Improve outcomes. Reduce costs. Deliver quality care.
For ACOs, IPAs, and risk-bearing entities, success in Value-Based Care means doing more with less. Hexplora equips care teams with the tools to manage chronic conditions, engage high-risk patients, reduce avoidable utilization while predicting potential readmissions, preventable hospitalisations, and unnecessary ER visits so they can focus on what matters most: keeping people healthier, hitting their quality targets, and reducing costs.
What We Deliver:
Patient Risk Stratification & Population Health
Leverage AI-powered risk scoring and predictive analytics to proactively identify patients at risk of readmissions, preventable hospitalizations, and disease progression. Target high-cost, high-need populations with precision, enabling timely interventions and better resource allocation across your population health strategy.
Care Management & Coordination
Streamline longitudinal care with configurable clinical workflows, automated care plans, and tasking tools. Empower care teams to track patient progress, coordinate across settings, and deliver proactive support—improving outcomes and reducing fragmentation across the care continuum.
Quality Performance & Compliance
Track and improve quality scores in real-time with built-in monitoring for HEDIS, CMS Stars, MIPS, and ACO REACH benchmarks. Ensure compliance, close care gaps faster, and enhance your value-based care incentives through automated performance visibility.
Shared Savings & Contract Analytics
Optimize every value-based contract with PMPM cost tracking, what-if modeling, and attribution insights. Analyze individual and population-level performance to drive smarter strategies, minimize financial risk, and accelerate shared savings.
Patient & Provider Engagement
Boost adherence and collaboration with multi-channel outreach and tailored performance scorecards. Engage both patients and providers in real time to close care gaps, align goals, and drive better clinical and financial outcomes.
Interoperability & Data Aggregation
Unify fragmented data streams with FHIR-enabled integration across EHR, claims, ADT, and SDoH sources. Get a longitudinal, 360° patient view that powers smarter decisions and supports care delivery at every touchpoint.
Utilisation & ROI Reporting
Quantify the impact of care management through robust dashboards that highlight reductions in avoidable utilization. Deliver clear, evidence-backed ROI to CMS, health plans, and partner entities, proving the value of your programs with confidence.
Why Leading VBC organisations choose Hexplora?
- Certified where it counts: CMS QCDR and NCQA HEDIS
- 10+ years supporting ACOs, IPAs, and health systems across the country
- 100+ custom dashboards, scorecards, 300+ measures and KPIs exclusively for healthcare ecosystem
- Built to grow with you, from pilot projects to full-scale enterprise adoption in two weeks
Let’s Make Value-Based Care Work for You.
Book a Demo and see how Hexplora drives results.
