables healthcare providers to make more informed decisions about how and where to direct their limited intervention resources. Quire significantly increases the odds that resources are driven to optimal patients when the goal is managing the overall health and cost of the population.
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.
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. Black Book Research ranked the company No. 1 in MACRA and MIPS Support Technology for Value Based Care in 2017. 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 NY 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.
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 leading-edge 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.
Truven Health Analytics (Ann Arbor, Mich.). Truven Health Analytics, a part of IBM Watson Health businesses, provides analytic tools, benchmarks, services and expertise to the healthcare industry. The company's provider solutions are designed for hospitals and health systems as well as other healthcare providers to assess market needs and make informed decisions, engage patients and support organizational efforts for improved clinical and operational performance. Truven also provides solutions for payers, the government and life sciences companies.
Verscend (Draper, Utah). Verscend offers solutions 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. Verscend 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.
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. The company's Affinitē platform includes applications for health plans, providers and members to collaboratively engage in improving HEDIS, HCC Risk adjustment and overall cost and quality.
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 with the ability 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.
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 1.5 billion customer data points per month.
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 their pregnancies 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.
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.
Zirmed (Louisville, Ky.). Zirmed 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.