Alternatives to Health Intelligence Analytics
Compare Health Intelligence Analytics alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Health Intelligence Analytics in 2026. Compare features, ratings, user reviews, pricing, and more from Health Intelligence Analytics competitors and alternatives in order to make an informed decision for your business.
-
1
HealthNexus
PurpleLab
HealthNexus is trailblazing innovation across the healthcare continuum. We’ve made our platform medically fluent so no information is left off the table. Get ongoing results you can trust, faster and more economically. Benefit from our billions of intelligently structured and harmonized data points, enabling deeper and more precise real-world insights and outcomes across patients, providers, and payers. These include patient and provider social determinants of health (SDOH), Risk Adjustment factors (RAF), Hierarchical Condition categories (HCC), and quality scores. A variety of comprehensive reports are at your fingertips from predefined reports templates to highly customized complex, user-generated queries that speed access to insights across the entire healthcare ecosystem. Access to PurpleLab’s universe of medical terminology and crosswalk concept groups allows you to systematically govern and manage medical terminology reference data across your organization. -
2
PayerPrice
PayerPrice
PayerPrice is a healthcare data analytics platform that provides comprehensive insights into negotiated rates between payers and providers across the United States. By aggregating and analyzing data from all 50 states, specialties, and practice sizes, PayerPrice enables healthcare organizations to benchmark commercial rates, optimize managed care contracting, and enhance revenue cycle integrity. The platform offers tools for in- network analysis, rate benchmarking, and payment auditing, supporting stakeholders such as hospitals, providers, contracting consultants, and healthcare innovators in making informed decisions. -
3
HRA
HRA
HRA® (Healthcare Research & Analytics) is a full-service healthcare market research agency that provides unique access to a pure, proprietary panel of physicians, payers, patients, caregivers, pharmacists, and other key stakeholders to support your brand strategy. More than 100,000 community-based healthcare professionals and key opinion leaders (KOLs), payers, pharmacists, patients, and caregivers who provide unique insight on issues that are critical to your success. Leveraging 75+ years of combined experience partnering with healthcare companies to deliver insights and guidance for pre-launch, launch, and post-launch success. Supporting your commercial needs through brand strategy development, execution and real-time assessment of stakeholder attitudes, behaviors, and insights. Offering strategic solutions for a breadth of healthcare clients, HRA® combines clinical and commercial expertise, powerful connections, and creative solutions to keep you ahead of the healthcare community. -
4
Ember
MetiStream
Unite and free your unstructured health data Interactive AI and NLP solution delivering health insights to Providers. Payers. Life Sciences. Interactive AI and NLP solution to unlock health insights from unstructured clinical notes data for: Provider. Accelerate data abstraction from and clinical validation of information contained in clinical notes. Decrease time and reduce costs required to identify care gaps, review care quality dashboards, and generate registry reports. Payer. Integrate and analyze both claims data and clinical notes to more effectively manage high risk and high cost member cohorts. Life Sciences. Rapidly match patients to clinical trials–and vice versa–using clinical trial databases and data from clinical notes. Leverage the power of real world clinical data and evidence. Ember is an end-to-end solution at the intersection of NLP and predictive analytics. Streamline. Healthcare Analytics for Unstructured Data to Improve Quality, Efficiency, and Outcomes -
5
Lumiata
Lumiata
We’re ushering in a new era of groundbreaking predictive analytics beginning with healthcare data management, machine learning tools and applications custom-built for the healthcare industry. Designed with the business and delivery of healthcare data in mind, Lumiata’s superior cost and risk predictions consistently outperform legacy methods and are modernizing how risk and care are managed across the broader healthcare space. From underwriting to care management to pharmaceuticals, Lumiata has you covered. Our applications and data science tools enable a flexible and collaborative partnership with payers, providers, and digital healthcare companies. Welcome to the light at the end of your AI tunnel. Equip your data science teams with the ML productivity tools they need. It all starts with our proprietary data preparation and cleansing process in which raw data is autonomously ingested, cleansed, and organized into a consumable format ready for machine learning.Starting Price: $6,000 per month -
6
LexisNexis MarketView
LexisNexis
LexisNexis® MarketView™ delivers medical claims-based intelligence to healthcare payers, providers, life sciences companies and health IT organizations across the United States. MarketView delivers actionable insights to remain competitive, allowing businesses to see valuable insights, and visualize ways to transform business. Whether you are a life sciences company, a health plan, a health system, or a health IT vendor, MarketView can help transform key business work streams including marketing, sales, strategic planning, physician relations and outreach, market research, network optimization, recruitment, pricing, contracting, clinical teams and more. Your business needs the most actionable insights to remain competitive. But it’s hard to diagnose the right areas of focus when the picture is unclear. MarketView delivers insights into areas including referral patterns, physician alignment strategies, the quality of clinically integrated networks, patient volumes, etc. -
