This report will focus on the software-based technologies used to support cross-application and cross-organization development and integration projects. It will focus on how these vendor’s technologies help organizations and implementers source, transform, and deliver data and functionality cost effectively and efficiently.

Sample of Vendors to be Considered:

Allscripts, AWS, Cerner, Epic, Google Cloud, Health Catalyst, InterSystems, Lyniate, Microsoft Azure, NextGen (Mirth), Orion Health, Philips, Redox

Share your information in the form to be notified when the report is available for purchase (including 15% Early Bird Discount!) and registration for the accompanying webinar is open.

While you wait for this report, check out some of our other research on data collection, management, and analytics:

Stay up to the minute.

Addressing Social Determinants of Health: IT Solutions to Engage Community Resources

This report is available to subscribers of the Chilmark Advisory Service or may be purchased separately by clicking below. To accompany the release of this report, co-author Jody Ranck hosted a webinar with end users on December 9 and will be hosting another webinar with leaders at some of these companies in February.

Preview Purchase

Increasingly, providers and payers seek to address social determinants of health (SDoH) in their patient populations to lower utilization costs as value-based care becomes more prevalent. To do so, the providers and payers must engage with organizations capable of affecting changes in aspects of patients’ lives that traditionally existed outside of the scope of healthcare.

>80% adoption across providers by 2030

Predicted 10-Year SDoH Adoption Trajectory

This report evaluates these solutions, identifying the strengths and weaknesses of options in the market and predicting how the market will develop in the future. Research in this report is based on interviews with executive leadership teams of solutions vendors, executives from the major EHR companies, and extensive secondary research.

Key Takeaways

  • The steady march to value-based care (VBC) amplifies interest in solutions that contribute to utilization management strategies.
  • Providers that wish to address patients’ social needs can do so efficiently through referrals to community partners. This is made dramatically easier with community resource engagement solutions.
  • Integration with community partners remains the main barrier to implementation, given challenges with data governance. Legal and internal engagement issues also slow adoption.
  • The next two years will bring expansion of product capabilities with slow and steady growth in implementation as the market better defines standards for performance. Years three through 5 will see acclerated adoption and growth.
  • Within five years, a public option for insurance will dramatically increase the rate of solutions adoption, culminating in >80% adoption in provider locations by 2030.

Vendors discussed: aunt bertha, Cerner, Epic, HealthEC, Healthify, NowPow, Signify Health, Solera, Unite US, Xealth

Cost: $1750

Preview Purchase

Revenue Integrity in Healthcare: Solutions Driving Payment Performance

This report is available to subscribers of the Chilmark Advisory Service or may be purchased separately by clicking below. To accompany the release of this report, lead author Alex Lennox-Miller hosted a webinar presenting and discussing the report’s key findings on September 3, 2020 watch now >

Preview Purchase

Revenue cycle issues manifest in the claims process of submission, appeal, and remittance, but causes are found much earlier in clinical workflows. Rather than think of these as disparate issues, they should all be considered under a broader category of revenue integrity.

This latest report from Chilmark Research reveals a market in flux as new technologies are applied to old problems, increasingly complicated by contracts that include performance and reporting requirements.

These activities are essential for healthcare enterprises of all sizes, scopes, and specialties. They are needed whether the organization is primarily concerned with fee-for-service (FFS) reimbursement or value-based care (VBC).

The ongoing COVID-19 public health emergency has made the need for automation and reduced administrative costs even clearer. With appointment volumes dropping, provider organizations are faced with the need for reliable, accurate payments for their care activities more than ever. These solutions are equally valuable for traditional provider care and for modern virtual care solutions like telehealth.

The report reviews the current state of the market, the maturity of solutions, and the strengths and weaknesses of each solution type. While the current market is valued at more than $20 billion, projections within the report show growth should approach $35 billion in the next five years. The report shows which segments of this market can expect annual growth rates exceeding 10% and which will slow to under 2.5%.

Projected Market Growth for Revenue Integrity Solutions

Each type of solution (EHR, Platform, Best of Breed) is evaluated based on how they address the needs of provider enterprises. In addition to the categorical analyses, this report includes 13 profiles of major and promising vendors. Each profile includes an assessment of the vendors strengths and challenges, detailed descriptions and evaluations of the product capabilities and market execution, and rankings across 24 categories.

Vendors Profiled: 3M, Allscripts, athenahealth, Cerner, Change Healthcare, Epic, Hayes|MDAudit, Medicomp Systems, Optum, PatientMatters, RevSpring, Sift, and ZOLL.

Cost: $6,000

Preview Purchase

Open APIs in Healthcare: The Future of Data Integration

This report is available to subscribers of the Chilmark Advisory Service or may be purchased separately by clicking below. To accompany the release of this report, lead author Brian Murphy hosted a webinar presenting and discussing the report’s key findings watch here.

Preview Purchase

Reeling from the impact of the COVID-19 pandemic and seeking more effective ways to implement new functionality, healthcare enterprises of all kinds recognize need for alternatives to prevailing industry development and integration practices.

