Best Utilization Management Software in China
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Compare the Top Utilization Management Software in China as of July 2025
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What is Utilization Management Software in China?
Utilization management software is an important tool for helping healthcare providers manage patient care. It can help streamline processes, automate procedures and review treatments to ensure quality and cost-effectiveness. This software also offers features such as pre-authorization requests, clinical criteria checks and concurrent reviews. Finally, utilization management software can help analyze cost savings and outcomes while providing insights into treatment options. Compare and read user reviews of the best Utilization Management software in China currently available using the table below. This list is updated regularly.
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1
Ciox HealthSource
Ciox
Every record represents a real person. Each data point is a potential game-changer in someone’s life: a connection to be understood and acted upon. And so our goal is to enable greater health by improving the way health information is managed. For 40 years, Ciox has advanced the healthcare industry through better health information management and exchange of health information. Our broad reach in medical records extends across industries, allowing us to modernize workflows, facilitate access to clinical data, and improve the accuracy and flow of health information. We help our clients manage, protect, and leverage health information to achieve operational improvements, optimized revenue, and better patient outcomes. Ciox HealthSource is a fully scalable clinical data platform Ciox HealthSource is a fully scalable clinical data platform utilizing Artificial Intelligence technology to enable higher quality data, drive down administrative burden and improve financial performance. -
2
Rallyest
Rallyest
Imagine having a way to support someone in treatment with a mobile secure and user-friendly tool. Wouldn’t it be amazing to have the ability to rally a client’s professional team and their natural network of support to increase the likelihood of lasting treatment success? You can give clients your best with Rallyest. Rallyest is pleased to announce the addition of video capabilities to the must-have line-up of features. By using a smartphone or computer, Rallyest captures secure video to share with a client, their support network, as well as their professionals. Making improved and confidential input, support, and connection possible for those in treatment settings. Engage clients, involve their support network, and boost treatment success for everyone. Rally a client’s extended network of select family, friends, co-workers, clergy, and professionals. Enjoy one location for a client’s photos, videos, updates, files, posts, comments, notifications, announcements, etc.Starting Price: Free -
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BlueNote Communicator
BlueNote Software
Set your office in motion instantly. Whether you need to notify someone that a patient has arrived, a task should be managed, or a room is ready for a provider, one click of a Light is all it takes. Because BlueNotes need to be experienced first, by the people who will actually be using them. The program isn’t simply technology that you can view on a monitor to understand how it really works. Strictly speaking, blue notes are the microtones between the regular notes on a musical scale. You can hear them when they’re played or when someone sings them, but there’s no way to write them down. Blue notes are soul - they are what make all the difference between classical and modern music. There is so much more to our BlueNotes than messaging. The system becomes the living heartbeat of an office, so that everyone knows where kindness is needed, every moment of the day.Starting Price: $835 one-time -
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Connexall
Connexall
Connexall, ranked number one and named Category Leader in the 2015/2016/2017 and 2018 Best in KLAS awards, is an enterprise-grade event management and control platform that delivers hospital-wide interoperability to people, systems, tasks, and devices. Its capabilities act as a backbone for clinical workflow, communicating the right information to the right person, at the right time, on the right device. Based on more than 20 years of R&D efforts, the Class II medical device software is completely vendor-neutral and device-independent. Connexall has offices in Canada, the United States, Brazil, Portugal and Hong Kong and works with well over a thousand of the world’s most renowned and progressive hospitals and health systems. Connexall captures organic data from all connected systems and each interaction during an event’s lifecycle to provide high-level, real-time outcome visibility. -
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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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Therap
Therap Services
Therap is the industry leader in providing electronic records and documentation in long-term care services for people with Intellectual or Developmental Disabilities. Therap is a web-based application suite that was designed to provide a comprehensive solution for the planning, documentation, reporting, communication and billing needs of organizations supporting people with intellectual and developmental disabilities in home and community-based services (HCBS) and other settings. Using secure cloud technology, the Therap system improves the quality of service within day programs, assisted living facilities, ICF/IID facilities, community support programs and state organizations. Daily communication and reporting between the states, administrators, health care professionals, case managers, quality assurance teams and families becomes seamless. -
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AccuCare