7
MphRx Minerva
MphRx
Value driven care depends on real-time, accurate and reliable data. Leverage the Minerva Healthcare Data Platform to bring together clinical and claims data from disparate systems into a unified FHIR® repository. Natively based on FHIR® and vendor-neutral, Minerva aggregates data across your care delivery network – from multiple systems and formats to power your data exchange, accelerate data analytics and meet Cures Act regulations. Minerva brings ready-to-use data connectors to rapidly ingest data from disparate clinical and claims sources. Leverage available healthcare standards and custom data formats to bring in data in real-time or in batches. Integrate data from your clinical network and your payers to build a unified view of your patient’s data. -
8
HexIQ
HexIQ
The HexIQ software provides fast and easy access to negotiated rate data and tools that help users search, download, and analyze complex healthcare reimbursement rates for any code, payer, provider (NPI), or tax identification number (TIN) of interest so they can leverage transparency in coverage requirements to inform business decisions and negotiations. It ingests hundreds of machine readable files (MRFs) from payers every month, cleans and enhances the data with provider names, addresses, and network relationships, and updates it regularly so users can benchmark their negotiated rates against peers in the same specialty and region without manual Excel manipulation. Advanced search features let users filter by code, specialty, state, place of service, payer, NPI, or TIN and download results in CSV format for further analysis, while built-in analytics and visualization tools show rate distributions, average and mode rates, and contracted provider networks to reveal market insights.Starting Price: $25 per month per code -
9
Agilum
Agilum
We enable the leap to value-based care by comparing treatments, drugs, processes, and costs to help hospitals, life science companies, and payers identify treatment plans that achieve the best patient outcomes. Our CRCA™ P&T platform empowers P&T committees to yield data-driven improvements in quality metrics, such as average length of stay (ALOS) and 30-day readmissions. Our unique POP-BUILDER Rx™ solution provides comparative analyses between selected cohorts and CRCA’s real-world data index of over 140MM longitudinal patient records. Our drug remittance dashboard analyzes and reports drug remittance data across payer types and for focused groups of high-cost drugs down to the NDC level. We help hospital finance departments quickly and easily monitor and improve service line costing and profitability, productivity, and revenue cycle performance via insightful analytics, reporting, and our Agilum Healthcare Intelligence team. -
10
Evidation Health
Evidation
We measure health outside of formal healthcare settings to better understand disease burden. Our comprehensive view of the patient unlocks business opportunities through new measures of disease and patient health. Develop a patient-centered understanding of disease impact on everyday function to activate physicians and payers, and to guide patient support. Create the algorithms that predict disease onset, progression/regression, or identify key intervention point. Generate support for the benefits of your products using real world digital data. A technology-enabled service for conducting real world research that incorporates novel, everyday behavior data to support clinical, medical affairs, and commercial teams, leveraging Evidation's virtual site, Achievement. Flexible study design, device integration strategies, and protocol management for centralized and streamlined study operations. We can sponsor or you can. -
11
Panalgo
Panalgo
Panalgo’s Instant Health Data platform is a comprehensive healthcare analytics software suite built to eliminate complex programming and speed real-world data analysis for life sciences, pharmaceutical, payer, provider, government, and academic teams. It ingests diverse health data sources, including claims, electronic health records, registry data, and other real-world datasets, and converts them into a unified, analysis-ready format with a healthcare-specific data model and an extensive library of algorithms, enabling scalable, transparent, and rapid analytics without traditional coding barriers. IHD supports point-and-click analytics, custom dashboards, statistical analysis, machine learning forecasting, automated documentation, and collaborative reporting so stakeholders can explore, interpret, and share insights efficiently. Integrated components such as Ella AI provide natural-language, generative-AI assistance to build cohorts, generate insights, and make decisions. -
12
MedInsight
Milliman MedInsight
Founded in 1998, Milliman MedInsight® is a leading provider of healthcare data and analytics, trusted by over 300 payers, providers/ACOs, employers, and government agencies worldwide. Our comprehensive suite of analytics and data solutions empowers organizations to leverage healthcare data for informed decision-making and improved clinical and financial outcomes. With deep industry expertise and advanced technology, we deliver actionable insights into healthcare utilization, costs, quality, and performance. From risk management to value based care, Milliman MedInsight empowers stakeholders to navigate the complexities of the healthcare landscape and achieve sustainable success. -
13
Aetion Evidence Platform
Aetion
