Alternatives to AxisCore

Compare AxisCore alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to AxisCore in 2025. Compare features, ratings, user reviews, pricing, and more from AxisCore competitors and alternatives in order to make an informed decision for your business.

  • 1
    Assurance Reimbursement Management
    An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, prevent denials, and accelerate cash flow. Increase your first pass claim acceptance rate. Our comprehensive edits package helps you stay current with changing payer rules and regulations. Heighten your staff’s productivity with intuitive, exception-based workflows and automated tasks. Your staff can access our flexible, cloud-based technology from any computer. Manage your secondary claims volume through automatic generation of secondary claims and explanation of benefits (EOB) from the primary remittance advice. Focus on claims that need your attention with predictive artificial intelligence into problem claims. Resolve errors faster, and avoid denials before submittal. Process claims more efficiently. Print and deliver primary paper claims, or add collated claims and EOBs for secondary claims.
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    CAQH

    CAQH

    CAQH

    CORE brings the industry together to accelerate automation and develop business processes that streamline healthcare for patients, providers and health plans. Drawing on the industry's most trusted source of provider and member data, CAQH enables healthcare organizations to reduce costs, improve payment integrity and transform business processes. In the ever-evolving landscape of healthcare, continuous improvements in payment and claims processing systems are vital. The nation’s providers and health plans trust CAQH to collect and manage professional information, verify primary sources, and monitor for sanctions. The result, is streamlined administration, greater regulatory compliance, and better provider data management.
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    HealthRules Payer

    HealthRules Payer

    HealthEdge Software

    HealthRules® Payer is a next-generation core administrative processing system that provides transformational capabilities to health plans of all types and sizes. For more than ten years, health plans implementing HealthRules Payer have been able to quickly address market opportunities and stay in front of their competition. HealthRules Payer is unlike any other core administrative solution because of its use of the patented HealthRules Language™, an English-like vernacular that delivers a revolutionary new approach to configuration, claims processing and transparency of information. HealthRules Payer helps transform health plans looking to grow, innovate and compete beyond any other core system today.
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    Valenz Health

    Valenz Health

    Valenz Health

    Our single end-to-end platform of fully integrated health plan solutions delivers value and simplifies the complexity of healthcare for employers, members, providers, and payers. Valenz integrates member-centric services with data-driven insights, connecting the dots with personalized service and guidance for high-quality care and improved outcomes. We engage early and often with results-driven education, support, and services to avoid more serious and costly health events. With Valenz, you can have a healthier member population while also achieving plan and member cost savings, year after year. For the tools and transparency you need to make cost-effective, quality-first decisions, let’s find your path to smarter, better, faster healthcare today. With a suite of fully configurable solutions integrated into one ecosystem strategy, the Valenz healthcare ecosystem optimization platform offers extensive visualization of cost, quality, and utilization opportunities.
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    PlanXpand

    PlanXpand

    Acero Health Technologies

    PlanXpand™ is Acero’s proprietary transaction processing engine, one that powers each of our products for health benefits administrators. Leveraging this engine, clients may choose to implement Acero’s products concurrently or incrementally. In addition to selecting one of our standard products, administrators also may choose to utilize PlanXpand™ to develop a custom solution to extend existing system capabilities. Acero’s unique, integrated solutions feature Service-Oriented Architecture, allowing health benefits administrators and insurers to add features and functions to existing adjudication platforms. At the same time, our sophisticated design and engineering enables real-time adjudication of every type of claim, all in direct interaction with the core claims system, resulting in more accurate processing, more satisfied customers and less need for claims adjustments.
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    PLEXIS Payer Platforms

    PLEXIS Payer Platforms

    PLEXIS Healthcare Systems

    PLEXIS’ suite of best-in-class apps has a proven record of giving payers the extended functionality necessary for modern core administrative ecosystems. From real-time benefit administration and adjudication to automatic EDI transmission and self-service customer portals, PLEXIS Business Apps have you covered. Passport provides essential connectivity from the core admin and claims management engines to PLEXIS business apps, your own apps, and existing in-house systems. With its flexible API layer, Passport delivers real-time integration with portals, automated workflow toolsets, and business apps. Connectivity is limitless. Streamline workflows with a centralized, modern core administration & claims management platform. Process claims in a timely and accurate manner, and automate the complexities of benefit administration to capture a quick ROI and deliver superior customer service.
  • 7
    Infosys HELIX
    Driving AI - first as a business strategy for payers, providers and PBMs with products and platforms which are built on AI and runs on cloud. A “healthcare digital platform” is the integration of applications and emerging technologies to provide a tailored healthcare solution that drives business outcomes—a significant modern and accelerated approach to disintermediate legacy core administration processing systems (CAPS). To better understand the role of digital platforms and emerging technologies in achieving business objectives, the impact of digital platforms on healthcare payer KPIs, and the relative attractiveness of healthcare platforms, Infosys, in partnership with HFS, reached out to 100 C-suite healthcare payer executives in US.
  • 8
    Zelis

