Best Value-Based Care Software - Page 2
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Compare the Top Value-Based Care Software as of November 2025 - Page 2
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1
TriZetto
TriZetto
Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement. Meet the shift to healthcare consumerism head on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes. -
2
Oracle Health
Oracle
Connected technologies and unified data empower individuals and enable the health ecosystem to accelerate innovation and influence health outcomes. Oracle Health is building an open healthcare platform with intelligent tools for data-driven, human-centric healthcare experiences to connect consumers, healthcare providers, payers, and public health and life sciences organizations. With the largest global EHR market share, we are able to bring data together to enable clinicians, patients, and researchers to take meaningful action, advance health, and work to improve outcomes worldwide. Rated the largest revenue cycle management (RCM) leader by IDC MarketScape, we provide timely, predictive, and actionable health insights to automate processes, optimize resources, and drive efficiencies. Accelerate innovation, benefit from flexible infrastructure and platform resources, and drive clinical intelligence through our open, extensible ecosystem of partners and technologies. -
3
Watershed Health
Watershed Health
Join our network for improved care coordination across communities. Watershed Health is a community-wide care coordination platform that empowers providers to deliver seamless care and improve patient outcomes. Access essential patient data in a single convenient location for more informed clinical decision-making. Receive timely, relevant patient data from all care team members as soon as it's created. Uncover valuable insights into key patient populations to drive forward value-based care and population health management initiatives. As providers share data and collaborate, Watershed uses transparent, real-time quality metrics to measure and incentivize care coordination activities. Screen for social determinants of health (SDOH) and connect patients with community-based resources that can address their identified needs. Our solution effortlessly integrates with existing tools, systems, and workflows, minimizing implementation time and effort. -
4
ThoroughCare
ThoroughCare
ThoroughCare is a comprehensive care coordination software platform designed to enhance care delivery across various healthcare services, including chronic care management, remote patient monitoring, behavioral health integration, transitional care management, annual wellness visits, and advance care planning. The platform enables providers to meet all service requirements, leverage evidence-based standards, and capture new revenue while closing gaps in care. ThoroughCare supports a comprehensive care management approach by tracking quality and performance, aggregating data across clinical sites to monitor engagement and performance, patient risk stratification reports, claims details, missed revenue, encounters, and call metrics. ThoroughCare Analytics informs decision-makers by visualizing operational, financial, and patient-related data. The platform integrates with electronic health records (EHRs), health information exchanges (HIEs), remote monitoring devices, etc. -
5
Syntax
Syntax
Our platform makes all the parameters, raw data, and technical terms easy to understand, no matter your experience. At Syntax, we are pioneers in revolutionizing value-based care and incentive design. Leveraging our expertise in advanced analytics and collaborative platforms, our SaaS-based enterprise solution empowers payors and providers to navigate the complex healthcare landscape with confidence and clarity. We simplify the intricate systems of value-based care, streamlining processes, and breaking down barriers that hinder collaboration. Our transparent and trust-driven approach enables all stakeholders to work together seamlessly, driving improved outcomes and transforming the way healthcare is delivered. Whether it's standardizing contracts, modeling incentives, or facilitating transparent collaboration, we are committed to making value-based care more accessible, efficient, and effective for everyone. -
6
Greenspace Health
Greenspace Health
Greenspace Health is dedicated to transforming behavioral healthcare through innovative technology solutions that facilitate Measurement-Based Care (MBC). Their platform enables service providers to automate the collection of patient-reported outcome measures, offering intuitive dashboards that visualize symptom changes to inform clinical decisions and enhance therapeutic alliances. Organizations benefit from customized data insights, empowering them to assess service effectiveness, drive innovation, and ensure high-quality care. For health systems, Greenspace's solutions streamline care coordination, improve provider collaboration, and optimize resource allocation by identifying service gaps and reducing care costs. The platform supports clients and patients by allowing them to track their progress, fostering engagement, and promoting better clinical outcomes. Greenspace's commitment to privacy and security is evident through their SOC 2 Type II compliance. -