Orion Healthcare Technology
Since 1992, Orion has been providing technology solutions and professional services to improve the workflow for the addictions and mental health profession. The cloud-based AccuCare EHR, Orion’s flagship software product, was designed by a highly experienced team of clinicians and engineers to improve the major areas of your agency, including clinical, financial, billing, administrative, research and analysis. AccuCare includes everything from custom-built screening/assessments, admission/discharge, treatment planning, progress notes, telehealth, e-prescribing, scheduling, electronic billing, custom reporting and more. The AccuCare Web-Based Practice Management System is supported by a dedicated team of specialists, trained to answer every question about your system and how it can be used within your current documentation and billing processes. Customer support is included in your subscription, as well as automatic updates and upgrades based on real customer feedback. -
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AveCare
Avedon Health Systems
Effectively managing patient care demands the right combination of clinical and software resources. In an industry that is typically labor-intensive, those resources should not only support and enhance the care management process, but also contribute to corporate profitability. AveCare’s seamless integration of care management functions (CM, DM & UM), streamlined workload, management capability and affordable pricing Structure allows organizations to optimize clinical and financial resources while improving quality of care and patient outcomes. Exchange data from multiple sources including: eligibility, claims, networks, pharmacy, diagnostic and lab results, predictive modeling, decision support tools and e-fax. Integrated by design allowing for the seamless integration of case management, disease management/education and utilization management functions. From a single point, view or access all CM/DM/UM activity and information relevant to a particular patient. -
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VitalHub
VitalHub
VitalHub’s portfolio of Patient Flow, Operational Visibility & Patient Journey Optimization solutions are designed for complex hospital and integrated health environments. Our technologies empower frontline teams, clinicians, and leadership to improve patient experiences and achieve higher levels of operational efficiency, resulting in safer care for patients. We deliver solutions which optimize patient flow, perioperative care, demand & capacity, virtual consultations, clinic management, and the patient journey. VitalHub solutions improve transparency and communication through real-time whole system visibility, Integrated information for coordinated care, and optimization of patient movement. VitalHub’s EHR suite of solutions go beyond standard clinical data collection, our solutions provide a comprehensive, holistic view of patients and clients at the point of care. -
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TreeAge Pro
TreeAge Software
TreeAge Pro is the leading tool for building decision trees, Markov models and event-based simulations. TreeAge Software, LLC has been a beacon in decision analysis and health economics for over 30 years. Our team of scientists, engineers, trainers and support associates have grown and developed alongside the decision analytics community to build and refine our flagship software – TreeAge Pro. TreeAge Software, LLC is a privately held company headquartered in Williamstown, Massachusetts. TreeAge Pro is the leading visual tool for creating and analyzing decision trees. Create decision trees of unlimited complexity for any type of decision. TreeAge Pro software is used in a wide array of industries, including healthcare, legal, oil & gas exploration, management consulting, investing, teaching, etc. TreeAge Software has earned the trust of more than fifteen thousand modelers globally, including in the US, Europe, Latin America, Asia, Australia and Africa.Starting Price: $450 one-time payment -
11
Getinge
Getinge
The need for integrated solutions and access to knowledge is essential, as technology evolves and therapies become more sophisticated. As your full-service partner, we support you through the entire clinical pathway, so that you can continue to provide excellent care, without ever compromising on quality and safety. Whether you are producing the cures of today or discovering the cures of the future, preventing contamination from occurring is the common challenge. We are there to support you in ensuring a productive and contamination-free research or production environment. Advanced medical equipment needs the combination of smart financial solutions and preventive service maintenance to ensure maximum uptime. We offer you full cost control and peace of mind, allowing you to focus on what's important, saving lives. As a leading medtech company, we focus every talent and resource towards helping our customers save as many lives as possible. -
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The hospital management system can provide an automated way of managing any hospital activities rather than a traditional system. Moreover, this system can operate regular hospital activities like IPD, OPD, billing, test, bed management, account sector, HR management, etc. accurately and efficiently. Also, it helps to generate the daily, weekly, monthly, half-yearly, and yearly reports of sales, revenue, patients, lab test, bed management, etc. as your requirement easily. To see these reports, you need to click on some options. The most important thing is that an admin can observe everyone through the software. An internal messaging platform helps employees to communicate with each other as well. All in all, clinic management software helps you to be with trends, and it also gives you the chance to run your business administration digitally and very efficiently.