    Zelis

    Zelis

    Build, optimize, maintain and sell your network with one unified platform. Leverage competitive intelligence to strengthen position. Standardize and cleanup provider data for simplified search. Measure network performance against accessibility, cost and quality standards. Deliver dynamic, functionally rich provider search solutions. Understand the financial performance of your network. Build and optimize competitive, accessible, high value networks to win market share and meet your members’ needs. Track competitor activity and market opportunities to refine your network strategy, identify the best fit providers to maintain competitiveness, and communicate the strength of your network. Streamline your provider directory, plan design, and benefit consulting with faster, more reliable provider network data. Tailored network design based on each client’s unique goals, risk profile and desired access to providers.
  • 9
    AssureCare MedCompass
    AssureCare is a privately held healthcare technology company that provides innovative care management solutions to commercial and health and human service providers. AssureCare’s flagship software platform, MedCompass, is used by healthcare providers throughout the United States to deliver end-to-end care management for millions of patients daily. MedCompass transforms healthcare management by automating processes and streamlining workflows, thus allowing care professionals to make better decisions that dramatically improve the quality of care and lower costs. AssureCare is considered an industry leader in developing, modular, seamless solutions designed to improve patient outcomes and reduce avoidable costs associated with population health management.
  • 10
    Envolve MSO Healthcare
    Through valuable partnerships and experience, Envolve drives real healthcare transformation through value-based, affordable care solutions. Envolve MSO services provide organizations with the strategies, people, and processes necessary to provide value-based, affordable care and drive real healthcare transformation. As a leading healthcare management services provider, we bring innovation, experience, and resources to help drive performance in outcomes-focused and value-based reimbursement models. Our healthcare management services allow for better healthcare and efficiency in the delivery of care through best-in-class business administration services, data utilization, clinical excellence, and operational support. Envolve brings significant experience investing in innovative benefit designs for numerous products throughout the country for publicly funded, marketplace, and commercial programs that positively influence individuals' health and quality of life.
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    IPM.ai

    IPM.ai

    IPM.ai

    Specialty and rare diseases have undefined patient populations, with individuals who are undiagnosed or misdiagnosed, healthcare providers who are unaware of disease states and their manifestations, as well as treatment journeys that are not well understood. IPM.ai is an Insights-as-a-Service (IaaS) company that empowers the world’s leading life sciences brands to better understand and improve the lives of patients through the development, clinical study, and commercialization of therapeutic interventions. Maximize commercialization efforts by forecasting market size, competitive landscape, and potential ROI. Uncover ideal patients who are undiagnosed and/or misdiagnosed who may be appropriate for disease interception and therapeutic intervention. Statistically model the number of disease cases present in a particular patient population at a given time. Identify physicians who diagnose and treat ideal patients and influence other health care providers.
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    TriZetto

    TriZetto

    TriZetto

    Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes.
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    QuickCap

    QuickCap

    MedVision

    MedVision Solutions' QuickCap is an administrative and clinical data process management solution that lets users focus on business and not the paperwork. With QuickCap, users have scalable control over their workflow and information to work smarter. QuickCap features a customizable dashboard for ease and gives them automation of their process for speed. QuickCap also streamlines claims work that makes users' work easier. QuickCap also allows users to easily determine profitability for individual providers with analytics.
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    Veradigm Payerpath
    Veradigm Payerpath is an end-to-end revenue cycle management suite of solutions built to assist organizations to improve revenue, streamlining communications with payers and patients, and boosting practice profitability for practices of all sizes and specialties. Eliminate missing information, incorrect coding, and data entry error to ensure clean claim submission. Ensure claims pre-submission are correctly coded, have no missing information, and are error-free. Compare performance against peers at the state, national, and specialty levels to optimize productivity and improve financial performance with advanced analytical reporting. Remind patients of their appointments and confirm their insurance coverage and benefits information. Automate the billing and collection of patient responsibility. Veradigm Payerpath’s integrated solutions are practice management (PM) agnostic, interfacing seamlessly with all major PM systems.
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    Personify Health

