Alternatives to Talix
Compare Talix alternatives for your business or organization using the curated list below. SourceForge ranks the best alternatives to Talix in 2026. Compare features, ratings, user reviews, pricing, and more from Talix competitors and alternatives in order to make an informed decision for your business.
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Foothold
Foothold Technology
Our human services software offers full functionality for case management, client tracking, electronic health record (EHR), and homeless information management (HMIS) all under one roof. We work with agencies across the spectrum of human services: including developmental disabilities, mental health, substance use disorder, homelessness, supportive housing, HCBS, and much more. Foothold is HIPAA-compliant mental health software, federally certified as an EHR, and offers full interoperability as you navigate the new landscape of care coordination and value-based care. Transform the way you provide care with nimble software and a partnership guided by experience. -
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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. -
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SYNCRASY
MedCloud Depot
The power of our products, the skills of our people and our innovative data-driven approach fuel the reinvention of next-generation Value-Based Care technology. We believe that healthcare is valuable and that every person should receive the most value from their healthcare. Stratify & identify, assign & coordinate care, engage members. Generic drug equivalency, pricing & patient educational materials. Referrals, encounters/claims, eligibility, enrollment & member rewards. Analytics, reports, patient engagement & EHR integration. -
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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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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. -
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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. -
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Quantros
Quantros
Quality and cost matter. With value-based care arrangements increasing, hospitals, physicians, employers and plans need accurate, illuminating analytics. Quantros’ unmatched insights allow stakeholders on the giving and receiving end of care the ability to make data-driven decisions. Quantros’ analytics software helps healthcare providers understand, predict, and improve performance. And provides purchasers of healthcare a clear picture of how reliably hospitals and physicians are delivering the best outcomes and appropriate care across the continuum. -
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Lightbeam
Lightbeam
Lightbeam provides population health enablement by transforming insights into outcomes. Closing care gaps and minimizing risks. Improving quality of care and quality of life. Lightbeam’s proven population health management platform transforms disparate data into a full 360-degree patient picture, bringing true value to value-based care. In today’s value-based care model, managing risk begins and ends with data intelligence. Lightbeam’s powerful population health management platform pulls patient data together in unprecedented ways, unlocking the value that comes from deploying the right data in the right place at the right time. Lightbeam isn’t just revolutionizing how our clients manage value-based care. It’s proving to be a game changer in driving results and saving our clients over 2 billion dollars since 2014 and we’re just getting started. Lightbeam’s tech-enabled services approach seamlessly supports these efforts. -
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blueBriX
blueBriX
blueBriX stands at the forefront of digital health solutions, dedicated to transforming healthcare ecosystems for effective value-based care. Their mission is centered on improving accessibility, affordability, equity, and quality in healthcare, ensuring that everyone has access to the care they need. Understanding the challenges within modern healthcare, blueBriX is committed to providing customized solutions that empower providers, payers, and patients alike. Their cutting-edge technology integrates seamlessly with existing systems, enabling healthcare professionals to make informed decisions, optimize workflows, and enhance patient outcomes. Driven by a commitment to collaboration and sustainability, blueBriX focuses on fostering an inclusive healthcare environment where quality care is attainable for all. They invite everyone to join in their mission to reshape the future of healthcare—one innovative solution at a t -
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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. -
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Olio
Olio
Simplify case management efforts with post-acute providers and operationalize value-based care. Get real-time feedback and intervene when appropriate for all your PAC network patients. Get immediate support from your acute partners. Improve quality and patient outcomes and form stronger referral partnerships along the way. Have a seat a the table with Olio and succeed in value-based care. Population health leadership have tried to improve PAC performance. They started with evaluating their PAC providers and the industry evolved from there. PAC providers don't have the resources, experience, or knowledge to execute your complex population health strategy. You are asking them to do more with less. Olio helps modernize communication to your PAC network and give your entire team the resources to execute your population health strategy. -
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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. -
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Evolent Health
Evolent Health
Driving breakthrough clinical and administrative results. Evolent Care Partners, Midwest health system ranked third in the nation for both total shared savings and percentage of savings off of benchmark. Evolent Care Partners enables independent primary care physicians with the capital and resources needed to participate and succeed within two-sided payer contracts, while limiting their financial risk. New Century Health delivers cost and quality improvements in oncology and cardiology by using clinical evidence to guide care decisions that are supported by both payers and providers. Evolent Health Services simplifies health plan operations through comprehensive services that are powered by a modern and integrated platform, and a true strategic partnership model. Explore insights and news on value-based care, population health, health plan administration and other health care transformation topics. -