7
ChartPerfect
ChartPerfect
Our innovative platform was developed by providers with feedback from medical professionals across the country, and as a result we’ve been continually recognized as an industry-leading EHR by Black Book™ for overall performance, reliability, support and customer care, and more! Our award-winning, cloud-based EHR software helps providers deliver care more effectively and efficiently. We have been in the healthcare industry for more than two decades, and that is the reason we excel at what we do. Since our initial launch in 1999, we’ve evolved our platform through meaningful collaboration with our providers and industry-specific vendors. We are no longer just EHR software. We are a partner for value-based care. Ultimately, our goal is to provide practices with advanced healthcare technology that enhance clinical workflow, reduce operational expenses, and optimize the provider-patient relationship. -
8
Evolent Health
Evolent Health
Driving breakthrough clinical and administrative results. Evolent Care Partners, Midwest health system ranked third in the nation for both total shared savings and percentage of savings off of benchmark. Evolent Care Partners enables independent primary care physicians with the capital and resources needed to participate and succeed within two-sided payer contracts, while limiting their financial risk. New Century Health delivers cost and quality improvements in oncology and cardiology by using clinical evidence to guide care decisions that are supported by both payers and providers. Evolent Health Services simplifies health plan operations through comprehensive services that are powered by a modern and integrated platform, and a true strategic partnership model. Explore insights and news on value-based care, population health, health plan administration and other health care transformation topics. -
9
Medfusion
Medfusion
In step with our commitment to expand to make the healthcare experience better for everyone, we have joined NextGen Healthcare to increase productivity, improve clinical care, and enrich the patient experience—all while ensuring healthy financial outcomes and helping providers along their journey to value-based care. Whether you choose to enable patient self-scheduling for all or just a portion of your open appointments, you’ll be amazed at how much of your staff time, and cost, is reduced. Medfusion’s patient portal makes it easy for patients to conduct routine tasks online while automating workflows for your practice. It goes beyond streamlining secure patient/provider communication to also serve as a cross-EMR personal health record. Whether you’re looking to increase efficiency, increase patient engagement, open back-office functions like billing and scheduling to patients 24/7, or just meet Meaningful Use/MACRA/MIPS measures—Medfusion has you covered. -
10
NaviNet Open
NantHealth
As an organization that prioritizes value-based care, your ability to communicate across a flexible, extensible platform is critical. NaviNet Open is one of America’s leading payer-provider collaboration platforms, facilitating provider engagement and generating trustworthy, actionable data throughout the continuum of care delivery. A secure multi-payer platform, NaviNet Open enhances communication, boosts operating efficiency, cuts costs, and improves provider satisfaction. It lets payers and providers exchange vital administrative, financial, and clinical information in real time. For NantHealth, security is a priority. HIPAA compliant and steadfast in our values, our demonstrated commitment has led us to hold EHNAC HNAP accreditation since 2006. NaviNet Open is HITRUST certified, having met key regulations and industry-defined requirements. It appropriately manages risk regarding third-party privacy, security and compliance. -
11
Jiva
ZeOmega
Population health management (PHM) consistently ranks as one of the top priorities of health plans today. The challenge is, how do you manage the overall health of your population without losing sight of the individual person? ZeOmega understands the importance of the individual member in emerging value-based care strategies. Our Jiva population health management solution builds comprehensive data at the population level with analytical capabilities that enable you to identify opportunities to improve care or influence patient behavior in real time. It’s built to address five comprehensive pillars that are essential for effective population health management. ZeOmega’s powerful population health management platform delivers high-value, strategic solutions enabling payers and care-delivery organizations to improve individual health and provider performance. Deep domain expertise and a comprehensive understanding of complex population health challenges. -
12
Ingenious Med
Ingenious Med