    Personify Health

    Personify Health

    Personify Health is the first personalized health platform company, offering integrated solutions that combine health, wellbeing, and navigation services. Formed through the merger of Virgin Pulse and HealthComp in November 2023, Personify Health aims to simplify healthcare by providing personalized, connected, and user-friendly experiences. Their comprehensive platform includes services such as health plan administration, holistic wellbeing programs, and care navigation, all designed to empower individuals to engage more deeply with their health. By leveraging data-driven personalization and science-backed methodologies, Personify Health helps businesses optimize their healthcare investments while improving health outcomes for their members.
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    naviHealth

    naviHealth

    naviHealth

    naviHealth is the future of senior-centered care through our partnerships with health plans and providers. Simplify and improve care transitions with technology. News, insights, and analysis from the experts improving the health care experience for seniors. naviHealth offers in-market clinical support with proprietary post-acute care planning tools to improve patient functional recoveries and reduce unnecessary medical costs. naviHealth enables our partners to effectively and efficiently manage care transitions through our unique patient care management. We pair in-market clinical support with proprietary technology to help guide the individual’s path to recover, increase patient satisfaction, reduce unnecessary post-acute care spending, and streamline processes. naviHealth employs in-market care coordinators who provide connected support between the patient, their family, and their healthcare providers.
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    Therap

    Therap

    Therap Services

    Therap is the industry leader in providing electronic records and documentation in long-term care services for people with Intellectual or Developmental Disabilities. Therap is a web-based application suite that was designed to provide a comprehensive solution for the planning, documentation, reporting, communication and billing needs of organizations supporting people with intellectual and developmental disabilities in home and community-based services (HCBS) and other settings. Using secure cloud technology, the Therap system improves the quality of service within day programs, assisted living facilities, ICF/IID facilities, community support programs and state organizations. Daily communication and reporting between the states, administrators, health care professionals, case managers, quality assurance teams and families becomes seamless.
  • 18
    StrataJazz

    StrataJazz

    Strata Decision Technology

    The overall budgeting process for hospitals is badly broken. The typical organization spends three to six months and 100,000+ hours producing a budget that is usually tens of millions of dollars off the mark and out-of-date the moment it is finalized. There has to be a better way… and there is. StrataJazz is the deepest Advanced Planning tool on the market, radically simplifying and streamlining how healthcare providers plan, budget, forecast and manage their operating and capital expenses. The end result is a planning process that is more efficient, accurate, and agile. StrataJazz leverages top-down rolling planning approaches, seamless integration of relevant cost data, and best-practice automation, workflow, and analysis to deliver a collaborative, results-oriented budgeting process and plan that is significantly more accurate and radically less time-intensive.
  • 19
    AccuCare

    AccuCare

    Orion Healthcare Technology

    Since 1992, Orion has been providing technology solutions and professional services to improve the workflow for the addictions and mental health profession. The cloud-based AccuCare EHR, Orion’s flagship software product, was designed by a highly experienced team of clinicians and engineers to improve the major areas of your agency, including clinical, financial, billing, administrative, research and analysis. AccuCare includes everything from custom-built screening/assessments, admission/discharge, treatment planning, progress notes, telehealth, e-prescribing, scheduling, electronic billing, custom reporting and more. The AccuCare Web-Based Practice Management System is supported by a dedicated team of specialists, trained to answer every question about your system and how it can be used within your current documentation and billing processes. Customer support is included in your subscription, as well as automatic updates and upgrades based on real customer feedback.
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    iSMAF

