AI-powered population health analytics combining geographic intelligence, environmental health data, disease prediction, and claims analysis to optimize quality outcomes and reduce costs at scale.
Health plans face mounting pressure to improve quality outcomes, optimize Stars ratings, and manage costs effectively—all while dealing with incomplete data and fragmented systems.
SDOH metrics per patient from ZIP code enrichment
AI disease prediction accuracy across 10 conditions
US Census data sources integrated in real-time
Average Stars rating improvement with HEDIS optimization
A comprehensive decision intelligence platform that enriches every patient record with geographic, environmental, and predictive insights.
Enrich every patient record with 50+ social determinant metrics derived from their ZIP code. Our platform integrates 5 U.S. Census Bureau data sources—ACS, SAHIE, SAIPE, County Business Patterns, and ZIP Business Patterns—providing real-time insights into income, insurance coverage, poverty rates, employment, and healthcare access.
Income, poverty, employment
Insurance rates, coverage gaps
Age, population, household data
Machine learning models with 99.3% accuracy predict disease onset 6-12 months in advance across 10 conditions including diabetes, hypertension, CHF, COPD, and CKD. Proactive intervention before complications arise.
Integrate real-time environmental data—air quality (EPA AQI), water pollution (SDWIS), climate conditions, and disease outbreak tracking (CDC)—to understand how environmental factors impact patient health outcomes.
Automatically process pharmacy claims data to calculate Proportion of Days Covered (PDC) for all therapeutic classes. Real-time adherence tracking, medication gap identification, and HEDIS-compliant reporting for Stars optimization.
Multiple integration options: CSV batch upload, REST API for real-time data, or direct connection to your data warehouse. Process thousands of patients in minutes.
HIPAA compliant with enterprise-grade security controls, end-to-end encryption, and comprehensive audit logs.
Powerful dashboards that turn data into actionable insights
99.3% accuracy across 10 chronic conditions
Target outcomes our platform is engineered to achieve.
Target reduction in preventable hospitalizations
Projected Star Rating improvement potential
Projected annual cost savings opportunity
Pay only for what you use. No hidden fees. No surprises.
Complete monitoring with 1 enrichment per month. Each enrichment predicts next 6 months of risk.
Learn MoreFor high-risk patients needing more frequent monitoring. Flexible and affordable.
View DetailsJoin leading health plans using RxOracle to improve outcomes and reduce costs.
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