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Clarify Health
Clarify
Distilling fractured health data into actionable insights. Clarify Health’s analytics platform cuts through the fog. We help you thrive in a post-pandemic world by delivering precise insights into provider performance, patient journeys, and therapy adoption. Leverage our advanced analytics software to confidently improve physician performance, match patients to the right care, and navigate value-based arrangements. Access insights to accelerate product launch and growth, demonstrate real-world impact, and enable outcomes-based commercial agreements. Identify top physicians and facilities more accurately, deliver a more personalized experience to members, and maximize value-based engagements. Timely insights through thousands of predictive models that organize data into real-time analyses to drive demonstrable ROI. Driven by big data. Powered by innovative technology. Turning health data into impact. -
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Midas Health Analytics
symplr
Coordinating care, evaluating and demonstrating quality, identifying risks, and monitoring compliance all require data from multiple sources and systems — and all are key to improving the patient and provider experience. Midas Health Analytics improves operational and clinical performance with solutions that manage risk, control cost, and turn data into actionable insights. Track and trend performance over time, proactively manage and mitigate risk, make data-driven decisions amid constant regulatory changes, and elevate and foster a safe care environment for all. Reach unprecedented operational efficiency when evaluating, interpreting, and demonstrating quality of care performance results to stakeholders in today's complex healthcare ecosystem. -
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Provation
Provation Medical
Many hospitals, ambulatory surgery centers (ASCs) and health systems experience significant procedure documentation challenges. Most physician documentation methods, including dictation, transcription and EMRs, lack standardization which can lead to inaccurate, incomplete and non-compliant procedure notes. The resulting reports are not searchable or easy to analyze because they are built with unstructured data. Not to mention, insufficient, tedious workflows lead to financial losses and frustrated physicians. Guides physicians through an intuitive workflow navigation tree to offer appropriate selections for quick documentation. Helps organizations meet quality and compliance standards by allowing users to run over 100 reports and analyze structured data reports. Connects directly with endoscopy scopes to collect all relevant images and add them to procedure notes. -
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OASIS Intelligence
Inovalon
Improve organizational performance and validate OASIS data more efficiently with cloud-based quality reporting and analytics software for home health. Empowering home health agencies to identify actionable opportunities to improve outcomes and star ratings, reduce readmissions, boost referrals, and increase revenue. OASIS Intelligence is the go-to resource for your home health agency’s performance improvement needs. From organizational performance analysis to accurate and rapid validation of OASIS data, our cloud-based application has you covered. Access the most current data available to identify performance trends and gaps, drive faster process improvements, and increase star ratings. Ensure quality and proper reimbursement with automated alerts that help you stay on top of errors and inaccuracies on the OASIS form. View everything from monthly trends and condition-specific analyses to patient-level results with our comprehensive and flexible reporting. -
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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. -
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Medius Health
Medius Health
Unleashing the power of Medius’ multi-cloud artificial intelligence platform to deliver greater than 90% accuracy and coverage on various health intelligence and risk predictions using just a few health variables. Using just a few health data co-ordinates, Medius’ multi-cloud artificial intelligence platform aggregates, and mines massive datasets to create all relevant health risk and underwriting insights within seconds, with over 90% accuracy and coverage that can help providers and payers with their health and life needs assessments, distribution, operations efficiency, and cost optimization needs. Medius’ proprietary UW Studio™ is a complete underwriting platform delivering the AI revolution that has fundamentally altered the insurance landscape whereby multiple science-based underwriting ensemble models are deployed to address the business and technical requirements by reproducing humanistic deductive actuarial reasoning with clinical accuracy. -
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Swoop
Swoop