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Arcadia Data Platform
Arcadia
Arcadia is a leading cloud-based healthcare data platform purpose-built for analytics. Deliver better outcomes, reduce medical expenses, and spark innovation faster than ever with a data architecture primed for healthcare’s future. Delivering insights to the right people at the right time can mean life or death. Because of this, data is the key to success in healthcare, unlocking productivity for care teams and better lives for patients. So why do so many healthcare organizations struggle to utilize their full data asset? Transformative healthcare leaders know that data is as diverse as the people it serves. Without the right architecture, good data gets trapped, locked in place, without purpose. That’s why they leverage Arcadia’s next-gen data platform to accelerate outcomes, amplify impact, and deliver rapid insights to thousands of users across their organizations. -
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Aledade
Aledade
You want to deliver the best possible care for your patients. That’s our goal, too. Aledade offers primary care providers access to cutting-edge data analytics, user-friendly guided workflows, unparalleled regulatory expertise, strong payer relationships, and local, hands-on support from attentive experts. Our goal is to make it simple for your primary care practice or community health center to participate in value-based care while improving outcomes for patients and supporting a cost-effective, high-value healthcare system for your community. Independent primary care providers and community health centers who want to participate in the Medicare Shared Savings Program, other government programs, or available commercial contracts can join an Aledade accountable care organization (ACO) with other healthcare providers in their region. -
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Oracle Health
Oracle
Connected technologies and unified data empower individuals and enable the health ecosystem to accelerate innovation and influence health outcomes. Oracle Health is building an open healthcare platform with intelligent tools for data-driven, human-centric healthcare experiences to connect consumers, healthcare providers, payers, and public health and life sciences organizations. With the largest global EHR market share, we are able to bring data together to enable clinicians, patients, and researchers to take meaningful action, advance health, and work to improve outcomes worldwide. Rated the largest revenue cycle management (RCM) leader by IDC MarketScape, we provide timely, predictive, and actionable health insights to automate processes, optimize resources, and drive efficiencies. Accelerate innovation, benefit from flexible infrastructure and platform resources, and drive clinical intelligence through our open, extensible ecosystem of partners and technologies. -
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AIDA Healthcare
AIDA Healthcare
AIDA drives value-based care by creating rich sharing channels between providers. These channels are flexible enough to connect with almost any downstream provider, and deep enough to gain insights about where your network is strong and where it needs to grow. Find tailored placement options for all patients including complex cases. Secure communication and data sharing with all downstream providers. Deep analytics that help drive value-based care. Our app has been custom-built for Epic integration and enables you to leverage 3 core features: Eliminate the hassle of user provisioning via SSO, use AIDA as an embedded experience within your Epic interface, and access all patient records directly through the app via APIs. This last feature opens the door to fully standardized and file-less referral packets that can be customized by Care Provider type — eliminating the need for faxing, printing, and file management. -
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OMS Trace Analytics
Objective Medical Systems
Enhance value-based care with the OMS Trace Analytics® cloud platform for the analysis and reporting of critical cardiovascular metrics. Increasingly reimbursement is being tied to value. For example, for the performance year 2018, 60% of Medicare reimbursements are being linked to quality under the Quality Payment Program. The need for a discrete data and evidence-based quality reporting solution to measure, target and improve your quality program is more critical than ever. The OMS Trace Analytics® cloud platform is designed to deliver deep clinical insights for cardiovascular diseases with dedicated dashboards for leading cardiovascular diseases like Hypertension, Dyslipidemia, Atrial Fibrillation, Heart Failure, Coronary Artery Disease and Peripheral Artery Disease. -
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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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Syntax
Syntax
Our platform makes all the parameters, raw data, and technical terms easy to understand, no matter your experience. At Syntax, we are pioneers in revolutionizing value-based care and incentive design. Leveraging our expertise in advanced analytics and collaborative platforms, our SaaS-based enterprise solution empowers payors and providers to navigate the complex healthcare landscape with confidence and clarity. We simplify the intricate systems of value-based care, streamlining processes, and breaking down barriers that hinder collaboration. Our transparent and trust-driven approach enables all stakeholders to work together seamlessly, driving improved outcomes and transforming the way healthcare is delivered. Whether it's standardizing contracts, modeling incentives, or facilitating transparent collaboration, we are committed to making value-based care more accessible, efficient, and effective for everyone. -
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Trella Health Mosaic
Trella Health