Aetion Evidence Platform® delivers real-world evidence for life sciences companies, payers, and at-risk providers. We help you answer the high-stakes questions in health care: what works best, for whom, and when. Because better answers lead to better decisions. As a partner to the majority of the top 20 global biopharma firms, leading payers, and the FDA, Aetion informs the most critical decisions in the industry. Our transparent analyses guide product development, commercialization, and payment innovation into health care’s modern era. Aetion Evidence Platform moves the application of real-world evidence from descriptive analytics to causal conclusions. And it delivers answers within days and weeks—the rapid results needed to improve clinical and financial outcomes. Turn your best available information into insights you can use now. -
14
Talix
Talix
The Talix platform powers intelligent workflow applications that enable risk-bearing healthcare organizations to succeed in the age of value-based care. Our workflow solutions for payers and providers require intelligent underlying technologies to work in unison and at scale. We’ve engineered the Talix Platform to support the needs of thousands of end-users, anywhere in the world simultaneously. Moreover, our platform architecture enables multiple SaaS application solutions in order to harness the efficiencies derived from being able to process millions of patient charts and encounter data. The Talix Platform is comprised of several technology components, intricately linked, to power software applications at scale for healthcare payers and providers. These components form the building blocks of artificial intelligence (AI). -
15
Explore Dx
Change Healthcare
A scalable business intelligence tool that provides retrospective insight into pharmacy and healthcare organization business operations, sales, inventory, and more. Query multiple data sources from an intuitive, centralized, web-based tool. Perform large queries in minutes rather than hours with innovative technology. Perform back-end ETL (extract, transform, load) and front-end analytics simultaneously without disrupting either process. Grow with your business and computing needs through constant development and scalable processing power. Driving universal e-payment adoption among healthcare payers starts with strategy, expertise, and leading by example. Discover how dialysis centers and other renal care providers can ensure financial stability through revenue cycle optimization. Get the hard facts that drive such a strong business case for moving members to digital communications. -
16
PatientIQ
PatientIQ
Founded in Chicago, Illinois, PatientIQ serves provider organizations, medical device & life sciences, and payers with its platform to learn their practice with data-driven medicine. The largest platform for healthcare professionals to collaborate and improve patient outcomes. Empower healthcare providers with industry-leading technology to practice data-driven medicine. In the U.S. healthcare market, all stakeholders are under increasing pressure to prove their value. A critical component to assessing "value" is an objective measure of patient outcomes. The challenge of measuring outcomes is expensive, nuanced, and ladened with technological barriers, but outcomes are the most valuable currency in value-based healthcare of the future. A transparent solution to systematically measure, analyze, and compare outcomes across stakeholders is the next big market opportunity in digital health. -
17
Sift Healthcare
Sift Healthcare
Sift demystifies healthcare payments by integrating actionable intelligence into revenue cycle workflows to help healthcare organizations optimize payment outcomes and reduce the cost to collect. Sift equips healthcare providers with actionable denials intelligence that enables them to protect their receivables and accelerate cash flow. Sift captures insurance claim and patient financial data into a HIPAA-compliant, cloud-based and normalized database, providing a single source of truth for around your healthcare payments. Sift fills the gaps between a provider’s EHR, clearinghouse, workflow tools, and patient engagement platform. Sift unifies the data points from each system to build a unique and proprietary data set and provide holistic payments oversight. By applying multiple data science techniques, Sift provides comprehensive and integrated recommendations for denials management, payer assessment, patient collections and patient acquisition. -
18
Innovaccer
Innovaccer
We help providers integrate disparate patient data to deliver actionable insights at the point of care, collaborate across care teams, and achieve better health outcomes. We help drive collaboration and connectivity among payers, providers, and members to manage risk, costs, compliance, and rising member expectations. We help biopharma and medtech companies build digital solutions at their intersection with healthcare and better leverage real-world data across the value chain. Unify patient data, generate comprehensive clinical and financial insights, and innovate faster. Move beyond silos to an open, secure platform that unifies healthcare data into a single, longitudinal patient record that enables whole-person care. Rapidly develop interoperable solutions and accelerate digital strategies through our developer tool suite and open APIs. Customizable analytics and advanced insights help enhance care quality, reduce costs, and improve clinical and financial outcomes for providers. -
19
MD Clarity
MD Clarity
Boost your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place. Spot patterns of underpayment by insurance companies. Ensure you are setting your chargemaster optimally. Assign investigations/appeals to staff and see task status, all in one place. Compare performance across payer contracts and renegotiate terms from a position of strength. Project out-of-pocket costs at a high level of accuracy, giving patients the confidence to make up-front deposits. Enable patients to make up-front deposits directly from their online estimate. Hold insurers accountable for the full amount they owe. Get the upper hand in contract negotiations. Reduce bad debt, cost-to-collect, & accounts receivable days. -