    iSMAF

    CESS

    The tools of the SMAF finally reunited in a single shareable information system. Automatic calculation of the SMAF profiles. Reports facilitating the analysis of results and the development of the assistance plan. Simple and easy to use by the health care professionals. Facilitates networking and service organization. No need for software installation. The iSMAF, the fifth major release of our software, is a web software that computerizes proven clinical tools and processes supporting the SMAF tool. The iSMAF edition for Quebec includes the PRISMA-7, the SMAF evaluation grid, the social-SMAF, the Iso-SMAF profiles generator, and the care table. It also includes several functions allowing clinicians and managers to generate various reports on subjects or on groups of subjects. It is, therefore, possible to obtain an overall picture of the establishment, the evolution of profiles, or of one SMAF item through time, or to compare the profile distribution among different subject groups.
  • 21
    Amadeus Digital Care Record
    The Amadeus Digital Care Record (DCR) is a comprehensive solution designed to provide healthcare teams with a unified view of patient information at the point of care. By integrating data from disparate healthcare systems into a Health Information Exchange, the platform creates a holistic, real-time profile of each patient. This streamlined approach improves clinical decision-making and efficiency, while reducing clinician burnout by reducing the need for repetitive tasks. Additionally, Amadeus DCR integrates analytics and care coordination tools, supporting better patient outcomes by identifying risks early and ensuring effective care across the continuum.
  • 22
    E-HAS

    E-HAS

    Techdynamics

    E-HAS is an Online / Offline Hospital Administration and Management Information System for Health Care organizations E-HAS have a capability of data warehousing and business intelligence for consistent growth of organization and hospital system automation to significantly decrease manpower with greater accuracy. With responsive system first time used in any HIS system yet and Mobile / Tablet Versions supported E-HAS is Designed in such a way that it can support any type Hospital (Specialty Or General Hospital) With Online / Offline working capability for distributed Chains of Hospitals and Data mining Capability for Right Decisions. E-HAS is a revolutionary solution with end-to-end features for simplifying hospital management –all at a cost which provides the fastest ROI.
    Starting Price: $299 one-time payment
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    NaviNet Open

    NaviNet Open

    NantHealth

    As an organization that prioritizes value-based care, your ability to communicate across a flexible, extensible platform is critical. NaviNet Open is one of America’s leading payer-provider collaboration platforms, facilitating provider engagement and generating trustworthy, actionable data throughout the continuum of care delivery. A secure multi-payer platform, NaviNet Open enhances communication, boosts operating efficiency, cuts costs, and improves provider satisfaction. It lets payers and providers exchange vital administrative, financial, and clinical information in real time. For NantHealth, security is a priority. HIPAA compliant and steadfast in our values, our demonstrated commitment has led us to hold EHNAC HNAP accreditation since 2006. NaviNet Open is HITRUST certified, having met key regulations and industry-defined requirements. It appropriately manages risk regarding third-party privacy, security and compliance.
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    Virtuo MIS

    Virtuo MIS

    MediSolution

    By simplifying and streamlining human capital management processes, you can achieve total control of workforce-related costs and be constantly assured of employing your valuable human resources to maximum advantage. You can confidently go about your daily business knowing your financial, statistical and accounts receivable information is complete, accurate, and effortlessly assembled and distributed to authorized stakeholders with minimal intervention. Total control of the entire source-to-settlement process is yours with a comprehensive suite of integrated and ecommerce enabled supply chain management software that significantly reduces work and errors while improving efficiency to make a dramatic impact on the bottom line.
  • 25
    Ciox HealthSource
    Every record represents a real person. Each data point is a potential game-changer in someone’s life: a connection to be understood and acted upon. And so our goal is to enable greater health by improving the way health information is managed. For 40 years, Ciox has advanced the healthcare industry through better health information management and exchange of health information. Our broad reach in medical records extends across industries, allowing us to modernize workflows, facilitate access to clinical data, and improve the accuracy and flow of health information. We help our clients manage, protect, and leverage health information to achieve operational improvements, optimized revenue, and better patient outcomes. Ciox HealthSource is a fully scalable clinical data platform Ciox HealthSource is a fully scalable clinical data platform utilizing Artificial Intelligence technology to enable higher quality data, drive down administrative burden and improve financial performance.
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    Incedo Healthcare Management System
    Enable high-value decisions and elevate cross-functional collaboration across the care ecosystem. Incedo™ Healthcare Management Platform offers a comprehensive medical management solution that seamlessly integrates care management, utilization management, care coordination, and health care navigation interventions to improve operational efficiencies and health outcomes. Facilitate communication and collaboration between Care Management, Clinical and Utilization Management teams with a shared view of the member care plan and an easy transition between UM and CM Enhanced Data Capabilities Simplify data capture and CMS compliance using a flexible data repository that is customizable for granular data tracking and reporting simplify data capture and CMS compliance using a flexible data repository that is customizable for granular data tracking and reporting System Interoperability.
  • 27
    HolCare EHR+
    HolCare EHR+ is a cloud-based, state-of-the-art electronic health record platform designed to meet the needs of mental health agencies, telepsychiatry groups, research organizations, and other disruptive care models. MBC has been proven to improve care, increase response to treatment, help clinicians make better decisions, and contribute to better outcomes. However, when not integrated directly into an EHR, MBC is challenging to implement and can diminish productivity. HolCare EHR+ solves for this problem with fully integrated MBC, providing an easy way to collect measures that are meaningful to patient care. HL7 FHIR native support enables the use of any third-party health care technology. This standard eliminates the need for expensive, time-consuming “custom integrations” in favor of a platform that can share both clinical and non-clinical data with partners.
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    Care Management Suite