The API Moment in Healthcare

Outside healthcare, the ascendance of data access and integration facilitated by application programming interfaces (APIs) is the culmination of decades of technology evolution and implementation lessons with distributed applications. Conventional development and integration approaches, particularly in healthcare, proved cumbersome and slow in efforts to contribute to understanding or responding to the current health crisis.

Unlocking more value from the data scattered across healthcare communities is — post-COVID-19 — a critical element in clinical and financial renewal. The report describes a general model for understanding the different categories of information exchange products and services (API-based and non-API-based) in the market, identifies the sources where different kinds of health-related data are most likely to be API-accessible, how APIs are already contributing to development and integration efforts across healthcare, and estimates the much larger potential of widespread adoption.

Open API market won't be huge, but it will be significant and most of all highly relevant to the capabilities of other offerings

Forecast of IT Spend for Data-Oriented API Infrastructure

Following this are detailed breakdowns of the offerings of a key set of 20 influential vendors that build APIs to provide live healthcare data, usually for transactional purposes. It specifically focuses on the many uses of discrete data elements about single patients or members, as opposed to aggregated data about groups of patients or members.

Vendors Profiled: 1upHealth, 4Medica, Allscripts, Apple, athenahealth, Availity, Blue Button 2.0, Cerner, Change Healthcare, Datica, Epic, Human API, Meditech, NextGen, NCPDP, Particle Health, The Sequoia Project, Redox, Surescripts, and Validic

Cost: $6,000

Preview Purchase

The Promise of AI and ML in Healthcare: Opportunities, Challenges, and Vendor Landscape

This report is available to subscribers of the Chilmark Advisory Service or may be purchased separately by clicking below. To accompany the release of this report, lead author Jody Ranck hosted a webinar on April 1 presenting and discussing the report’s key findings — watch it here.

Preview Purchase

Chilmark Research’s latest report, The Promise of AI/ML in Healthcare, is the most comprehensive report published on this rapidly evolving market with nearly 120 vendors discussed. The report explores opportunities, trends, and the rapidly evolving landscape for vendors, tracing the evolution from early artificial intelligence/machine learning (AI/ML) use in medical imaging to today’s rich array of vendor solutions in medical imaging, business operations, clinical decision support, research and drug development, patient-facing applications, and more.

The report also reviews types and applications of AI/ML, explores the substantial challenges of health data collection and use, and considers issues of bias in algorithms, ethical and governance considerations, cybersecurity, and broader implications for business.

The market today can be divided into five separate categories based on the need being addressed by AI/ML: Hospital operations, Population health management, Clinical decision support, Research and drug development, and Consumer facing tools. Each of these categories is explored on its own and in the greater context of market forces that are driving innovation and adoption of these tools.

Provider organizations will find this report offers deep insight into current and forthcoming solutions that can help support business operations, population health management, and clinical decision support. Current and prospective vendors of AI/ML solutions and their investors will find this report’s overview of the current market valuable in mapping their own product strategy. Researchers and drug developers will benefit from the discussion of current AI/ML applications and future possibilities in precision medicine, clinical trials, drug discovery, and basic research. To learn more, view the report preview.

Length: 45 pages

Cost: $1495

Preview Purchase

A Path to Value for Population Health: Adopting a Value Chain Model

Today, the expansion of various VBC contracts all have one thing in common: shifting the financial risk of patient care from payers to providers. Increasingly, healthcare organizations are recognizing that a population health management (PHM) platform is a critical tool to manage both the covered patients in VBC contracts and the contracts themselves.

While the specific definition and scope of PHM means different things to different people, and continues to evolve, for the purposes of this report, we define PHM as:

The proactive management of the health of a given population by a defined network of financially linked providers in partnership with community stakeholders (e.g., social workers, visiting nurses, hospice, patient, caregivers/family, etc.).

This report is based on a web survey of healthcare executives leading PHM initiatives at their organizations and three focus group sessions with this senior healthcare organization leadership. The purpose of the survey and focus group sessions was to understand how participants derived value out of their population health management and value-based contract activities.

Our results show that the path to value for PHM infrastructure investments – to support new VBC models of care – is still very much in its infancy. Even organizations that we found to be at the pinnacle of strategic intent and maturity have yet to define a clear ROI for their PHM investments to date, though they do feel that value has been created and ROI will be demonstrable within the next couple of years. Using the input from these focus groups, we are pleased to introduce a new value-chain model for PHM initiatives:

Regardless of where your organization is on the adoption and maturity curve for PHM/VBC, there are five critical components defined in this report that require close and continuous attention to ensure long-term success: Lead, Organize, Engage, Communicate, and Monitor & Optimize. To see how to apply these insights to your own organization, complete the form below and we’ll send you a copy of this free report.

Welcome Healthcare Scene readers!

Use this exclusive sales page to claim 10% off your report purchase.

Our extensive research for this report uncovered a market wherein today’s leading analytics applications are beginning to address broader needs than just VBC. This is causing greater separation in the relative capabilities of vendor solutions in the market today, with some vendors still primarily focused on VBC and care management needs, while others move to address EPM.

