Care Gap and Contract Performance Analytics
Care Gap and Contract Performance Analytics companies help value-based care organizations monitor performance against value-based contracts. They identify care gaps and coding opportunities to improve financial performance and provide varying levels of technical support to surface these insights where they are needed (e.g., EHR integration to surface care gaps to providers at point of service).
Criteria:
• Technical expertise in VBC contract performance reimbursement and risk adjustment methodologies
• Analytics capabilities to identify care gaps based on population health data
23 Results
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Inferscience
Inferscience
(1 Transcripts)Inferscience offers Infera, a clinical decision support tool, and HCC Assistant, a coding aid, both designed to integrate with EHRs for real-time, evidence-based patient care and coding suggestions.
Innovaccer
Innovaccer
(1 Transcripts)Innovaccer is a data platform offering data integration and analytics solutions for value-based care.
Affirm Health
Affirm Health
Affirm Health offers technology to facilitate pre-visit planning and care team collaboration and to support providers in managing care gaps to drive value-based contract performance.
Apixio
Apixio
Apixio is a data science company that helps healthcare organizations accurately document and code patient conditions for accurate risk adjustment and reimbursement under value-based contracts.
Arcadia
Arcadia
Arcadia is a health data platform that integrates clinical and financial data from various sources to generate actionable insights, improved care delivery, and patient engagement.
Cedar Gate Technologies
Cedar Gate
Cedar Gate is a technology company that provides value-based care performance management solutions, from upfront contracting through population health analytics and performance measurement.
Clarify Health
Clarify Advance
Clarify Advance is an incentive program for providers in at-risk arrangements.
Cognizant
Cognizant ClaimSphere
Cognizant’s ClaimSphere is a data platform for monitoring and improving quality measure performance.
Conifer Health Solutions
Conifer Health Solutions
Conifer Health Solutions provides revenue cycle management services and value-based care solutions for health systems, provider groups and employers to improve financial outcomes.
Credo
Credo
Credo is an automated medical record retrieval and pre-encounter diagnostic platform.
Curation Health
Curation Health
Curation Health offers a clinical decision support platform integrated with major electronic health records, providing analytics-driven insights to assist healthcare providers and plans in the transition to value-based care.
Edifecs
Edifecs
Edifecs is a healthcare data interoperability platform that integrates clinical and financial data and provides insights to drive performance in alternative payment models.
ForeSee Medical
ForeSee Medical
ForeSee Medical employs AI and NLP to enhance risk adjustment in healthcare for improved HCC coding and RAF score optimization within EHR systems.
Guidehealth
Guidehealth
GuideHealth is a value-based care platform that uses AI to predict which patients will need specific care and monitor patient status to avoid preventable events, with virtual health guides to support patient care.
Health Catalyst
Health Catalyst
Health Catalyst is a data and analytics services organization that helps healthcare organizations with data integration and population health analytics to evaluate value-based care performance.
HealthEC
HealthEC
HealthEC offers a data and analytics platform to support population health management, value-based care analytics and care management functions.
Juxly
Juxly
Juxly is a software provider that integrates with EMRs and facilitates provider/payer data integration, and identification and closure of care gaps.
Navina
Navina
Navina is a clinical summarization platform for primary care and value-based care focused on pre-visit chart preparation, accurate risk adjustment, and closing care gaps. Navina converts fragmented patient data into clinical summaries, diagnostic codes, and possible care gaps using data from EHRs, HIE records, patient-provided documents, and scanned documents.
Nuna
Nuna
Nuna is a data and analytics company that specializes in value-based care performance management and contract and payments administration.
RAAPID.AI
RAAPID
Raapid.ai
uses AI and NLP to enhance risk adjustment and coding accuracy in healthcare.
Stellar Health
Stellar Health
Stellar Health is a technology company that helps primary care providers achieve value-based care goals and improve patient outcomes through point-of-care incentives.
Vatica Health
Vatica Health
Vatica Health provides a provider-centric solution for risk adjustment and quality of care, pairing clinical teams with technology to enhance coding accuracy and compliance at the point of care.
Vim
Vim
Vim is a technology company that specializes in surfacing data at point-of-care to drive provider performance and value-based care outcomes.