Best Value-Based Reimbursement Software

Therap Services

Therap Services is the national leader in HIPAA-compliant electronic documentation solutions for organizations in Long-Term Services and Supports (LTSS), Home and Community-Based Services (HCBS), and other human services industries. The system caters to a wide range of providers, including those serving individuals with intellectual and developmental disabilities, community employment and vocational rehabilitation programs, special education and school health services, aging and home health agencies, and autism programs. Therap's key features include electronic health record (EHR) capabilities, electronic visit verification (EVV) to track and manage service visits, comprehensive incident reporting and management tools, and person-centered planning tools to support individualized service goals and outcomes. Additionally, the system includes functionality to manage waiver slots and waiting lists, helping providers streamline day-to-day operations.

Average Rating: 4.6/5.0

Total Reviews: 230

Foothold

Electronic documentation software for I/DD and behavioral health service providers. Our software offers case management, client tracking, and an Electronic Health Record (EHR) all under one roof. Visit our website to speak with one of our specialists. We are HIPAA-compliant, federally certified as an EHR for Meaningful Use, and offer full interoperability as you navigate the new landscape of care coordination and value-based care. Our software is ideal for human services and I/DD agencies, particularly those that offer multiple programs such as mental health, substance use disorder, housing and employment.

Average Rating: 4.8/5.0

Total Reviews: 30

iClinic

iClinic® is a fully certified EHR that is designed to improve your workflow, reduce time spent on data entry while preparing you to meet quality payment program requirements and additional incentives so that you focus on providing care for your patients.

Average Rating: 4.3/5.0

Total Reviews: 8

LexisNexis Keep Contact

MemberPoint cleans and enhances your membership files with information from our vast public records repository which uses our proprietary LexID linking technology and HPCC computing platform.

Average Rating: 4.4/5.0

Total Reviews: 7

MIPSPRO

The landscape of the Merit-based Incentive Payment System (MIPS) has changed. The penalties have increased and the Centers for Medicare & Medicaid Services (CMS) has made it harder to achieve a high score. Whether your goal is to achieve the best scores simply avoid the penalty, MIPSpro provides a wide range of services to not only help with MIPS submission, but also improve your score. No matter where you are in your MIPS journey, our years of unmatched experience provide you with the opportunity to take the next steps in value-based care.

Average Rating: 5.0/5.0

Total Reviews: 2

SoftCure Hospital Software

SoftCure has TPA treatment management & predefined treatment packages that speed up the operational work by eleminating the time consuming manual processes. The covers the most effective marketing module that provide you the facility to send bulk SMS & Email with an attractive Website for your hospital.

Average Rating: 5.0/5.0

Total Reviews: 2

TriZetto CareAdvance Provider

CareAdvance Provider is part of the Cognizant line of TriZetto Healthcare Products portfolio of software products that help healthcare organizations enhance revenue growth, drive administrative efficiency, improve cost and quality of care and improve the member and patient experience.

Average Rating: 4.5/5.0

Total Reviews: 2

HealthQx

HealthQx is an analytics platform and data services solution designed for health plans that want to foster deep clinical and cost analysis through episodic claim grouping and network analysis.

Average Rating: 5.0/5.0

Total Reviews: 1

Provation Apex

Provation® Apex is an intelligent procedure documentation platform which is designed to help your team reach peak productivity.

Average Rating: 4.0/5.0

Total Reviews: 1

AccuReg

AccuReg offers a full suite of all critical front-end RCM process solutions that hospital Patient Access departments need.

ActiveASSIST

ActiveASSIST provides all the tools a facility needs to identify, manage and track the entire financial assistance process including the workflow around managing the patient account. ActiveASSIST is fully integrated with the Patient Account Rank Order (PARO) presumptive charity system to help identify financial counseling prospects. The PARO system determines the likelihood that a patient will qualify for financial assistance based on demographic data modeled from surrounding communities and historical charity approvals previously made by the hospital.

Apex Connect

mySuite is a cloud-based solution designed to manage patient revenue cycle through payment processing and patient-centric communication.

Aver Operationalize

Aver is a platform that coordinates payers, providers, and patients into a single value-based payment solution.

Cedar Gate Platform

Cedar Gate Technologies offers a comprehensive analytics platform designed to empower healthcare organizations in the transition to value-based care. This platform provides advanced tools for analyzing and visualizing data, enabling users to lower costs, improve care quality, and enhance patient experiences. By integrating predictive and prescriptive analytics, Cedar Gate's solution helps identify performance drivers, predict health and utilization risks, and pinpoint variations before they impact clinical or financial outcomes. Key Features and Functionality: - Healthcare Benefits Analytics: Allows self-funded employers, payers, and advisors to model and optimize benefits plan designs, access enriched member data from multiple sources, benchmark performance against regional and national data, track the impact of point solutions over time, and visualize data through self-service dashboards and automated reporting. - Value-Based Care Analytics: Enables payers and providers to identify and mitigate variations in cost and quality, pinpoint high-performing providers and quality drivers using advanced benchmarking tools, create condition-, disease-, and risk-based cohorts to reduce care gaps, model value-based care contracts to meet clinical and financial performance goals, and share insights via customizable dashboards and automated reports. - Enterprise Data Management: Integrates data from over 50 disparate sources into a unified data lake, normalizing and enriching information to provide a single source of truth. This system ensures high-quality, secure data storage in the cloud, facilitating near real-time data capabilities for actionable insights. Primary Value and Problem Solved: Cedar Gate's analytics platform addresses the challenges healthcare organizations face in transitioning from fee-for-service to value-based care models. By providing a unified, integrated solution that combines data management, advanced analytics, and actionable insights, the platform enables organizations to: - Achieve cost reduction and improve care quality by identifying and addressing performance variations. - Enhance patient and member experiences through data-driven decision-making and personalized care plans. - Streamline operations and reporting with automated tools and customizable dashboards. Ultimately, Cedar Gate's platform empowers healthcare organizations to succeed in value-based care by transforming complex data into actionable strategies that drive better outcomes for patients and financial performance for providers and payers.

Denefits

Denefits is a checkout and payment options software for businesses, headquartered in Irvine, CA, and trusted by 40,000+ businesses across the U.S. Healthcare practices, law firms, contractors, SaaS platforms, marketplaces, retailers, and educators use Denefits to optimize their checkout processes so more customers say yes at the point of sale. The software automatically routes every customer to the right payment structure, reduces drop-offs, and recovers missed revenue in the background — without changing how your team works. No IT team needed. Plugs into your existing CRM, POS, or billing system in minutes. More checkout conversions. More closed deals.