Solutions
Data-Driven Solutions Tailored to Your Needs
Our PHM Platform includes a suite of products designed to help you get the most out of your health data. Because population health management is all we do, our focused solutions have the flexibility to meet your needs, and the speed to give you actionable insights when you need them.
HealthEC Platform
A Centralized Source of Data and Insights
The HealthEC platform facilitates data access and connectivity that helps you highlight gaps in care, identify cost efficiencies, and improve the quality of care and oversight of care populations. By using feeds from all available clinically and financially relevant sources, we enable you to capture virtually all available electronic healthcare data for your member patients ― claims, clinical, lab, pharmacy, public health, and SDoH data ― and store that information in a single-source-of-truth data repository.
Our platform is built on modern technology and architectural principles of containerization and microservices. This allows us to horizontally scale up/down the platform dynamically and automatically in response to the increased usage and data loads we expect to see as more healthcare organizations transition to value-based care strategies. This microservices methodology also means minimized dependencies —allowing us to quickly and seamlessly add newer product features to our platform as they are developed, tested, and deployed in response to emerging trends and unforeseen circumstances.
Our solution, which makes use of open-source and standard technologies and uses a software-as-a-service (SaaS) service model, is host agnostic. Our standard implementation is to deploy our solution within a HIPAA-compliant and HITRUST-certified AWS cloud.
We can also deploy our platform in other public clouds, such as Google or Microsoft Azure, or in a private cloud.
To ensure the security and privacy of your data, HealthEC has partnered with CrowdStrike to provide 24x7x365 monitoring of our infrastructure through its Falcon Complete solution. CrowdStrike’s Falcon sensor has been enabled/installed to comprehensively address intrusion detection, containment, vulnerability detection, and malware and anti-virus protection.
Data Aggregation & Management
Access and Aggregate Virtually All Available Data
The foundation of our PHM platform is the Data Aggregation & Management module with its unmatched ability connect structured and unstructured electronic patient healthcare information. Proprietary algorithms and our Enterprise Master Patient Index turn this data into a complete patient-centric, chronological view of claim, clinical, and lab history for each member.
These combined data enable streamlined access to actionable decision support, point-of-service care coordination, PHM, and program administration information.
This module collects data in real time or batch mode (scheduled or ad hoc) for incorporation into our platform via established interoperability protocols, interfaces, and secure connectivity, including FHIR, and supports integration with hundreds of systems across the healthcare ecosystem. The solution includes over 400 prebuilt extensions — including 200+ parsers for EMR/EHRs — to facilitate data ingestion and aggregation.
- A Wide Variety of Systems
- Virtually Any Care Setting
- A Wide Array of Formats
- EDI 837, CCDs, CCDA data, MMISs, MDM, CCLF files, proprietary formats, flat files, SQL statements, APIs, ORM and ORU message types, HL7 and FHIR messaging, ORC), VXU, RXA, RDE, and more
Our Data Aggregation & Management module includes our proprietary Observability stack, which tracks every event happening in the system continuously and can alert our analysts to inbound data errors, format mismatches, and validation problems so that data issues are resolved before they impact reporting and care coordination.
Data Analytics
A Robust Library of Prebuilt Industry-Validated Reports
Our Data Analytics deliver intuitive interactive dashboards and visualizations that engage and empower organizations with the right data at the right time. The system is designed to create and customize appropriate filters to look at patient cohorts, specific member programs, or selected plans.
HealthEC’s integrated predictive analytics and risk engines extend across all sources to identify utilization patterns, high-risk and rising‐risk members, gaps in care, opportunities for care management optimization, physician performance patterns, member trends, and total cost.
- Unique, proprietary algorithms for risk analysis, care planning, and disease management
- Provider and care manager scorecards with risk-adjusted peer comparison
- Network monitoring and referral utilization
- Quality performance evaluation by disease and measure
- AI/ML algorithms/models to stratify cohorts
- Linear regression models for continuous outcome variables such as total cost or pharmacy cost
- Logistic regression models for probabilities of high cost, inpatient hospitalization, and readmission.