AI-Enhanced
Value Based Care
Driving better outcomes and lowering costs via Semantic AI
Solutions for payers, providers and ACOs
Leverage both structured and unstructured data to optimize performance, improve care quality, and reduce administrative burden
Automated
Chart Review
Supercharge clinical coding for charts and clinical notes
Real-time Quality Measurement
Close care and quality gaps to optimize HEDIS, STARS and other quality measures
Healthcare providers are great at clinical documentation...
Charts, notes and transcriptions capture all the detail, but having access to the data is only half the story.
... but not so great at sharing data that's easy to use
Legacy formats, unstructured text and PDFs are challenging to work with, which makes it difficult to spot quality and care gaps.
That's why we developed the most advanced AI solution for complex coding
Semantic AI extracts accurate, contextualized information from any data source. We developed it for world's largest national health system, and we now offer the same benefits to value-based payers, providers and ACOs.
Let's see it in action
Population health management
Effective population health management begins with high-quality data. Our platform leverages Semantic AI to process clinical documents, while seamlessly integrating data from other sources such as claims and pharmaceutical utilization. The result is a comprehensive, population-scale analytics that can be effortlessly drilled down to the individual member.
Quality improvement
We deliver a curated selection of opportunities to close care gaps and enhance quality. These include member cohorts needing specific screenings, batches of charts with missing codes, and providers who may benefit from a nudge. By identifying patterns and behaviors, our platform provides a data-driven foundation for actionable member- and provider-focused interventions.
Chart review
Dramatically enhance the efficiency of your Chart Review Team by providing AI coding suggestions that enable coders to process charts five times faster than the old fashioned way. By highlighting suggested codes directly on the chart, reviewers can swiftly verify AI-driven recommendations and compile auditable evidence to support quality measurement and risk adjustment.
Features & Benefits
