Lightbeam Health Solutions is a comprehensive, AI-enabled population health management platform designed to help healthcare payers and providers succeed in value-based care arrangements. The platform integrates data analytics, risk stratification, care coordination, provider engagement, and member engagement into a unified solution. Built on Microsoft Azure, Lightbeam serves ACO REACH, MSSP ACO, Medicare Advantage, traditional Medicare, Medicaid, and commercial populations across the country. The platform uses predictive analytics and machine learning to identify high-risk patients, orchestrate appropriate interventions, and track outcomes to improve both clinical results and financial performance.

Key Features

Searchlight Risk Stratification Engine AI-powered engine that identifies patients with predictable, avoidable high-cost events.

• Uses rules-based filtering and AI-driven social vulnerability modeling
• Classifies patients into risk categories for targeted interventions

Care Orchestration Automated workflow management that coordinates people, processes, and activities based on patient risk profiles.

• Stratification and identification of risk levels
• Intervention pathway selection for individual patients
• Outcome measurement through quality, cost, utilization, and risk metrics

Real-Time ADT Notifications Manages admission, discharge, and transfer events with immediate alerts and dashboards.

• Provides timely notifications when ADT events occur
• Enables immediate patient enrollment into transitional care management programs
• Supports remote patient monitoring and wearable device integration

Enterprise Data Warehouse Comprehensive data aggregation and normalization from multiple clinical and claims sources.

• Unifies disparate healthcare data systems
• Provides analytics for stakeholders at every organizational level

Patient Engagement Tools Multi-channel communication and monitoring capabilities.

• Automated SMS messages and phone calls
• Customizable outreach across 30+ behavioral and medical programs
• Multi-language support for diverse patient populations

HCC Coding Module Advanced risk adjustment coding capabilities for accurate reimbursement.

• Configurable risk adjustment models
• Support for telehealth services coding
• Integration with CMS initiatives and compliance requirements

Benefits

Improved Clinical Outcomes Reduces avoidable hospitalizations and readmissions through proactive intervention.

• 15% reduction in inpatient admissions
• 6% overall reduction in readmissions
• 39% reduction in avoidable admissions through AI workflows

Enhanced Financial Performance Optimizes revenue and reduces costs in value-based care contracts.

• Achieves highest quality tiers in commercial contracts
• Tracks financial gains and losses through comprehensive analytics
• Supports success in ACO and Medicare Advantage arrangements

Operational Efficiency Streamlines care coordination and administrative activities.

• Virtual care coordinators integrate with existing care teams
• Automated workflows reduce manual intervention requirements
• Real-time data access enables immediate decision-making

Population Health Management Comprehensive view of patient populations with actionable insights.

• End-to-end population management capabilities
• Predictive analytics for proactive care delivery
• Scalable solutions for organizations of varying sizes