Our easily implemented web and mobile solutions help physician practices and health systems gain more insights from healthcare data, align workflows with value-based care and strengthen revenue integrity. It takes more than great technology to be exceptional. Join the hundreds of delighted practices and health systems that rely on Ingenious Med to be their trusted partner, thanks to our highly committed, experienced support team and continual product updates to meet evolving needs. Ingenious Med delivers easily implementable mobile and web solutions that improve physician productivity and hospital performance at the point of care. We help health systems and physician groups increase revenues, make data more intelligent, align care with quality measures and optimize workflows across the healthcare continuum. We have over 20 years of experience partnering with providers and organizations across the healthcare continuum. -
13
NextStep
NextStep Solutions
Our EHR and behavioral health billing service were created to ensure practices can focus on what really matters–providing exceptional patient care. As behavioral healthcare continues to evolve through value-based care initiatives and virtual teletherapy visits, we can help you redefine the care delivery models that best serve your clients’ needs. It’s time to move forward. Together. Learn how a long-term psychiatric treatment and residential rehabilitation facility revolutionized the way they care for their patients using NextStep. Learn how one outpatient behavioral health practice drove its business growth after partnering with NextStep. Learn how our technology has helped the behavioral health community thrive. Then, let us show you how we can help you take your practice to the next level. At NextStep Solutions, our commitment to our customers is built on three essential pillars, passion, people, and products. -
14
HealthQx
Change Healthcare
Accelerate your value-based initiatives by quickly analyzing and understanding episode costs. Build provider adoption and engagement with data-driven, evidence-based discussions about total episode costs and individual provider practice patterns. Drive cost and quality improvements by targeting variations in care delivery and provider performance. Empower value-based strategies through analytics, providing insights to help guide network optimization and clinical transformation. Identify value-based care opportunities through an analysis of episode costs, leveraging clinically validated episode definitions. Target providers to engage in value-based discussions through an analysis of utilization, costs, and care variations. Leverage episode analytics to help optimize network designs, transform clinical guidelines, and improve consumer engagement. Streamline episode budget creation by defining average episode costs and associated clinical services. -
15
myUnity
Netsmart Technologies
myUnity® - Leveraging the most strategic components of the existing Netsmart market-leading home care, hospice and senior living solutions, into a unified enterprise platform. All your post-acute care settings on a scalable platform for one location or hundreds of locations. User-friendly design, providing your clinical staff access to the right information at the right time, so you can focus on patient care. A platform designed for value-based care with analytics, connectivity, population health management, and electronic referral management. -
16
Net Health Therapy for Skilled Nursing
Net Health
Let therapists focus on patients, quality and outcomes. Net Health Therapy for Skilled Nursing Facilities (SNFs) provides contract therapy companies, skilled nursing facilities (SNFs), assisted living facilities (ALFs) and continuing care retirement communities (CCRCs) with the industry’s leading therapy management software. Streamlined operational, clinical, and billing workflows allow you to focus on your patients. Plus, a powerful outcomes-driven recommendation engine helps therapists develop patient-centric care plans that result in the best outcome for each patient. Net Health Therapy is the best solution for meeting the demands of value-based care. -
17
Optimum
Cantata Health
Meet Optimum, the smarter way for your hospital to serve patients with better workflow automation and financial results. Exchange Data Intelligently and Securely. As the shift to value-based care continues to grow, so does the need for better security, faster access to critical information, and smarter ways to coordinate care. Optimum offers effective care transitions and open communication between healthcare systems through a variety of sources, including HL7, quickly and without worry. Shouldn’t denials claim management help avoid missed payments and reduce uncollected claims? We think so. Optimum gives providers the ability to proactively solve problems like missing or duplicate information in an efficient, timely manner early in the billing process. Cantata Health Solutions powers the best electronic health record and financial management software for hospitals, skilled nursing facilities, and assisted living communities. -
18
Talix
Talix
