Best Interoperability | Data Management Products

Clinicians can order, deliver, and monitor care from one unified platform within their current workflow. These include everything from connected devices to services including meal delivery and transportation, from patient education to surveys and PROs. Looking to alleviate the disparity in healthcare delivery while recognizing common technologies most people share, Xealth helps health systems make digital health a competitive asset.

Xealth enables healthcare teams to order digital content and services as easily as they do medications today. Patients can then access these digital health prescriptions from the provider's portal, so that they can actively manage their health.

• The Praia Health Identity and Engagement Platform is a managed Platform-as a-Service offering for health systems that enables high value, identity-driven digital experiences that engage and re-engage consumers with their health—before, during and between episodes of care. The solution enables health systems to own and leverage patient relationships, personalize their consumer experiences, and optimize and extend their operational model.
  
  
  
  The platforms’ Identity-Driven Personalization Services create, verify, authenticate, and manage robust consumer profiles that extend beyond the medical record—securely combining data and preferences across the consumers’ health ecosystem. These extended consumer profiles enable highly personalized recommendations—including health system transactions, services, and programs specific to each individual consumer.
  
  
  
  Our Consumer Experience Products and Services streamline the delivery of health-system branded signed-in experiences that fully utilize the power of the platform. Extend your existing custom web or mobile apps, or build new applications that utilize the Praia Health Platform, all via our Praia Health Platform API.
  
  
  The platform’s Ecosystem capabilities enable a health system to leverage their existing internal and 3rd party technology investments and take advantage of market-driven innovative solutions. The platform includes integration of the EMR and basic clinical services and can be expanded to support additional solutions for care delivery, population health, marketing, clinical trials research, wellness, revenue cycle, health plan solutions, care at home and more.
  
  
  
  New consumer insight will be realized through our Analytics and Insight Capabilities. The product is fully supported through our robust implementation, transition, and post-launch Service and Support offerings.
  
  
  
  By digitally engaging consumers in their personal health journey and then seamlessly connecting them to individualized services, support and resources, the Praia Health Identity and Engagement Platform creates and operationalizes a digital health flywheel—algorithmically driving net new direct and indirect revenue through recommended actions and operational efficiencies through self-service capabilities.

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

The national network, infrastructure, and APIs to access patient data securely and comply with regulatory mandates.

The most complete, timely, and clean EHR data

Connect to EHRs in seconds! As a leader in FHIR interoperability, 1upHealth focuses on bridging the gap between patient centered data and provider needs, thus creating a platform for patients to aggregate and share medical data from external health systems and wearable devices with providers enabling improved healthcare outcomes and lower costs. 1upHealth provides data interoperability between healthcare systems at a very low cost, fractions of a cent per API call, utilizing the latest FHIR standards, and patient-authorized access, to ensure the best insights at the lowest costs across healthcare providers for low-income, diverse, and vulnerable populations. Our organization is built entirely to support digital health companies. 1upHealth is building THE foundational API platform for healthcare application developers from health systems, health insurance payers, pharma, and digital health startups. Overall, we have more than 450 companies using our APIs which enable connectivity to over 10,000 health systems across the US.

Loyal Data Management is the only data management platform in the market that allows health systems to easily enable digital touchpoints across the patient journey acting as one source of truth for a fully digitized patient experience.

Benefits:

• Control and manage your data (provider, locations, services, and taxonomy) with one tool across the entire digital front door (websites, search, scheduling, referrals, and provider outreach).
• Automate the analysis, use, and application of data while managing accuracy.
• Work from a comprehensive clinical taxonomy library that aligns with current standards and is customizable for your needs.
• Automatically map specialties, conditions, treatments, and helpful synonyms to each provider’s specialty, enhancing the physician’s online profile and making care more easily searchable.

Results:

• Increased provider matching and patient satisfaction.
• Establishes data governance and enables controlled access to data.
• Reduces errors and identifies gaps in data.
• Improved operational efficiency and increased savings.

Healthcare interoperability consulting services, with a focus on:

• Executive leadership
• Solution architecture
• Integration development
• Education and best practices
• Vendor certification

Unify and manage health data and protected health information (PHI) in the cloud.

Lightbeam’s health information exchange (HIE) solution allows for seamless bi-directional integration into provider workflows, existing EHRs, and care management tools. Where there are no tools available, web portals can be made to allow for a holistic 360-degree view of the patient’s record. Our integration solution allows for more efficient, scalable, standards-based interoperability

The Lightbeam HIE addresses various challenges in interoperability, especially when dealing with disparate EHR systems and technologies, maintaining a unified patient record, exchanging data-rich records that follow the latest United States Core Data for Interoperability (USCDI) requirements, and ensuring available data without disrupting workflows. The HIE also is a key component in integrating various solutions and value add services that support data exchange further, such as Event Notifications and integration with Referral Management solutions.