20
Press Ganey
Press Ganey
Meet and exceed consumer expectations for care—and achieve new levels of growth and loyalty. Press Ganey’s next-generation Consumer Experience technology will revolutionize patient acquisition, retention, and reputation management at your healthcare organization. Press Ganey announced the acquisition of SPH Analytics (SPH), the national leader in member experience measurement and engagement for the health insurance industry. Press Ganey will combine its industry-leading patient experience data with SPH’s rich member experience data to unite previously fragmented provider and payer insights to drive optimal healthcare outcomes. Your dedicated Press Ganey success team is on hand to guide and advise you every step of the way. Our continued investment in leading-edge technology and top talent puts our clients at the forefront of healthcare. -
21
Stratasan
Stratasan
Stratasan’s Analytics Platform provides strategic planners and hospital executives with the most in-depth and up-to-date healthcare intelligence. Instead of using valuable time to comb through data, use your energy for strategy and planning decisions. By using this tool to facilitate high-level strategic discussions, everyone will be on the same page. Your team can make real-time decisions based on a universal understanding of intelligence. Build and share strategic presentations on market intelligence and strategic initiatives in minutes, not weeks. Compare reimbursement rates by payer and see rate trends across service lines. Enter negotiations confidently, champion acquisition targets with the highest potential of success, and accurately analyze the potential ROI of entering a new market. -
22
Medisolv ENCOR
Medisolv
Medisolv provides comprehensive quality management solutions for hospitals and clinicians. ENCOR, our award-winning software platform, is a complete quality solution. Medisolv is a healthcare quality data management company. Their all-in-one Quality management software provides tools that help healthcare organizations with core measure abstraction, electronic measure capture in the hospital and ambulatory settings, data aggregation from multiple sources and submission to various reporting entities including CMS, TJC, other payers, state entities and reporting organizations such as ACOs. Medisolv’s acclaimed quality management software, ENCOR, provides timely eCQM performance data to assist hospitals in improving their performance and easily submitting to regulatory programs. ENCOR, makes chart abstraction easier with daily updated data and pre-populated patient information. Our software is designed to assist hospitals in successfully meeting their reporting requirements. -
23
Flexpa
Flexpa
Flexpa is a healthcare data interoperability tool that gives developers and organizations instant, patient-consented access to comprehensive health records from insurers, electronic health record (EHR) systems, and nationwide health exchanges through a unified API, replacing slow, manual record collection with real-time standardized data retrieval using FHIR (Fast Healthcare Interoperability Resources) standards and a 3-in-1 network that includes CMS-9115 payer APIs, ONC (g) (10) provider APIs, and TEFCA IAS nationwide exchange support. Flexpa handles the entire authentication and authorization process, including digital consent flows, SMART Health Links, IAL2 identity proofing, and conversion-optimized UX, so applications can onboard patients, collect compliant consent, and begin pulling data quickly without building custom integrations. Flexpa’s Records API extracts and enriches complete patient data, including claims history (EOBs, coverage details), clinical records, and etc.Starting Price: $65,000 per year -
24
The combination of our core strengths, our deep industry experience in health, our advanced technology solutions including options for AI, blockchain, and data and analytics, and our reputation for trust and security, enables Watson Health to support our clients' digital transformations. Through a combination of technology solutions and experienced consulting, we're helping organizations become more efficient, resilient and robust institutions that can deliver on their mission to their communities. See Watson Health solutions that help optimize clinical, financial and operational performance. See Watson Health solutions to apply analytics and improve programs for vulnerable populations. See Watson Health solutions to improve clinical trials and generate real-world evidence. See Watson Health solutions that help payers manage performance, members and business networks. Watson Health solutions that help with benefits analytics, engagement and business continuity.
-
25
Leverage analytic insight to reduce variation, improve care quality, optimize care coordination and manage financial performance. Whether you’re operating in a fee-for-service or risk-based environment, you can use the unsurpassed data and analytics capabilities and expert guidance of Optum® Performance Analytics to position your organization for success in an ever-evolving health care landscape. Optum Performance Analytics offers enriched clinical and financial longitudinal views of your patients, physicians, facilities and networks. Integrating your diverse clinical and claims data with a growing set of sociodemographic, behavioral and patient-reported data adds greater context and insight. Optum Performance Analytics is built with the flexibility to meet the goals of any health care system. Organizations seeking specific direction can leverage pre-built dashboards and opportunity reports to surface opportunities for enhancing care or reducing costs.