The Talix platform powers intelligent workflow applications that enable risk-bearing healthcare organizations to succeed in the age of value-based care. Our workflow solutions for payers and providers require intelligent underlying technologies to work in unison and at scale. We’ve engineered the Talix Platform to support the needs of thousands of end-users, anywhere in the world simultaneously. Moreover, our platform architecture enables multiple SaaS application solutions in order to harness the efficiencies derived from being able to process millions of patient charts and encounter data. The Talix Platform is comprised of several technology components, intricately linked, to power software applications at scale for healthcare payers and providers. These components form the building blocks of artificial intelligence (AI). -
19
Castlight
Castlight Health
Together, we’ll integrate navigation data and technology with best-in-class advanced primary care to pioneer and scale value-based care in the commercial market. We’ve spent over a decade aggregating data, building integrations, and honing machine learning algorithms to power a deeply personalized navigation experience that maximizes engagement and improves outcomes. We centralize health and wellbeing benefits in one place, giving your members an intuitive and engaging digital experience, accessible 365 days a year. We provide high-touch advocacy that complements your members’ digital experience so they can navigate health and wellbeing on their terms—digital when they want it, human when they need it. Healthcare expenses continue to rise—and employers shoulder much of the cost burden. We work hand-in-hand with you to improve health outcomes across your population, bend the cost curve, and capture savings for your organization. -
20
CodaMetrix
CodaMetrix
Physicians didn’t go to medical school to learn how to code. We are reimagining the future of the revenue cycle with AI-powered autonomous coding. The company’s platform is in use at more than a dozen premier provider organizations and health systems, representing over 200 hospitals, and 50K providers. CodaMetrix’s platform is a multi-specialty coding AI platform that translates clinical information into accurate sets of medical codes for patient care and revenue cycle processes, from fee-for-service to value-based care models. The automation is touchless, transparent, and completely traceable. CodaMetrix's cutting-edge, multi-specialty autonomous medical coding platform leverages AI to continuously learn from and act upon the clinical evidence in the EHR. We autonomously translate clinical notes into billing codes that satisfy coding requirements, ensuring claims consistently represent the unique and complete episode of care, reducing human coding workload. -
21
TIME System
Infian
Time by Infian provides advanced tools to help maximize the efficiency of your clinical operations and help dialysis providers move towards value-based care. Time by Infian has intuitive navigation and a user interface that includes relevant care information all in one place. This makes patient rounds easy and efficient. There are checks and balances in the program to ensure the right thing is done when it is supposed to be done and to assist with orders, and policy and procedures compliance. Time by Infian dashboards allows for quick and interactive analysis of clinical information, which is reported as Key Performance Indicators (KPIs). Visual displays are graphical and easy to understand allowing you to interpret vast amounts of care data to support disciplined decision-making. -
22
Quantros
Quantros
Quality and cost matter. With value-based care arrangements increasing, hospitals, physicians, employers and plans need accurate, illuminating analytics. Quantros’ unmatched insights allow stakeholders on the giving and receiving end of care the ability to make data-driven decisions. Quantros’ analytics software helps healthcare providers understand, predict, and improve performance. And provides purchasers of healthcare a clear picture of how reliably hospitals and physicians are delivering the best outcomes and appropriate care across the continuum. -
23
Cedar Gate
Cedar Gate Technologies
Accelerate your transition to value-based care with intelligent solutions that improve performance, efficiency, and quality. Value-based care is an opportunity, but it can sometimes feel like an obstacle in day-to-day healthcare operations. With the right solutions at your fingertips, you can predict, model and forecast actionable insights to reach your goals. You no longer need multiple vendors to deliver better care and improve your bottom line. We have the keys to revolutionizing your healthcare organization from start to finish. High-performance healthcare is only possible with a robust engine. Cedar Gate offers state-of-the-art technology built on algorithms of expertise that are unmatched. We wake up each day to put you on the fast track to success. You will never have to shift your focus from the finish line because we have everything you need for your value-based journey.