For Health Plans
Close care gaps before they cost you
Medicare Advantage, Commercial, Medicaid managed care
HEDIS 2026 Season: Measurement year is underway — align your quality program now.Get started →
Built for every role on your team
From clinical leadership to IT -- solutions for the problems that matter most.
CMO / Medical Director
The Problem
HEDIS scores stagnating while quality bonuses slip away. No visibility into real-time measure performance.
The Solution
Real-time dashboards showing measure performance across your population. Custom measure creation for proprietary quality programs.
Quality Director
The Problem
Manual HEDIS calculations consuming 40-60% of your team's time. Specs change, you start over.
The Solution
80+ HEDIS measures auto-evaluated in <2 seconds. Care gap detection triggers same-day interventions.
CFO / Finance
The Problem
$500K-2M revenue loss per 1% HEDIS compliance gap. Revenue cycle and quality on separate platforms.
The Solution
$722K annual savings. Integrated revenue cycle (claims, remittance, price transparency) on the same platform.
IT / CTO
The Problem
EHR integrations taking 18-24 months. Security compliance is a manual process.
The Solution
90-day deployment via FHIR R4. CVE-remediated, ZAP-scanned, HIPAA engineered -- not bolted on.
Live Portal
See what your team sees
Role-specific views from our live Clinical Portal — not mockups.
CMO Dashboard
Executive Dashboard
Real-time quality KPIs and measure performance
Quality Measures
HEDIS measure library with compliance tracking
Quality Analyst
Measure Evaluation
One-click HEDIS measure evaluation
Evaluation Results
Pass/fail compliance scoring with drilldowns
Data Analyst
Risk Stratification
Population-level risk scoring and cohort analysis
Quality Constellation
Multi-dimensional measure visualization
Capabilities for health plans
The platform features most relevant to your organization.
Quality Measure Engine
80+ HEDIS measures with real-time CQL evaluation
Direct CQL execution on FHIR R4 resources. Under 2-second evaluation per patient. Population-level batch processing with 10 concurrent threads.
Care Gap Detection
Automated identification and closure workflows
Real-time detection as clinical events occur. Closure workflows for clinical teams. Patient engagement integration.
Revenue Cycle
Wave-1Claims, remittance, price transparency
Wave-1: claims processing, remittance reconciliation (ERA/835), price transparency APIs, ADT event handling.
Custom Measure Builder
NewCreate and deploy custom quality measures via UI
Health plans can build proprietary measures without engineering. 7 configurable metadata fields.
CMO Onboarding
NewDashboard workflows and acceptance playbooks
Structured evaluation-to-adoption path for health plan CMOs. Validation hooks at each milestone.
Return on Investment
Concrete financial impact for health plans.
Impact
$500K-2M per 1% HEDIS gap
Savings
$722K annual savings
Payback
22-day payback
Result
1,720% ROI
How we work together
From first call to production in 90 days.
30-minute call
Discovery
We learn your quality program, data landscape, and goals.
48 hours
Fit Assessment
Technical review of integration points and measure coverage.
Live deployment
90-Day Pilot
Production deployment with dedicated success team and weekly check-ins.
Ongoing
Partnership
Full platform access, priority support, and custom measure development.
Ready to get started?
Choose your path -- from a quick overview to a full pilot deployment.