-
26
Inovalon ONE Platform
Inovalon
The industry-leading capabilities of the Inovalon ONE® Platform empower our clients and partners to succeed by leveraging extensive industry connectivity, massive primary-source real-world datasets, sophisticated analytics, and powerful cloud-based technologies to improve the outcomes and economics of healthcare. At the core of healthcare today is the need to aggregate and analyze large amounts of disparate data, garner meaningful insight from the results, and use these insights to drive material change in patient outcomes, business performance, and healthcare economics. Our analytics and capabilities are used by more than 20,000 customers and are informed by the primary source data of more than 69.5 billion medical events across one million physicians, 611,000 clinical settings, and 350 million unique patients. -
27
XSOLIS CORTEX
XSOLIS
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. -
28
fhirstation
Iron Bridge
Built on FHIR v4 with native FHIR data models and RESTful API. USCDI v1 is compliant and can store and service full USCDI v1 to patients and partners. Export electronic health information safely and securely for patient access. Plug your EHR, Payer System, or any HIT into fhirstation for instant Final Rule compliance. Fhirstation is a turn-key scalable, secure, multi-tenant Software as a Service (SaaS) solution for electronic health record (EHR) vendors, health plans, hospitals, providers, and any other entities that must provide patient data through the United States Core Data for Interoperability(USCDI) v1 FHIR v4 API and electronic health information export for the HHS final rule and CMS interoperability rule. Fhirstation breaks down information blocking by enabling information exchange between patients, health IT developers, health systems, EHR vendors, and payers. SMART on FHIR ready for patient access applications of the future. -
29
Claim Agent
EMCsoft
EMCsoft’s Claims Management Ecosystem assures that healthcare providers and billing companies deliver clean claims to insurance payers for proper claim adjudication. It is the integration of our versatile claims processing software Claim Agent and comprehensive fitting process called the Four Step Methodology into your claim adjudication process. This approach enables, supports, and automates your work process to maximize claim reimbursement. Request our free online demo for a great introduction into the functionality/features of Claim Agent and how it fits into your claim adjudication process. Claim Agent scrubs and processes your claims from the provider system to the insurance payers in a efficient, cost effective, and timely manner. The software is compatible with any system making implementation process quick and simple. We provide custom edits, bridge routines, payer lists, and work flow settings that are unique to each user. -
30
Atropos Health
Atropos Health
Atropos Health provides on-demand evidence from real-world data to close evidence gaps in healthcare and life sciences. Proven to elevate clinical outcomes, accelerate research, and drive operational efficiency. Atropos Health rapidly transforms medical data into real-world evidence, closing evidence gaps in medicine and expediting research from months to minutes. Our core solution is a generative evidence acceleration operating system. We can securely install medical data and structure it for downstream use. Our powerful analytics tools can be used to generate evidence on demand. It can work on your data after a quick install, or immediately with our global evidence network of 160M+ patients’ records and evidence library of 10K past studies. Join top health systems and life science companies in partnering with Atropos Health to accelerate research, optimize clinical trials, inform clinical decisions, address care variation, and more. -
31
InSightive
Varian
Get more out of your data, improving outcomes for your clinic and your patients. InSightive transforms your oncology data into insights you can put into practice right away. Normalize and structure your data using relationships defined specifically for oncology. Industry-leading Tableau visualization uses oncology-specific analytics tools to improve clinical performance. Use InSightive within ARIA, a standalone desktop application, or most web browsers. Get a quick start with easily customizable templates to work with payer mix, referral sources, and operational performance. Aggregate activity data quickly and derive operational insights. We make it easier to interrogate your data in new, thoughtful ways. You'll see query results so fast you can reshape treatments or policies in hours, not days. Give your patients the benefit of the experience of all the patients that came before them. Our data specialists can help you integrate Varian into your workflow. -
32
eClaimStatus
eClaimStatus
eClaimStatus provides simple, practical, efficient and cost effective real time Medical Insurance Eligibility Verification system and Claim Status solutions that power value added healthcare environments. At a time when healthcare insurance companies are reducing reimbursement rates, medical practitioners must monitor their revenue closely and eliminate all possible leakages and payment risks. Inaccurate insurance eligibility verification causes more than 75% of claim rejections and denials by payers. Furthermore, refiling rejected claims cost an organization $50,000 to $250,000 in annual net revenue for every 1% of claims rejected (HFMA.org). To overcome the revenue leakages, you need a no-fuss, affordable and effective Health Insurance Verification and Claim Status software. eClaimStatus was designed to solve these specific challenges. -