Mosaic provides unparalleled visibility into market-wide performance metrics across provider types, so you can evaluate risk before you take it on, optimize relationships, and thrive in today’s value-based care landscape. When it comes to building and maintaining a winning network, you’re only as strong as an underperforming partner. Discover what’s needed to address gaps and seize opportunities. Achieve specific goals, such as adding provider types or creating a preferred provider group. Collaborate with providers to improve quality, utilization, and cost. Reduce total cost of care while improving patient outcomes. -
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Soliton
Persivia
Empower your healthcare with the game-changing Soliton® AI. Built on 30,000 evidence-based rules and machine learning, Soliton® automates your healthcare and care management tasks. Soliton® gives you the edge to succeed in the world of value-based care with unparalleled capabilities. Analyzes massive sets of patient data in real-time to drive improvement in clinical and financial performance. Supports multiple APMs. Adds value to telehealth by predicting billable codes during the patient encounter. Predicts future healthcare costs for your patients using multiple risk stratification models. Real-time clinical decision support to help you manage complex patient populations. Streamlines the patient journey and care from the acute to the post-acute environment using AI-enhanced care coordination. Identify care gaps, identify service and coding opportunities, generate patient-specific assessments, generate personalized care plans, and build custom cohorts. -
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Cedar Gate
Cedar Gate Technologies
Accelerate your transition to value-based care with intelligent solutions that improve performance, efficiency, and quality. Value-based care is an opportunity, but it can sometimes feel like an obstacle in day-to-day healthcare operations. With the right solutions at your fingertips, you can predict, model and forecast actionable insights to reach your goals. You no longer need multiple vendors to deliver better care and improve your bottom line. We have the keys to revolutionizing your healthcare organization from start to finish. High-performance healthcare is only possible with a robust engine. Cedar Gate offers state-of-the-art technology built on algorithms of expertise that are unmatched. We wake up each day to put you on the fast track to success. You will never have to shift your focus from the finish line because we have everything you need for your value-based journey. -
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Ingenious Med
Ingenious Med
Our easily implemented web and mobile solutions help physician practices and health systems gain more insights from healthcare data, align workflows with value-based care and strengthen revenue integrity. It takes more than great technology to be exceptional. Join the hundreds of delighted practices and health systems that rely on Ingenious Med to be their trusted partner, thanks to our highly committed, experienced support team and continual product updates to meet evolving needs. Ingenious Med delivers easily implementable mobile and web solutions that improve physician productivity and hospital performance at the point of care. We help health systems and physician groups increase revenues, make data more intelligent, align care with quality measures and optimize workflows across the healthcare continuum. We have over 20 years of experience partnering with providers and organizations across the healthcare continuum. -
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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. -
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Credo Health
Credo Health
Credo Health is an AI-powered SaaS platform built to advance the next generation of value-based care. It helps physicians, MSOs, ACOs, and health plans accurately diagnose, document, and treat every patient using comprehensive clinical intelligence. Credo’s platform unifies fragmented patient data to create near-complete longitudinal records directly within existing EHR workflows. Its AI-driven agents support medical record acquisition, data inspection, patient engagement, and performance optimization. Clinicians gain actionable insights at the point of care without added administrative burden. Administrators benefit from real-time analytics that improve risk adjustment accuracy and quality performance. Overall, Credo enables healthcare organizations to reduce costs, improve outcomes, and operate more efficiently in value-based care models. -
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CareCloud
CareCloud
Grow your practice with the number one cloud-based EHR and practice management software, CareCloud. CareCloud offers a complete suite of tools for healthcare professionals and providers of all sizes and practices. These include Concierge, a comprehensive revenue cycle management solution; Central, a user-friendly practice management tool; Charts, an easy-to-use electronic health records solution; Community, patient engagement and social tools; and Companion, a clinical and administrative mobile app. -
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Assurance Reimbursement Management
Change Healthcare
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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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. -
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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. -
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Change Healthcare
Change Healthcare
Our platform builds consistency, continuity, and scalability across our integrated portfolio, enabling our customers to improve operational efficiency, decision-making, and patient outcomes—and enabling innovation as our healthcare system evolves. With innovative data and analytics, plus patient engagement and collaboration tools, the Change Healthcare platform helps providers and payers optimize workflows, access the right information at the right time, and support the safest and most clinically appropriate care. We enable access to data and facilitate the interoperability of data between sources to support CMS patient access and interoperability rules, as well as enable real-time access to clinical documents to help better manage risk adjustment, improve HEDIS scores, and support accurate payments with faster adjudication. -
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Alaffia
Alaffia Health
