Question: Do you know of a platform that provides actionable guidance to in-network, cost-effective providers and facilities?

If you're looking for a platform that offers actionable insights to in-network, cost-effective providers and facilities, Amino Health could be a good fit. Amino Health is a data-driven healthcare navigation platform that helps employers, health plans and members make better decisions and reduce costs. It offers a powerful provider search engine, cost and quality ratings, and customizable provider tags, among other features. The company has a track record, having analyzed more than 26 billion claims and serving 1.6 million contracted members.

Another good choice is Availity, an integrated provider engagement platform that streamlines administrative and clinical work for healthcare providers and payers. Availity uses AI to engage providers, eliminate waste and improve patient care. Its suite of products includes automated revenue cycle management, eligibility and coverage solutions, and AI-powered prior authorization tools, all designed to make claims processing easier and improve operational efficiency.

If you're interested in AI-powered tools, Qventus offers a full healthcare operations platform that uses machine learning and behavioral science to optimize patient flow and operational performance. Qventus automates work, forecasts operational constraints and offers actionable insights so staff can free up capacity and stop doing manual work. Through integration with multiple EHR systems, it can help optimize surgical scheduling, discharge planning and other operational work.

Last, Veradigm offers scalable, data-driven solutions for healthcare providers, Life Sciences and Health Plans. Veradigm offers tools for real-world data and evidence, risk adjustment analytics and practice management solutions. The insights can help inform healthcare decisions and improve patient outcomes, making it a good option for those looking to optimize their healthcare operations.