33
HelioMetrics
HelioMetrics
Diversion of controlled substances can occur anywhere in the pharmaceutical supply line, but more predominantly in hospital pharmacies and healthcare delivery. HelioMetrics Healthcare Rx Drug Diversion Analytics Software can help speed up identification of drug diversion activity, accelerate your diversion investigations and reduce associated drug diversion costs in healthcare. Look in the news and you are sure to find something about the “opioid epidemic” and how there are problems everywhere with healthcare workers and pharmacists stealing these and other drugs. In some cases, the healthcare worker has even caused HIV and Hepatitis C concerns. Some of these cases have moved into the legal world with hospitals facing hundreds of lawsuits from former patients. Not to mention the fines that the DEA is now handing out. The risk of drug diversion is real, not only from a patient safety issue, but from financial issues for the healthcare facility. -
34
prognosFACTOR
Prognos Health
The #1 source of purpose-built lab data, now with an entire ecosystem of healthcare data assets you need to answer even your most complex questions. Prognos was first to market, creating harmony between lab data types and extracting its complete analytical value in a powerful platform. Now we integrate that data with millions of medical and prescription claims in a health data marketplace and those sources are growing every day. Billions of data points at your fingertips including harmonized lab data on 325M patients, open and closed medical claims and prescription claims. Prognos Marketplace is a healthcare data marketplace that simplifies the data selection and contracting process by providing a self-service online destination where you can easily curate and purchase the health data you need when you need it. Start with the patient centric data that meets your business need. -
35
Pareto Intelligence
Pareto Intelligence
Pareto Intelligence is a healthcare analytics and technology platform that helps health plans and risk-bearing provider organizations improve financial performance, compliance, clinical communication, and value-based care outcomes by transforming complex healthcare data into actionable insights and operational workflows. Its core is a centralized healthcare data environment that ingests, normalizes, and enriches disparate clinical, claims, and social determinants of health data to deliver comprehensive patient and program views that drive downstream analytics and reporting. Pareto’s solutions include risk adjustment and revenue integrity tools that identify undocumented risk gaps, improve risk scores, support RADV audit readiness, reconcile premiums, and ensure complete and compliant revenue capture; payment integrity capabilities to detect under- and overpaid claims and improve Section 111 reporting and coordination of benefits. -
36
ImagineIntelligence
ImagineSoftware
Gain a bird’s eye view of your practice’s whole operation. Medical billing reports, analytics and healthcare business intelligence at scale to help you make data-driven decisions. Monitor the financial health of your business across multiple practices from one dashboard. Connect all the data that matters, like time in your phone system, time clocks, clinical data, and accounting systems. From manager-level performance reports to high-level executive reports. No technical knowledge is needed. Build your own ad-hoc visualizations or choose from 250+ pre-built reports. Business forecasting is based on projected revenue and fixed costs of your billing. What-if simulations determine possible changes in one practice or across multiple practices. Integrates multiple data sources into a single application. Shared and private reports. Create a safe place for people to explore and innovate through user access levels. -
37
MedScout
MedScout
MedScout is a revenue acceleration and sales intelligence platform designed specifically for medical device, diagnostic, and life sciences companies to improve how their commercial teams identify opportunities and execute sales strategies in healthcare markets. It transforms large volumes of healthcare claims data into actionable insights that sales representatives, marketing teams, and sales leaders can use to prioritize the right physicians, facilities, and healthcare systems to target. It aggregates multiple data sources, including Medicare and commercial payer claims, public healthcare data, proprietary datasets, and the company’s existing CRM data, creating a unified view of the healthcare landscape and enabling teams to analyze procedure volumes, diagnosis trends, prescription activity, referral networks, and payer mix for individual providers or institutions.Starting Price: Free -
38
Healthgram
Healthgram
When your employees are healthier, so is your bottom line. That’s why we partner with forward-thinking companies to deliver the very best healthcare experience that also minimizes cost. Take control of your healthcare investment with a comprehensive self-funded solution – driven by data, guided by experts, and customized for your business. Find additional savings beyond network discounts through proactive and independent claims analyses. Deliver a benefits experience that’s easy to navigate and proactively helps employees find high-value care. Case managers and health coaches work compassionately with employees to improve financial and clinical outcomes. See every detail and make updates with ease using intuitive dashboards built specifically for today's employers.Clinical outreach. Financial optimization. Advocacy and analytics. We’re built to manage every aspect of health plan management with no outsourcing required. -