Analytics Across the Continuum

This comprehensive report provides an overview of the market for provider enterprise analytics and evaluates offerings from 23 vendors. It finds that vendor offerings mirror EHR penetration. Providers in acute and ambulatory settings have many choices for analytics across multiple use cases. Providers in post-acute settings and others with low-EHR penetration have relatively fewer choices.

Vendors Profiled: Allscripts, Arcadia.io, athenahealth, CareEvolution, Cerner, Change Healthcare, eClinicalWorks, Epic, Forward Health Group, Health Catalyst, HealthEC, IBM Watson Health, Innovaccer, Lightbeam, MedeAnalytics, Medecision, MEDITECH, NextGen, Optum, Philips, SCIO Health Analytics, SpectraMedix, and SPH Analytics.

Report Length: 72 pages

Retail Price: $6,000 (10% discount automatically applied for Healthcare Scene readers)

Purchase

Preview the table of contents, executive summary, and the first page of market analysis:

Preview

More about the report:

Traditional and Advanced Analytics

This report characterizes current analytic solutions as either “mainstream” or “advanced.” Most HCOs have experience with mainstream analytics – applications that characterize and summarize current performance. While the underlying technology and general approach is well-established, mainstream analytics has yet to supply a robust predictive insight and prescriptive guidance; for that, HCOs are looking at advanced analytics.

Advanced analytics consists of interrelated technologies, the most common of which are artificial intelligence/machine learning, natural language processing (NLP) and extraction, and big data technologies. These technologies and techniques, while not widely deployed in healthcare, are all used to varying degrees by most of the vendors profiled in this report. The expectation is that as these technologies mature, advanced analytics will offer more accurate predictive and prescriptive capabilities.

Moving Applications from Descriptive to Prescriptive

Moving Applications from Descriptive to Prescriptive

Vendors were compared on a specific set of consistent product capabilities and market execution metrics. To provide a detailed basis for comparing the offerings of different vendors, we broke down analytics functionality into the following categories:

  • Clinical and Claims Data Contribution, Other Data Contribution , Analyst and Developer Support, Scope of Applications, Benchmarks, Care Management , Clinical Quality, Cohort Discovery, Registries, Healthcare Costs, Risk, Network Analytics, Predictions, Utilization, Operations, User Support, Self-service Analytics, and Application Design

We defined the following categories as appropriate metrics to compare vendors on market execution: 

  • Market Vision, Extensibility and Engagement, Complimentary Services, Market Momentum.

 

Preview Purchase

To learn more about this report, please contact John Moore with any questions. 

UPDATE: The companion report on payer analytics is available now! Inquire for package pricing.

Subscribers of the Chilmark Advisory Service can also access this report through their client portal

Lead author Brian Murphy also hosted a webinar presenting and discussing some of the report’s key findings.

Primary Care for the 21st Century: Technology-Enabled and On Demand

Welcome Healthcare Scene readers!

Use this exclusive sales page to claim 10% off your report purchase.

Primary care is the most common touchpoint in medicine, and yet increasing patient demand, expanding provider responsibilities and evolving payment models threaten the sustainability of this essential element of the healthcare system. New technological approaches combined with the drive to move care to lower cost settings are enabling new care models that better meet patient needs and still allow providers to maintain a longitudinal relationship and central role in defining patient care.

This report from Chilmark Research examines three new types of solutions that contribute to or complement the modern technology-enabled primary care practice:

  • Telehealth
  • Virtual and Remote Care Platforms (including behavioral health)
  • AI-Enabled Assistants, Symptom Checkers and Chatbots

Vendors Profiled: Ada Health, Aiva Health, American Well, Bright.MD, Cerner, Epic, Medocity, NeuroFlow, Orion Health, Phillips, SilverCloud Health

Retail Price: $1495 (10% discount automatically applied for Healthcare Scene readers)

Purchase

Preview the table of contents, executive summary, and first page of market analysis:

Preview

More about the report:

Breakdown of Primary Care Utilization

These new methods of delivering technology-enabled primary care offer novel ways for patients to access care directly, for providers to gain greater visibility into the patient’s life and experience, and for both sides of the care loop to communicate. If primary care barriers to access, burden, and costs are not addressed, patients will continue to move towards solutions that offer convenience but do not help with long-term care and needs, such as retail and urgent health clinics. These technology solutions offer ways to not just improve care, but to support value-based payment models that will soon be the norm.

Primary Care as % of Providers vs % of Appointments

Each type of solution (Telehealth; Virtual & Remote Care Platforms; and AI-Enabled Assistants, Symptom Checkers and Chatbots) is evaluated based how it affects barriers to access, burden, and costs for both providers and patients. The report provides important information about use cases, subcategories of product offerings, reimbursement options, and other obstacles to adoption for each type of solution.

In addition to the categorical analyses, the report includes 11 short profiles of major and promising vendors, with three to four vendors identified per solution type. Each profile includes product differentiators and vendor-specific impact on access, burden, and costs.

Preview Purchase

 

This report is available to subscribers of the Chilmark Advisory Service or may be purchased separately by clicking above. Lead author Alex Lennox-Miller also hosted a webinar presenting and discussing the report’s key findings watch now.

[bestwebsoft_contact_form]