    Care Management Suite

    Health Catalyst

    The Care Management Suite is a data-driven care management solution with tools and processes that deliver visibility across the continuum for high-risk and at-risk populations, facilitate more streamlined and patient-centric workflows, improve the quality of patient care, and reduce overall costs. With data analytics revealing opportunities for improvement throughout the process, the Care Management Suite improves clinical, operational, and financial outcomes. The Care Management Suite consists of three applications: Population Builder™: Stratification Module, Population Care Workflow, and Population Care Insights. An end-to-end, streamlined workflow for everything from patient enrollment, active care management, patient records, and care coordination between all care team members saves time and improves care. An analytics-driven DOS platform aggregates disparate claims and EMR data to provide a comprehensive patient view.
  • 29
    XSOLIS CORTEX
    A new category of utilization management software, CORTEX provides a 360° approach to addressing the intricacies of utilization management and revenue cycle processes. Powered by real-time predictive analytics and machine learning engine, CORTEX ensures that the right cases are handled at the right time, by the right staff or by exception. CORTEX incorporates precision medicine upon a foundation of evidence-based medicine. Machine learning models operate in real-time to better assess your patient population. Our analytics have been deployed in hospitals and health plans across the nation. With clear inpatient cases, CORTEX does the heavy lifting by automating inpatient determinations on cases that meet your unique threshold. For difficult cases, CORTEX offers your staff the insight they need to make a strong determination. This approach offers incredible value to payers and providers alike.
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    Clarify Health
    Distilling fractured health data into actionable insights. Clarify Health’s analytics platform cuts through the fog. We help you thrive in a post-pandemic world by delivering precise insights into provider performance, patient journeys, and therapy adoption. Leverage our advanced analytics software to confidently improve physician performance, match patients to the right care, and navigate value-based arrangements. Access insights to accelerate product launch and growth, demonstrate real-world impact, and enable outcomes-based commercial agreements. Identify top physicians and facilities more accurately, deliver a more personalized experience to members, and maximize value-based engagements. Timely insights through thousands of predictive models that organize data into real-time analyses to drive demonstrable ROI. Driven by big data. Powered by innovative technology. Turning health data into impact.
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    Medius Health

    Medius Health

    Medius Health

    Unleashing the power of Medius’ multi-cloud artificial intelligence platform to deliver greater than 90% accuracy and coverage on various health intelligence and risk predictions using just a few health variables. Using just a few health data co-ordinates, Medius’ multi-cloud artificial intelligence platform aggregates, and mines massive datasets to create all relevant health risk and underwriting insights within seconds, with over 90% accuracy and coverage that can help providers and payers with their health and life needs assessments, distribution, operations efficiency, and cost optimization needs. Medius’ proprietary UW Studio™ is a complete underwriting platform delivering the AI revolution that has fundamentally altered the insurance landscape whereby multiple science-based underwriting ensemble models are deployed to address the business and technical requirements by reproducing humanistic deductive actuarial reasoning with clinical accuracy.
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    Icario