39
Healthgrades
Healthgrades
Improve clinical outcomes and complication rates with our team of experts and an intensive consultative approach. Improving patient outcomes has always been a priority for hospitals, clinical leaders, and their teams. Now, more than ever, there is a greater focus on quality by patients, employers, and payers. The industry’s increasing focus on quality requires that hospitals be both aware of and transparent with their quality outcomes, and Healthgrades has the tools to help hospitals drive continuous efforts to measure and improve quality outcomes. The Healthgrades Quality team works with hospitals across the quality spectrum to explain the “why” behind a hospital’s performance. Healthgrades helps hospitals teams understand where there are improvement opportunities and how to prioritize their improvement efforts. Our team reviews a comparative analysis with clients of their performance against top-performing hospitals, local and national competitors, etc. -
40
Truven
Merative
Truven, a part of Merative, offers a comprehensive suite of healthcare analytics and member engagement solutions aimed at enhancing health and financial outcomes. Their offerings include information services, analytic tools, benchmarks, research, and consulting services tailored for various healthcare organizations. With over 40 years of experience, Truven is trusted by leading health plans, employers, benefits advisors, government agencies, providers, pharmaceuticals, biotech, and medical device companies. Their solutions are designed to support patient safety, streamline workflows, and provide actionable insights to improve healthcare delivery and management. -
41
SapphireVantage
Novacis Digital
SapphireVantage is an AI-powered health analytics and performance management platform built for healthcare payors, providers, and large programs that need a 360° view of performance and actionable insights across clinical, financial, and operational domains. It harnesses advanced data analytics and artificial intelligence to integrate and analyze diverse healthcare datasets in real time, offering capabilities such as claims analytics, utilization analytics, risk and program integrity analysis, provider performance, consumer engagement metrics, care analytics, denial trends and prevention, contract performance, revenue cycle optimization, and fraud/waste/abuse detection to help organizations improve quality, control costs, boost efficiency, and enhance patient outcomes. It supports self-service analytics, real-time dashboards, predictive insights, and performance monitoring tools to empower data-driven decision-making and reveal underlying patterns and outliers. -
42
Turquoise Health
Turquoise Health
Turquoise Health delivers a comprehensive suite of solutions built around healthcare price-transparency and contracting workflows, offering modules such as Clear Rates Data (which aggregates over a trillion provider, payer, professional, drug, and device rate records covering institutional and professional services) and Clear Contracts (a centralized cloud application that supports contract creation, negotiation, and storage for payers and providers). It also includes Compliance+ to help organizations remain compliant with machine-readable file requirements and Good Faith Estimate rules, Analytics tools to benchmark and query market-level rate data, Custom Rates extracts tailored for specialty healthcare segments, Standard Service Packages (pre-built bundles of common procedures), Search and Care Search dashboards for rate discovery and comparison, and a Turquoise Verified program enabling providers and payers to publish and manage price transparency data. -
43
Carevoyance
Carevoyance
With Carevoyance, we deliver a consolidated suite of tools and healthcare data, so you no longer need to purchase healthcare lists, or pay for data integration ever again. The freshest-available healthcare data is part of the package, and included in every engagement. To ensure our healthcare data is always fresh, we continuously aggregate hundreds of disparate sources of physician and facility data into a single searchable analytics engine, facilitating sales operations, marketing and sales workflows that improve your commercialization efforts. Healthcare data isn't the destination. Our team-based workflows, analysis and reporting capabilities empower your commercialization team to uncover new insights, supported by actionable, measurable processes that help you grow your market. Best of all, we'll work with you and your team to define and refine the relevant healthcare codes, create and share accurate searches, and put together insightful, attractive reports. -
44
MEDITECH BCA
MEDITECH
Managing big data is critical to the health of your organization and your patients. But these initiatives can be a drain on time and resources. Now, Business & Clinical Analytics (BCA) does the heavy lifting for you. BCA is a web-based data visualization solution that helps organizations increase efficiency, measure progress, and improve performance. Easy to implement, easy to use, and fully integrated with MEDITECH's EHR, BCA puts your clinical, financial, and operational data to work and points your organization in the right direction. Working with as much information as you do requires a lot of care, feeding, and maintenance. That's why BCA is loaded with standard dashboards to map out your organization's data and get you up and running on your big data initiatives. MEDITECH refreshes your dashboard library at regular intervals. Plus, we'll continue to add new dashboards and analyses, with a variety of selectors to filter by time periods, providers, payers, patient classes, etc. -
