Population Health Management

Transform Population OutcomesWith Real-Time Intelligence

Manage 125K+ member populations with AI-powered risk stratification, predictive analytics, and automated care coordination. Built for federal healthcare scale.

125K+
Members Managed
35%
Risk Score Accuracy
<2sec
Analytics Response
$2.3M
Annual Savings

Real-Time Population Analytics

Monitor your entire population's health with intuitive dashboards and actionable insights

Population Health Dashboard showing risk stratification and care gaps

Click to explore the population health dashboard

Comprehensive Population Management

Everything you need to improve outcomes and reduce costs across your entire population

Risk Stratification

AI-powered risk models identify high-risk members before acute events

  • Predictive readmission models
  • Chronic disease progression
  • Social determinant impacts
  • Cost prediction algorithms

Care Gap Analysis

Automatically identify and prioritize care gaps across quality measures

  • HEDIS gap identification
  • Star ratings optimization
  • Preventive care tracking
  • Custom measure support

Care Coordination

Streamline care team collaboration with automated workflows

  • Care team assignments
  • Task management
  • Automated outreach
  • Progress tracking

Performance Analytics

Deep insights into program effectiveness and ROI

  • Quality measure trends
  • Cost analysis
  • Utilization patterns
  • Benchmark comparisons

Real-time Monitoring

Track population health metrics as they happen

  • ADT feed integration
  • ER visit alerts
  • Admission notifications
  • Discharge follow-up

Intervention Management

Design and track targeted interventions for at-risk cohorts

  • Campaign builder
  • A/B testing
  • Outcome tracking
  • ROI measurement

Advanced Risk Stratification

Our AI models analyze 200+ factors to predict risk with unprecedented accuracy

Multi-Dimensional Risk Scoring

Clinical Risk Factors

Chronic ConditionsWeight: 35%

Social Determinants

SDoH FactorsWeight: 25%

Utilization Patterns

Healthcare UsageWeight: 20%

Behavioral Indicators

Engagement & AdherenceWeight: 20%

Risk Score Distribution

High Risk (80-100)2,847

Immediate intervention required

Rising Risk (60-79)8,421

Preventive care focus

Moderate Risk (40-59)31,582

Routine monitoring

Low Risk (0-39)82,150

Wellness programs

Proven Outcomes & ROI

Real results from healthcare organizations using our population health platform

Clinical Outcomes

Readmission Rate Reduction-28%
ER Visit Reduction-18%
Care Gap Closure Rate+42%
Medication Adherence+31%

Financial Impact

Per Member Per Month Savings$18.40
Total Cost of Care Reduction-12%
Quality Bonus Payments+$1.2M
ROI First Year3.2x

Time to Value

Most organizations see measurable improvements within 90 days

30 days

Initial insights

60 days

First interventions

90 days

Measurable ROI

Seamless Data Integration

Connect all your data sources for a complete view of population health

Clinical Data

  • • EHR/EMR systems
  • • Lab results
  • • Pharmacy data
  • • ADT feeds

Claims & Financial

  • • Medical claims
  • • Pharmacy claims
  • • Eligibility files
  • • Risk adjustment

External Sources

  • • HIE data
  • • SDoH databases
  • • Public health registries
  • • Wearable devices

Ready to Transform Your Population's Health?

Join leading healthcare organizations achieving breakthrough outcomes