Privacy-safe DTC and HCP segments that are higher in audience quality and drive greater lift over conventional targeting approaches. Every therapy is specialized and each brand is unique so we don’t believe in traditional condition-based segments. We seek to understand your challenges and business goals when designing custom audiences. Whether you are a market leader, a new entrant facing adherence challenges, or planning to execute a multi-product strategy, we can help you drive results. We maintain the industry's highest standard of performance markers as validated by third parties. And if you reveal your Audience Quality (AQ) benchmark upfront, we guarantee to meet or exceed it. Higher AQ drives greater engagement, optimizes conversion, and ultimately increases script lift, as well as boosts therapy adherence and thus patient lifetime value. We ensure 100% compliance with all laws, policies and guidelines. -
20
InterQual AutoReview
Change Healthcare
InterQual® AutoReview is a cloud solution for providers who want to apply AI to real-time data extracted from the EHR for patient-specific prediction and proactive insight while automatically completing the InterQual® medical review. InterQual AutoReview helps reduce administrative burdens by automatically completing InterQual medical reviews with data from your EHR within your existing workflow. Increase payer trust with accurate, transparent medical reviews that contain embedded EHR data for each objective InterQual criteria point with InterQual AutoReview. -
21
One Step
One Step
Built for behavioral health organizations, by a team who is passionate about helping those in recovery. We are fortunate enough to work with some of the best sober living, and recovery coaches. We support these programs by providing the digital tools they need to run data-driven programs that best serve their clients. We build software to help sober living, drug courts, recovery coaches and treatment centers provide the best programs to their clients. Our mission has always been and will always be to help the organizations who dedicate their lives to helping others in recovery. We want to help you run the best program you can by automating all the manual workflows involved with running a behavioral health organization. We help you support your clients using digital tools, and make it easier for you to run your program using an all-in-one system developed just for you. Increase your revenue and your referrals. -
22
Acuity Advanced Care
Chordline Health
Acuity Advanced Care™ is an on-premise population health platform that provides flexibility to support the specific needs of case, utilization, disease, and population health management programs. The system allows organizations to have full control of their environment and is configurable to each organization’s unique care. Over 90% of our Acuity Advanced clients are NCQA or URAC accredited or hold both accreditations. Acuity Advanced Care provides the flexibility that on-premise offers and full database access. The on-premise installation provides control of where data resides. Customers with experienced IT teams that manage the setup, securing, and maintenance of complex systems. Chordline Health is the leading provider of software designed to support health plans, TPAs, ACOs, and other risk-bearing organizations. The Chordline team of US-based clinicians and developers are recognized for their best-in-class managed care expertise and customer support. -
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AbleTo
AbleTo
Our virtual therapy and coaching programs can help you reduce feelings of stress, anxiety, and depression, while our on-demand self-care gives you the tools you need to build resilience and cope with everyday challenges. Using evidence-informed tools, you’ll learn how to manage your emotions and feel more in control — no matter what life throws your way. Customizable and protocol-driven cognitive behavioral therapy programs are developed by the leading experts in mental health. Predictive analytics find the people in need of support and drive engagement with strategic marketing campaigns. With the support of our tech platform, clinicians cap costs by matching members to the treatment that best suits their needs. AbleTo’s seamless integration into your health plan’s existing care pathway is backed by the guarantee that you only pay when we provide value. -
24
Icario
Icario
Connect personally and powerfully with people with the leading digital-first platform. Increase above the national average in annual wellness visits. Icario is a health action company so you only pay for outcomes. Icario uses whole-person data, behavioral science, digital-first omnichannel pathways, and smart rewards and incentives to help you connect personally with people. We know what they want, how they like to connect, and what moves them to take action. When people take proactive steps for better health, healthcare organizations get healthier, too. Icario combines your data with ours to create whole-person data, turning lines on a spreadsheet into living, breathing people. Our proprietary behavioral research and quantitative data advance your knowledge of people from clinical to deeply personal. Smart, omnichannel pathways match the right messages and outreach sequences to each individual to drive the right health actions. -