45
AWS HealthLake
Amazon
Extract meaning from unstructured data with integrated Amazon Comprehend Medical for easy search and querying. Make predictions on health data using Amazon Athena queries, Amazon SageMaker ML models, and Amazon QuickSight analytics. Support interoperable standards such as the Fast Healthcare Interoperability Resources (FHIR). Run medical imaging applications in the cloud to increase scale and reduce costs. AWS HealthLake is a HIPAA-eligible service offering healthcare and life sciences companies a chronological view of individual or patient population health data for query and analytics at scale. Analyze population health trends, predict outcomes, and manage costs with advanced analytics tools and ML models. Identify opportunities to close gaps in care and deliver targeted interventions with a longitudinal view of patient journeys. Apply advanced analytics and ML to newly structured data to optimize appointment scheduling and reduce unnecessary procedures. -
46
Abacus Insights Platform
Abacus Insights
The fully managed platform leverages best-in-class cloud technologies modernizes the healthcare data ecosystem, ensures interoperability, lowers the total cost of ownership and delivers scale and flexibility. Abacus Insights’ concierge data management services and customer-centric focus minimize change management, allowing you to focus on building rich analytic capabilities that accomplish your business objectives. The platform’s Unified Data Foundation securely improves healthcare data quality through standardization that enables a seamless distribution of on-demand data to end-users. Industry-leading healthcare experts to assist in improving how your data is managed. Accelerates the development of enterprise data warehouse, operational data stores, data marts and data lakes and gives you peace of mind with experts to help business users. -
47
MedeAnalytics
MedeAnalytics
The MedeAnalytics platform is built on a foundation of advanced analytics innovation. With powerful data orchestration, intuitive visualization, predictive analytics, benchmarking, and guided analysis, our intelligent, cloud-based platform empowers you with the insights you need to transform healthcare. Its platform-as-a-service (PaaS) capabilities enable you to build your own applications. And our healthcare-ready, scalable solutions deliver the actionable insights you need to drive excellence in every corner of healthcare. To solve today’s pressing healthcare challenges, you have to first experience them from the front lines. MedeAnalytics is led by a team experts with extensive healthcare experience from renowned organizations such as Huron Consulting, Accenture, Trizetto, and PricewaterhouseCoopers. -
48
ArborMetrix
ArborMetrix
At ArborMetrix, advancing healthcare through data science is our mission, and delivering high impact, intuitive technology and analytics is our passion. Our leading healthcare analytics solutions are proven to deliver targeted, clinically-deep insights that improve clinical outcomes, optimize financial performance, increase stakeholder value, and measure the real-world effectiveness of treatments and procedures, as well as medical device technologies and pharmaceuticals. Patient registries are useful across much of medicine, and post-market surveillance is one of their most valuable purposes. Here are the steps we take to help you create a trusted data resource. You need an efficient and secure way to collect large amounts of real-world data and prepare it for analysis. With the right technology, you can collect data from medical records, regulatory sources, patient-reported outcomes, and more for post-market surveillance activities. -
49
HealthEC
HealthEC
HealthEC’s best population health management platform, comprising our care management module CareConnect™ and our analytics module 3D Analytics™ - is designed to elevate quality of care and patient experience by overcoming the healthcare industry's toughest data challenges. Conquer system chaos with a universal data warehouse of normalized claims, clinical, and SDoH data, from any source. CMS certified for reuse. Eliminate workflow disruption with integrated, customizable care plans, decision-support tools and robust care management support. Deliver patient-centric care by seamlessly coordinating with community resources and addressing social determinants of health. Inform strategies with actionable insights at the diagnosis, provider, practice, and organizational levels, presented in clear dashboards or at the point of care. Enhanced MCO performance reviews and CMS interoperability rule compliance. -
50
Arrow
Arrow
Arrow is a healthcare revenue cycle management platform that modernizes and streamlines healthcare payments by automating billing, claim operations, and predictive analytics to help providers and payers reduce administrative burden, minimize denials, and accelerate collections. It brings workflows, data, and AI together so teams can detect errors in claims before submission, manage denials with root-cause analysis and one-click fixes, and get detailed real-time claim status updates directly from payers. It simplifies the ingestion of Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) data into a centralized, user-friendly format, provides revenue intelligence with actionable insights into the revenue cycle, and monitors payment integrity to highlight underpayments or overpayments according to payer contracts.