    Icario

    Icario

    Connect personally and powerfully with people with the leading digital-first platform. Increase above the national average in annual wellness visits. Icario is a health action company so you only pay for outcomes. Icario uses whole-person data, behavioral science, digital-first omnichannel pathways, and smart rewards and incentives to help you connect personally with people. We know what they want, how they like to connect, and what moves them to take action. When people take proactive steps for better health, healthcare organizations get healthier, too. Icario combines your data with ours to create whole-person data, turning lines on a spreadsheet into living, breathing people. Our proprietary behavioral research and quantitative data advance your knowledge of people from clinical to deeply personal. Smart, omnichannel pathways match the right messages and outreach sequences to each individual to drive the right health actions.
  • 33
    Trella Health Marketscape
    There are patients who desperately need your home health services — yet many physicians who could be referring them aren’t. That’s likely because your sales and marketing teams aren’t seeing the 75% of Medicare claims associated with office visits. Demonstrate your ability to lower costs and improve patient outcomes. Home Health Agency A can quickly demonstrate how it outperforms Home Health Agency B on hospitalization and readmission rates. Marketscape for Home Health helps you redefine your sales and marketing strategy to ensure you’re focusing on high-potential physician and facility referral sources. Our breakthrough technology and support help you: Quickly evaluate how you compare to your peers by hospital and readmission rates, diagnostic category, acuity level, time to start of care, total cost of care, and many other quality metrics.
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    Midas Health Analytics
    Coordinating care, evaluating and demonstrating quality, identifying risks, and monitoring compliance all require data from multiple sources and systems — and all are key to improving the patient and provider experience. ​ ​Midas Health Analytics improves operational and clinical performance with solutions that manage risk, control cost, and turn data into actionable insights.​ Track and trend performance over time, proactively manage and mitigate risk, make data-driven decisions amid constant regulatory changes, and elevate and foster a safe care environment for all. ​ ​Reach unprecedented operational efficiency when evaluating, interpreting, and demonstrating quality of care performance results to stakeholders in today's complex healthcare ecosystem.
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    Carta Healthcare

    Carta Healthcare

    Carta Healthcare

    Our industry-leading, artificial intelligence (AI)–driven technology converts both structured and unstructured healthcare data into a high-quality, reliable, standardized dataset that can be used across your organization. Accessing data in near real-time from disparate systems, our products and services reduce the burden of manual data abstraction so your administrative and clinical teams can recapture that time for quality and research initiatives. Our products and services allow you to collect, analyze, and act on your data, regardless of data source, therapeutic area, organizational department, or existing reporting, BI, or analytics tools. Atlas uses human expertise and the power of AI to automate and simplify the resource-consuming task of finding and interpreting patient data for clinical registries. Cartographer searches, analyzes, and interprets patient data across all platforms, standardizes those data into a consistent format, and provides relevant data recommendations.
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    LGI Healthcare Solutions

    LGI Healthcare Solutions

    LGI Healthcare Solutions

    We help to improve the performance of thousands of healthcare facilities worldwide, as well as the experience of their staff and patients. A solution that optimizes ambulatory care pathways to bring patients peace of mind. LGI eClinibase increases patient care pathway visibility and reduces waiting times by disseminating information on each episode of care. Eliminate paper and quickly access data on referrals, wait lists, and appointments. Lists and summaries of all episodes of care from one or more clinical administrative systems. Management of referrals, appointments, and patient communications for the entire facility. Management of referrals, appointments, and patient communications for the entire facility. Automatic suggestions for corrections to patient records and duplicate matching. Management of the professional activities agenda (intake management, appointments, clinical documentation, and statistics for the MSSS).
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    Acuity Advanced Care

    Acuity Advanced Care

    Chordline Health

    Acuity Advanced Care™ is an on-premise population health platform that provides flexibility to support the specific needs of case, utilization, disease, and population health management programs. The system allows organizations to have full control of their environment and is configurable to each organization’s unique care. Over 90% of our Acuity Advanced clients are NCQA or URAC accredited or hold both accreditations. Acuity Advanced Care provides the flexibility that on-premise offers and full database access. The on-premise installation provides control of where data resides. Customers with experienced IT teams that manage the setup, securing, and maintenance of complex systems. Chordline Health is the leading provider of software designed to support health plans, TPAs, ACOs, and other risk-bearing organizations. The Chordline team of US-based clinicians and developers are recognized for their best-in-class managed care expertise and customer support.
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    CaseTrakker

    CaseTrakker

    CaseTrakker

    CaseTrakker products provide a comprehensive care management solution designed to ensure that your team always has up-to-date information and the tools to manage their members efficiently. CaseTrakker's comprehensive care management software includes an extensive collection of tools to meet all of your health management software needs - from care management to utilization review and everything in between. Our products provide the tools necessary to streamline core business operations and increase efficiency without compromising care management outcomes. CaseTrakker portals provide custom branded secure browser-based access to CaseTrakker data. portals offer a tailored experience and collaboration between members, providers, clients, and care management staff from any device.
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    Bamboo Health

