A smarter way to manage value-based care.

The HealthBI care navigation platform gives payers and providers a streamlined and centralized answer to operationalize preventative and transitional care–driving dramatic results for value-based performance and clinical outcomes.
HealthBI aggregates all necessary data and evidence from practices, hospitals, payers, and community care teams to prioritize, communicate, and distribute patient care by automatically closing care gaps, tracking productivity, reducing costs, and improving HEDIS and STAR ratings.

HealthBI Care Navigation Platform

Our care navigation platform allows payers to continuously collaborate with providers and community-based care teams for better, faster, and cost-effective population health management across all settings and lines of business.
  • I want to know which of my patients require immediate attention.
  • I need to be proactive about patient care.
  • I’m making sure I’m keeping up with my workload.
  • I want to manage a single patient.
  • I want to make sure my organizations are on track.
  • I need to manage care paths.
  • I am approving closed gaps.
  • I want to see a summary of gap closures.
  • I want to know where money is being spent.
  • I need to identify risks for increased costs.
  • I want to know where we are saving money.

Product Benefits

Improve the Quality of Patient Care

HealthBI is a patient-centered workflow platform that identifies high-risk patient needs and easily distributes tasks and results to virtual care teams and community-based resources, elevating the quality of outcomes for the members they serve.
25% decrease 30 day re-admits.
30% increase PCP visits.

Increase User Adoption & Collaboration

HealthBI co-developed with care coordinators from some of the nation’s largest health plans to establish care management goals and drive value-based care activity, while maintaining continuous shared insights on performance.
Multiple care sites: PCMHs, ACOs, FQHCs, and physician practices.

Dramatically Increase
Quality Metrics

HealthBI clients have improved quality metrics by aligning both clinical and financial initiatives on a risk-adjusted operational workflow platform that ultimately drives higher reimbursements through improved quality outcomes.
298% increase in gaps in care closed.

Eliminate HEDIS “Chart Chasing”

HealthBI has transformed performance management for providers and payers. Automating gap closures and productivity reporting, while dramatically improving outcomes and eliminating the high cost of year-end chart chasing.
$350 million recognized cost savings and STAR reimbursements.


The numbers speak for themselves.

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    14+ Million Health Plan Lives

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    Deployed in 50 states

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    50,000+ Care Sites

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    5,000+ Data Sources & 7 State HIEs

Let’s work smarter together.

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