Rocky Hill, CT, USA, – October 14th, 2025 – Hexplora’s leadership presented “From Data to Dollars: Unlocking AI’s Impact on Readmissions and Medication Adherence” at the NCQA Innovation Summit 2025, delivering one of the most attended sessions in the Digital Innovation Theatre.
Led by Sai Alahari, CTO, and Priya Jaladi, Head of Sales & Marketing, the session focused on how predictive analytics and coordinated outreach can address two of healthcare’s most persistent challenges: preventable readmissions and medication non-adherence.
Key themes from the presentation included:
- The human and financial burden of fragmented data, delayed follow-up, and medication gaps
- Early risk detection using integrated clinical, claims, and SDOH data
- Real-time alerts that help care teams intervene before deterioration
- Structured post-discharge workflows that improve continuity and adherence
- Population-level insights revealing chronic condition clusters, follow-up gaps, and ED overuse
- NLP-driven adherence signals extracted from unstructured notes
- Equity-focused analytics to surface disparities across populations
Results shared with attendees:
- 15.7% reduction in 30-day behavioral health readmissions
- 3.5% lower medical admission rate vs statewide average
- 21.8% lower behavioral health admissions
- 1.3% reduction in ED visits
- 5.6% decrease in risk-adjusted PMPM total cost of care
“Healthcare leaders know the problem isn’t data scarcity — it’s the lack of meaningful, timely intelligence,” said Priya Jaladi. “Our work at Hexplora focuses on turning complex datasets into signals that care teams can act on immediately.”
“We’re entering a phase where AI is not a future promise but an operational necessity,” added Sai Alahari. “The organizations that succeed will be the ones that build intelligence directly into their workflows.”
The strong turnout and engagement reflected growing interest in analytics that deliver actionable intelligence directly into care workflows—helping teams act earlier, reduce avoidable utilization, and support member stability.
About the NCQA Health Innovation Summit
The Summit is a premier gathering for healthcare professionals, combining over three days of strategic discussions, technology showcases, practical workshops, and celebration of progress in healthcare quality. It offers customized sponsorship packages—from exhibit booths and digital theaters to thought leadership sessions.
For more information about the summit, visit www.ncqa.org
About Hexplora
Hexplora is a cloud-based population health platform that helps healthcare organizations transform complex data into clear, actionable insights. Through seamless data aggregation and intuitive analytics, Hexplora supports smarter decisions across the care continuum—from identifying gaps to tracking measurable impact. Learn more at www.hexplora.com
