New Gartner report highlights 2015’s “coolest” innovative vendors for healthcare providers and payers.
What makes a healthcare vendor cool? Innovative solutions that solve real challenges for the healthcare C-suite and payer market, according to recent Gartner reports. Each year, Gartner carefully selects a list of “Cool Vendors” representing innovative technologies and business models.
For healthcare providers, these vendors offers provider CIOs, CMIOs and IT leaders offer innovative ways to address some of the perplexing problems these organizations are currently facing. For healthcare payers, these vendors bring innovative products in bundled payments, home monitoring, medical identity protection, and wellness app and device integration.
This year’s “Cool Vendor” for healthcare providers spotlight vendors tackling revenue cycle, clinical surveillance, clinical analytics, nursing and patient engagement with real-time and cloud-based solutions:
1. QPID Health
QPID is transforming clinical data sourced from EHRs and other repositories into actionable information for quality initiatives, registry fulfillment and clinical decisions. While EHRs have improved access to patient data, generating value from the information they hold still requires considerable effort including manual chart review. QPID changes that by automatically retrieving and assembling actionable information from patient records.
2. Recondo Technology
Recondo’s patented ReconBot® technology streamlines and optimizes both the patient access and back-office environments for more than 900 U.S. hospitals, including some of the nation’s largest integrated delivery networks. The Web mining and workflow automation technology transforms mined payer data into workflow triggers that significantly speed and improve patient access and business office processes.
For hospital admissions staff, Recondo’s cloud-based platform streamlines pre-service patient interactions by providing real-time eligibility determinations, medical necessity checking, prior authorization necessity and status, and by accurately calculating patient out-of-pocket financial responsibility. Recondo also automates business office processes dealing with the status of insurance claim processing as well as provides actionable information and the appropriate workflow triggers to remediate denied or problem claims. As a result, Recondo reduces the number of claims requiring human follow-up by up to 80 percent, which lets staff focus on exceptions only, lowering resource costs while speeding payment.
Sphere3 products and services offer insight into actual patient need requests and caregiver capacity to help hospitals analyze the reliability of systems and better meet their needs. Sphere3 products and tools dissect this cascade of data associated with these requests and responses, escalations, and time frames. Over time, the organization can better manage the balance of demand-supply challenges and recurring patterns related to adverse events, using actual caregiver feedback compared to threaded alarm data.
4. Telesofia Medical
Telesofia Medical is an early stage start-up, enabling personalized, clear, concise and interactive patient educational videos on any device. Telesofia’s platform currently supports a wide variety of applications such as explaining proper use of medication, directing preparations for medical procedures, and providing discharge instructions. Videos can be personalized to each patient based on their demographics, lab results, specific medical instructions, specific product used, and more. The videos are easily integrated into existing workflows and platforms. The fully branded videos are sent to patients through text or email messages, or embedded in patient portals/apps.
VigiLanz Corporation is a provider of SaaS health care intelligence and predictive analytics, and is focused on aggregating disparate health system EMR transactional workflow and documentation data to identify real-time clinical issues and avoid or minimize harm, optimize clinical outcomes and support preventive care along the entire health system continuum. Founded in 2001 by David Goldsteen, M.D. and David Klass, M.D., the digital health company supports a large and growing community of hospital CMOs, CMIOs, CIOs, quality teams, infectious disease and control specialists, pharmacists, and other clinicians dedicated to real-time inpatient and outpatient care.
For healthcare payers, this year’s list showcases the promise of new directions in the healthcare payer market based on their offerings and business models:
Picwell is the first predictive recommendation engine to enable consumers to select their health plan with confidence. Powering healthcare exchanges and benefits platforms, Picwell utilizes proprietary algorithms, Big Data, machine learning and behavioral economics to organize and analyze the more than 900,000 variables that affect plan selection and narrow it to the top plans for each individual.
Post-n-Track is a provider of information logistics for healthcare management, enabling health plans, providers, health systems and vendors to securely manage, control and optimize the flow of healthcare information. Post-n-Track’s cloud-based, SaaS platform allows healthcare organizations to access proven IT infrastructure and functionality—delivering meaningful results that improve service and reduce cost while driving compliance and accelerating innovation.
SpendWell is a health care e-commerce solution that empowers consumers on health plans with deductibles to shop, compare and buy routine health services at actual prices. SpendWells online marketplace integrates benefit plans, removes consumer anxiety about surprise bills with upfront payments, eliminates patient collections risk for providers and reduces administrative inefficiencies and costs for payers. SpendWell transforms the traditional health care model for consumers, providers, employers, health plans and administrators into an online retail experience. SpendWell Health, Inc. is a wholly owned subsidiary of Cambia Health Solutions, a growing family of companies that are building next-generation solutions and changing the way people experience health care.