Alaffia’s AI-powered system uncovers fraud, waste, and abuse in the most intricate healthcare claims to prevent and recover overpayments for payers and employers. Alaffia detects and corrects errors in misbilled claims before an improper payment is made. Alaffia empowers you to recover and save on overpayments previously made on misbilled claims. Overpayments on error-filled claims could be costing you hundreds of dollars per employee each year. Work with Alaffia to eliminate overpayments and drive more savings to the bottom line. The Alaffia system detects and corrects inaccurately billed claims, preventing overpayments. We work directly with your health plan or TPA for seamless integration and no disruption to your members. Our services are entirely contingency-based, so you only pay when we deliver savings. We ensure that providers aren’t charging your employees for services not rendered. -
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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. -
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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. -
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Jiva
ZeOmega
Population health management (PHM) consistently ranks as one of the top priorities of health plans today. The challenge is, how do you manage the overall health of your population without losing sight of the individual person? ZeOmega understands the importance of the individual member in emerging value-based care strategies. Our Jiva population health management solution builds comprehensive data at the population level with analytical capabilities that enable you to identify opportunities to improve care or influence patient behavior in real time. It’s built to address five comprehensive pillars that are essential for effective population health management. ZeOmega’s powerful population health management platform delivers high-value, strategic solutions enabling payers and care-delivery organizations to improve individual health and provider performance. Deep domain expertise and a comprehensive understanding of complex population health challenges. -
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ChartPerfect
ChartPerfect
Our innovative platform was developed by providers with feedback from medical professionals across the country, and as a result we’ve been continually recognized as an industry-leading EHR by Black Book™ for overall performance, reliability, support and customer care, and more! Our award-winning, cloud-based EHR software helps providers deliver care more effectively and efficiently. We have been in the healthcare industry for more than two decades, and that is the reason we excel at what we do. Since our initial launch in 1999, we’ve evolved our platform through meaningful collaboration with our providers and industry-specific vendors. We are no longer just EHR software. We are a partner for value-based care. Ultimately, our goal is to provide practices with advanced healthcare technology that enhance clinical workflow, reduce operational expenses, and optimize the provider-patient relationship. -
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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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DeVero
Netsmart
After joining the Netsmart family in 2017, the DeVero software offerings joined those of Netsmart, creating a truly unique, cloud-based platform that integrates across all care settings. Netsmart myUnity® leverages the most strategic components of the existing Netsmart and Devero market-leading home care, hospice, and senior living solutions, into a unified enterprise platform. Designed for value-based care with analytics, connectivity, population health management, and electronic referral management this custom platform was made just for you. Meet the Netsmart solutions that help your home health organization be more efficient, remain in compliance, and adapt to the future of healthcare. Learn how Netsmart hospice solutions manage regulatory and payment requirements so you can focus on the patients in your care. Want to see our home care and hospice solutions in action? Fill out the form to get started. -
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Axora
Axora.AI
Axora AI is an intelligent, end-to-end claims engine that blends AI-powered automation with billing expertise - managing everything from eligibility to payment posting. But it’s more than automation. Axora AI prevents denials before they happen, adapts to payer rule changes, and prioritizes what matters - so you recover more revenue with less effort. 1. Manages your full claims cycle from start to finish 2. Flags denial risks before submission 3. Prioritizes actions that improve cash flow 4. Seamlessly fits into your EHR, payer, and finance systems 5. No migrations. No disruption. Just faster, cleaner paymentsStarting Price: $30/month -
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HealthEM.AI
HealthEM.AI
Reimagine what care management can do, reduce the cost of care, minimize admissions and readmissions, boost star ratings and HEDIS measurements, and improve health quality and outcomes with a mission-driven data platform powered by AI. As value-based care takes prominence in the healthcare industry, Health EM.AI steps in to reimagine the care management process and improve care delivery through the power of data and AI. We simplify patient data from all points of care and apply AI/ML-based predictive analytics to empower healthcare organizations with actionable insights to improve the quality of care. Measurable impact at a patient level with palliative and chronic care management workflows. Unified patient 360 data across all points of care creates an impact on star ratings, risk adjustment, closing gaps, etc. Localized healthcare models that analyze more than 1,000 clinical and non-clinical features based on geography. -
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Availity
Availity
Collaborating for patient care requires constant connectivity and up-to-date information. Simplifying how you exchange that information with your payers is more important than ever. Availity makes it easy to work with payers, from the first check of a patient’s eligibility through final resolution of your reimbursement. You want fast, easy access to health plan information. With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day. Availity also offers providers a premium, all-payer solution called Availity Essentials Pro. Essentials Pro can help enhance revenue cycle performance, reduce claim denials, and capture patient payments. Availity remains your trusted source of payer information, so you can focus on patient care. Our electronic data interchange (EDI) clearinghouse and API products allow providers to integrate HIPAA transactions and other features into their PMS. -