    Bamboo Health

    Bamboo Health

    With an innovative suite of solutions and the most interoperable care collaboration network, we are realizing a vision of whole-person care that’s shifting expectations and revolutionizing healthcare. Enabling more informed decision-making and better outcomes starts with a promise, a promise to continue listening, collaborating, and disrupting. It’s the heart of our vision and the reason we are able to drive powerful results across all settings of care. Decide on the right care options and act with certainty with real-time insight and the largest care collaboration network in the nation. Quickly identify the optimal path forward with lightweight solutions that streamline workflows and expedite patient care. Reduce risk, lower costs and accelerate the adoption of value-based care with access to proactive intelligence that until now has been unavailable. Make whole person care a reality with valuable context that includes both physical and behavioral health experiences.
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    TreeAge Pro

    TreeAge Pro

    TreeAge Software

    TreeAge Pro is the leading tool for building decision trees, Markov models and event-based simulations. TreeAge Software, LLC has been a beacon in decision analysis and health economics for over 30 years. Our team of scientists, engineers, trainers and support associates have grown and developed alongside the decision analytics community to build and refine our flagship software – TreeAge Pro. TreeAge Software, LLC is a privately held company headquartered in Williamstown, Massachusetts. TreeAge Pro is the leading visual tool for creating and analyzing decision trees. Create decision trees of unlimited complexity for any type of decision. TreeAge Pro software is used in a wide array of industries, including healthcare, legal, oil & gas exploration, management consulting, investing, teaching, etc. TreeAge Software has earned the trust of more than fifteen thousand modelers globally, including in the US, Europe, Latin America, Asia, Australia and Africa.
    Starting Price: $450 one-time payment
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    TeleTracking

    TeleTracking

    TeleTracking Technologies

    For three decades, health systems have relied on TeleTracking’s operational platform to manage bed capacity and track patient progression from various access points, through discharge, and into the post-acute care setting. TeleTracking creates system-wide situational awareness and operational foresight to reduce complexity and improve productivity. Our differentiated approach, coupled with our unparalleled patient flow expertise, ensures you reach your long-term organizational goals to focus on delivering the best care to patients. The bottom line is at its core, TeleTracking’s has always been focused on saving lives, giving more time back to caregivers and giving patients a positive experience—by helping ensure patients have access to the level of care they need where and when they need it. Furthermore, given the financial pressures that health systems face—especially now—TeleTracking helps improve care delivery without adding cost, space or inventory.
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    AbleTo

    AbleTo

    AbleTo

    Our virtual therapy and coaching programs can help you reduce feelings of stress, anxiety, and depression, while our on-demand self-care gives you the tools you need to build resilience and cope with everyday challenges. Using evidence-informed tools, you’ll learn how to manage your emotions and feel more in control — no matter what life throws your way. Customizable and protocol-driven cognitive behavioral therapy programs are developed by the leading experts in mental health. Predictive analytics find the people in need of support and drive engagement with strategic marketing campaigns. With the support of our tech platform, clinicians cap costs by matching members to the treatment that best suits their needs. AbleTo’s seamless integration into your health plan’s existing care pathway is backed by the guarantee that you only pay when we provide value.
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    OASIS Intelligence
    Improve organizational performance and validate OASIS data more efficiently with cloud-based quality reporting and analytics software for home health. Empowering home health agencies to identify actionable opportunities to improve outcomes and star ratings, reduce readmissions, boost referrals, and increase revenue. OASIS Intelligence is the go-to resource for your home health agency’s performance improvement needs. From organizational performance analysis to accurate and rapid validation of OASIS data, our cloud-based application has you covered. Access the most current data available to identify performance trends and gaps, drive faster process improvements, and increase star ratings. Ensure quality and proper reimbursement with automated alerts that help you stay on top of errors and inaccuracies on the OASIS form. View everything from monthly trends and condition-specific analyses to patient-level results with our comprehensive and flexible reporting.
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    MemberMatch

    MemberMatch

    Experian Health

    Claims cycles can take months, and by then it is far too late to manage these costs. Even a delay of minutes in awareness of patient activity could result in an unnecessary, costly admission — thus when it comes to care coordination and success in value-based contracts. MemberMatch provides these insights in real time, providing care teams intelligence as early as possible so that they can rally around active episodes of care proactively and efficiently. This helps risk-bearing organizations optimize the quality and cost of member activity in the continuum of care, leading to better outcomes for patients and a better bottom line for organizations responsible for their health. Connect your care team with the attending clinical staff, providing key context to optimize the quality and cost of encounters, potentially avoiding unnecessary, out-of-network admissions and duplicate tests.
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    CircleLink Health

