HealthEC

What it does

HealthEC is a population health management platform used by ACOs, health systems, and health plans to manage patient populations under value-based care arrangements - identifying at-risk patients, closing care gaps, and measuring quality performance. AI capabilities include ML risk stratification that combines claims, EHR, and social determinants data to predict which patients are most likely to incur high-cost events, AI care gap identification that surfaces patients overdue for preventive services or chronic disease management touchpoints, automated quality measure performance tracking for HEDIS and Stars ratings, predictive readmission modeling, and AI attribution analytics that help organizations understand which patients are attributed to which providers in value-based contracts.

Strengths

• Regional ACOs and physician organizations use HealthEC for population health management - AI risk stratification prioritizing care management resources toward highest-risk patients and care gap analytics improving quality scores.
• Large health systems and health plans use HealthEC for enterprise population health - AI analytics across attributed patient populations supporting value-based contract performance and proactive chronic disease management.
• HealthEC is a population health management platform used by ACOs, health systems, and health plans to manage patient populations under value-based care arrangements - identifying at-risk patients, closing care gaps, and measuring quality performance.

Watch-outs

• Value-based care market focus: HealthEC is optimized for ACO, CIN, and value-based care program management — traditional fee-for-service health systems without value-based care contracts have limited applicable use case.
• Data integration is the critical dependency: HealthEC's AI risk models require clean, integrated claims and clinical data — organizations with fragmented data from multiple payers and EHRs face integration work before AI analytics are meaningful.
• Analytics require care management programs to act on insights: HealthEC identifies at-risk patients and care gaps but health systems must have clinical staff and care management workflows to act on AI-generated alerts — analytics without action capacity have limited impact.

Pricing

HealthEC pricing based on attributed patient population size and modules. Not published. ACO and health system contracts negotiated. Annual contracts.