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Health Intelligence Analytics
Analytics Partners
We make a difference with uncommon thinking. Providing the innovative products & resources that enable our clients to Do More With More, they are more informed, have more insights & are more successful. Reform and change within the healthcare market have forced payers to develop more consumer-focused business models – but a company’s legacy data warehouse environment isn’t always capable of supporting a move into this direction. Examine the case study of how one payer implemented our solution for tracking medical cost trends and providing pay-for-performance reporting. Going beyond their existing claims-processing capabilities, Health Intelligence Analytics (HIA) identified ways to save the company millions or your business. Simple10 HIA℠ Simple10℠ is all of your ICD-9 to ICD-10 tasks made simple. Simple10 eliminates conversion concerns through the pre-built crosswalk, customizable application and prebuilt analytics and dashboards. -
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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. -
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Amazing Charts Practice Management
Amazing Charts
Amazing Charts Practice Management is a comprehensive solution designed to streamline administrative tasks and enhance the efficiency of independent medical practices. Developed by a practicing physician, this system automates processes such as capturing patient demographics, scheduling appointments, pre-registering patients with insurance eligibility checks, and generating analytical reports. It also determines patient financial responsibilities at the point of care, maintains insurance payer lists, and ensures prompt and accurate billing to assist in payment collection efforts. Key features include the ability to view unpaid claims to ensure timely resolution, a claims manager who reviews submissions to reduce denials, and an integrated secure connect clearinghouse for high-level support and quick responses to payer changes. The system offers intelligent, interactive role-based dashboards that automatically prioritize work lists across all office areas.Starting Price: $229 per month -
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Optimum
Cantata Health
Meet Optimum, the smarter way for your hospital to serve patients with better workflow automation and financial results. Exchange Data Intelligently and Securely. As the shift to value-based care continues to grow, so does the need for better security, faster access to critical information, and smarter ways to coordinate care. Optimum offers effective care transitions and open communication between healthcare systems through a variety of sources, including HL7, quickly and without worry. Shouldn’t denials claim management help avoid missed payments and reduce uncollected claims? We think so. Optimum gives providers the ability to proactively solve problems like missing or duplicate information in an efficient, timely manner early in the billing process. Cantata Health Solutions powers the best electronic health record and financial management software for hospitals, skilled nursing facilities, and assisted living communities. -
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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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eClinicalWorks
eClinicalWorks
Patient medical record retrieval is just a search away. The PRISMA health information search engine is here to bring together medical records from primary care providers, specialists, clinics, urgent care centers, and hospitals to create a searchable, timeline view of a patient’s health history. Our Customer Success Stories illustrate real-world applications of our healthcare IT. See how eClinicalWorks customers are achieving value-based care and improving healthcare. At eClinicalWorks, we are 5,000 employees dedicated to improving healthcare together with our customers. More than 130,000 physicians nationwide — and more than 850,000 medical professionals around the globe — rely upon our EHR software for comprehensive clinical documentation, along with solutions for telehealth, Population Health, Patient Engagement, and Revenue Cycle Management. Privately held, and driven by innovation and excellence, we have a single focus — providing our customers with secure, cloud-based solutions.Starting Price: $499.00/month/user -
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SSI Claims Director
SSI Group
Elevate your claims management process and decrease denials through unmatched edits and an industry-leading clean claim rate. Health systems require access to technology that facilitates accurate claim submission and rapid reimbursement. Claims Director, SSI’s claims management solution, streamlines billing practices and provides visibility by guiding users through the electronic claim submission and reconciliation process from beginning to end. As payers change or modify reimbursement criteria for services, the system actively monitors and incorporates these changes and requirements. And with a comprehensive mix of edits at the industry, payer and provider levels, the solution aids organizations in making the most of reimbursement efforts. -
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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. -
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Smart Data Solutions
Smart Data Solutions
Streamline Your Complete Healthcare Data Workflow. Smart Data Solutions has the tools and experience needed to streamline both your paper and electronic workflows. Our integrated validation, matching, and normalization tools ensure the highest quality data possible, increasing auto-adjudication and reducing manual processing. Whether you’re new to Smart Data Solutions or a long time partner, our development process helps guide you through projects to ensure the best possible position for overall success. Whether your needs are basic or complex, our staff will work with you to understand your needs and the impacts of your workflows. We believe in focusing on your goals, what you want to accomplish, and from that, identifying the best way to get there. Smart Data Solutions provides complete front-end pre-adjudication solutions for hundreds of Payers nationwide. Whether you need basic services or a completely custom workflow, Smart Data Solutions offers a variety of solutions.