25
IPM.ai
IPM.ai
Specialty and rare diseases have undefined patient populations, with individuals who are undiagnosed or misdiagnosed, healthcare providers who are unaware of disease states and their manifestations, as well as treatment journeys that are not well understood. IPM.ai is an Insights-as-a-Service (IaaS) company that empowers the world’s leading life sciences brands to better understand and improve the lives of patients through the development, clinical study, and commercialization of therapeutic interventions. Maximize commercialization efforts by forecasting market size, competitive landscape, and potential ROI. Uncover ideal patients who are undiagnosed and/or misdiagnosed who may be appropriate for disease interception and therapeutic intervention. Statistically model the number of disease cases present in a particular patient population at a given time. Identify physicians who diagnose and treat ideal patients and influence other health care providers. -
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iSMAF
CESS
The tools of the SMAF finally reunited in a single shareable information system. Automatic calculation of the SMAF profiles. Reports facilitating the analysis of results and the development of the assistance plan. Simple and easy to use by the health care professionals. Facilitates networking and service organization. No need for software installation. The iSMAF, the fifth major release of our software, is a web software that computerizes proven clinical tools and processes supporting the SMAF tool. The iSMAF edition for Quebec includes the PRISMA-7, the SMAF evaluation grid, the social-SMAF, the Iso-SMAF profiles generator, and the care table. It also includes several functions allowing clinicians and managers to generate various reports on subjects or on groups of subjects. It is, therefore, possible to obtain an overall picture of the establishment, the evolution of profiles, or of one SMAF item through time, or to compare the profile distribution among different subject groups. -
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Jembi
Jembi
We partner with aid organizations and governments, to design human-centered, open-sourced health information systems. Extracting insights that empower decision-makers, health workers, and patients in Africa. We specialize in digital health information systems for African low-resource settings. We focus on enterprise software and facility hardware. From design to development, then onward to implementation, training, and support. In the future, data analysis for the strategic management of those limited resources. We believe that robust health systems, and the sharing of information, will advance global health. Strengthening our health systems with local people for their own needs. Investing in and developing systems that are within reach of low-income countries. Helping build their capabilities to support their own solutions. We are an African non-profit organization improving global health by developing information systems, partnerships, and local capacity. -
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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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LGI Healthcare Solutions
LGI Healthcare Solutions
We help to improve the performance of thousands of healthcare facilities worldwide, as well as the experience of their staff and patients. A solution that optimizes ambulatory care pathways to bring patients peace of mind. LGI eClinibase increases patient care pathway visibility and reduces waiting times by disseminating information on each episode of care. Eliminate paper and quickly access data on referrals, wait lists, and appointments. Lists and summaries of all episodes of care from one or more clinical administrative systems. Management of referrals, appointments, and patient communications for the entire facility. Management of referrals, appointments, and patient communications for the entire facility. Automatic suggestions for corrections to patient records and duplicate matching. Management of the professional activities agenda (intake management, appointments, clinical documentation, and statistics for the MSSS). -
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Medworxx
CENTRALSQUARE
Equip your healthcare team with clinical-decision support software that takes the guesswork out of capacity management across the entire hospital. This evidence-based, clinical-decision support system tool helps your facility increase bed turnover and improve the patient experience. Harness the power of predictive analytics and better data to improve care coordination and patient satisfaction. The hospital bed management system provides care teams with visibility into the status of each patient’s journey and enables bed demand and capacity management across the hospital, or from multiple sites within a healthcare delivery system. Empower your physicians, nurses, and clinicians with software that eliminates clinical subjectivity and standardizes data collection. Medworxx generates predictive analytics to leverage data that anticipate trends and provides healthcare professionals with smarter data.