Trusted technology. Proven results.
Our solutions provide essential data and insights for health plans to manage value-based care. Apixio’s robust data interoperability capability and AI analytics create accurate risk and quality measurement and actionable care decision guidance, in addition to helping automate key administrative and operations tasks. Our patented AI technology and EHR-integrated tools relieve the administrative burden many health plans experience.
Solutions for Health Plans
Apixio's Apicare Pre-Visit solution provides an easy-to-navigate summary of an individual's healthcare with valuable insights into risk, quality, outcomes, and clinical care. With user-friendly views integrated into clinical workflow tools, providers can easily use individual profiles to better inform care decisions and other team members can better coordinate and manage care between visits.Learn More
Apixio’s Apicare Insights solution provides targeted AI-generated condition predictions that help providers navigate their annual wellness visits or other patient encounters. The conditions are provided along with supporting evidence so that providers can address them during a visit. Apicare Insights ensures that all relevant chronic conditions are properly addressed and managed.Learn More
Apixio’s Quality Identifier solution uses proprietary AI algorithms to locate relevant clinical facts in medical charts. These facts are presented in an application where abstractors can easily confirm the evidence. Approved facts are then exported to quality measure engines to create an accurate measure score.Learn More
Apixio's InfoStream solution provides a comprehensive healthcare data acquisition and integration platform that ingests clinical and administrative data securely from various source systems to assemble patient clinical profiles (phenotypes) and power AI applications. InfoStream includes intelligent optical character recognition technology to turn images such as scanned encounter notes or facsimiles into machine-readable text.Learn More
Apixio's HCC Auditor solution ensures that reported risk adjustment diagnoses have the required supporting evidence in linked clinical encounters. AI algorithms review patient encounter data associated with submitted diagnoses and determines if documentation meets audit requirements. Those diagnoses in question are then presented to expert coders in a user-friendly application for review and approval.Learn More
Apixio's HCC Identifier solution creates an accurate risk score for payment adjustment and care management with the least amount of time and effort. AI algorithms review patient encounter data and identify well-documented conditions unreported in claims data. These conditions are presented in a user-friendly application for expert coders to approve before submission to CMS.Learn More