    CircleLink Health

    CircleLink Health

    Our setup process is simple. We do the work to integrate our HIPAA compliant software and services into your existing workflow. The software helps stratify your patient population to identify patients who may qualify for CCM and other preventative programs. Our care team + software can manage enrollment/eligibility, patient call cycles, administrative record keeping and more. With our seamless integration, we have our fingers on the pulse of your patients’ needs. Our one-click interface gets physicians crucial information about patients who need immediate attention. Here’s how it works:
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    SAC

    SAC

    SAC

    We offer a range of comprehensive products and solutions, created by computer doctors who take the online systems data and tools offered to a higher level. Cost-effective system to optimize patient flow, improving productivity, performance, and patient experience. Invest more time in your patients and less on your computer. Reduce absenteeism, presenteeism, and disability in your business. Our system allows you to make a difference and improve the monitoring and promotion of your services effectively. Let us help you take care of your older adults. We offer you the necessary tools to improve the effectiveness and efficiency of your processes. We analyze and develop to suit your requirements. We are health computer professionals who understand and speak the health language. It is the platform that offers you less time administering and more caring for patients. Any advance in technology that serves to improve the life of a human being must be shared.
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    Connexall

    Connexall

    Connexall

    Connexall, ranked number one and named Category Leader in the 2015/2016/2017 and 2018 Best in KLAS awards, is an enterprise-grade event management and control platform that delivers hospital-wide interoperability to people, systems, tasks, and devices. Its capabilities act as a backbone for clinical workflow, communicating the right information to the right person, at the right time, on the right device. Based on more than 20 years of R&D efforts, the Class II medical device software is completely vendor-neutral and device-independent. Connexall has offices in Canada, the United States, Brazil, Portugal and Hong Kong and works with well over a thousand of the world’s most renowned and progressive hospitals and health systems. Connexall captures organic data from all connected systems and each interaction during an event’s lifecycle to provide high-level, real-time outcome visibility. 
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    AveCare

    AveCare

    Avedon Health Systems

    Effectively managing patient care demands the right combination of clinical and software resources. In an industry that is typically labor-intensive, those resources should not only support and enhance the care management process, but also contribute to corporate profitability. AveCare’s seamless integration of care management functions (CM, DM & UM), streamlined workload, management capability and affordable pricing Structure allows organizations to optimize clinical and financial resources while improving quality of care and patient outcomes. Exchange data from multiple sources including: eligibility, claims, networks, pharmacy, diagnostic and lab results, predictive modeling, decision support tools and e-fax. Integrated by design allowing for the seamless integration of case management, disease management/education and utilization management functions. From a single point, view or access all CM/DM/UM activity and information relevant to a particular patient.
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    iTraycer

    iTraycer

    Medical Tracking Solutions

    Managing inventory is incredibly important to companies in many industries, but maybe more so in the medical device industry where a single product can cost thousands and surgical loaner kits cost tens of thousands. Effectively tracking, managing, and leveraging field inventory enables medical device manufacturers and hospitals to realize increased sales revenue, reduce capital investments in inventory, and lower operating expenses. Medical Tracking Solutions, Inc. (MTS) was established by an experienced team of industry professionals with expertise in the areas of medical device sales, distribution, logistics, loaner kit processing, and software development. Today, manufacturers and hospitals independently use the MTS proprietary software, iTraycer, or they take advantage of our complete service where MTS partners with logistics providers to offer a turnkey solution for case scheduling and medical device field inventory management.
    Starting Price: $50 per user per month
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    MyOutcomes FIT

    MyOutcomes FIT

    MyOutcomes

    FIT eLearning is a new, accelerated, way to learn and implement feedback-informed treatment. Based on the ground-breaking PCOMS evidence-based practice, FIT eLearning is designed to help you gain capabilities and confidence regardless of your learning style. Excellent understanding of PCOMS and FIT. A meaningful outcome and session rating process for clients. Adoption of a simple red, yellow, and green signaling system to keep sessions on track. An ability to map your clinical effectiveness across clients. Identification of your professional baseline. The ability to measure micro improvements in future skills growth. A certificate for 12 hours of online psychotherapy training in feedback-informed treatment. Whether you’re an individual practitioner or part of a larger organization, FIT eLearning helps you develop a culture of feedback and incorporates the outcome and session rating scales (ORS & SRS) into your clinical practice.