Overview

Abacus Insights’ Clinical Data Solution enables health plans to access, unify, and utilize diverse clinical data sources — including HIEs, EMRs, digital apps, and internal payer systems — to build comprehensive longitudinal patient records. This solution helps payers improve care quality, accuracy of value-based contracting, performance reporting, and population health analytics by transforming siloed clinical data into a validated, interoperable data ecosystem. Built on a HITRUST r2-certified and SOC 2-certified cloud platform, it accelerates operational and analytical workflows for both care delivery and payment improvement.

Features and Capabilities

• Data Integration: Combines external clinical sources with internal payer data into a consolidated clinical dataset.
• Longitudinal Patient Records: Constructs holistic health histories across care settings.
• Quality Reporting Support: Improves HEDIS® and CMS Star ratings by delivering relevant clinical evidence.
• Value-Based Care Enablement: Enhances forecasting and tracking for value-based contracts and payments.
• Population Health Management: Facilitates segmentation, identification of care needs, and outcome measurement.
• Data Validation & Quality: Accesses, validates, and normalizes clinical data for accuracy and reliability.
• Operational Insight Delivery: Extracts and delivers timely clinical data to improve workflows and analytics.
• Secure Cloud Foundation: Built on a cloud platform optimized for healthcare payers with strong compliance and security certifications.