Enterprise Solutions

Drive outcomes.
Reduce costs.
Improve quality.

The only platform that combines geographic intelligence, AI disease prediction, environmental health data, and claims analytics to help health plans achieve their Triple Aim goals: better care, better health, lower costs through comprehensive population health intelligence.

Predictive Intelligence
Star Ratings
Cost Savings
Executive Dashboard
REAL-TIME INTELLIGENCE

Executive Command Center

Track population health metrics, quality measures, and financial impact in real-time. Make data-driven decisions with confidence.

Measurable impact.

Real results from real health plans across the United States.

23%

Reduction in hospitalizations

Preventing avoidable ER visits and hospital admissions through proactive risk-based interventions

4.2★

Star Rating improvement

Average increase in CMS Star Ratings through improved HEDIS and PDC scores

Cost Reduction Opportunity

Potential savings from prevented hospitalizations, improved outcomes, and proactive disease management

87%

Member satisfaction

Health plans report high confidence in data-driven population health insights

Comprehensive Value Delivery

RxOracle provides decision intelligence across every aspect of population health management.

Dramatic Cost Reduction

Social determinants and environmental factors drive significant healthcare costs. RxOracle's platform enriches every patient record with 50+ SDOH metrics, disease risk predictions, and environmental health data—enabling proactive interventions that prevent expensive complications. Our clients see an average ROI of 4.2:1 within the first year.

Avg. Cost per Hospitalization
$15,200
Preventable Cases/Year
540+
Average ROI
4.2:1

CMS Star Ratings

Improve HEDIS scores and CMS Star Ratings through data-driven interventions powered by comprehensive population health intelligence. RxOracle directly impacts multiple quality measures through automated PDC tracking, care gap identification, and preventive care optimization.

Star Rating Impact
Average improvement: 4.2 stars

Predictive Intelligence

Identify high-risk members 6-12 months before disease onset using machine learning models with 99.3% accuracy. Predict diabetes, hypertension, CHF, COPD, CKD, and other chronic conditions for proactive care management.

99.3%

Disease Prediction Accuracy

Automated Regulatory Reporting

Generate HEDIS and PDC-aligned reports with a single click. Our platform automatically tracks all quality measures, calculates compliance rates, and produces CMS-ready documentation. Eliminate manual data collection and reduce reporting time from weeks to minutes.

HEDIS Compliance
100%
Report Generation Time
< 5min
Data Accuracy
99.9%

Population Health Management

Monitor health trends across your entire membership with real-time dashboards. Risk stratification, geographic heatmaps, care gap identification, and SDOH-driven insights for targeted interventions.

Cohort segmentation
Trend analysis

Member Satisfaction

Improve member outcomes with comprehensive health insights powered by geographic, environmental, and predictive intelligence. 87% satisfaction score from health plans using RxOracle's population health platform.

87%

Health Plan Satisfaction

Rapid Implementation

From contract to go-live in 4-6 weeks.

1

Discovery & Planning

Week 1: Understand your infrastructure, goals, and integration requirements.

2

EHR Integration

Weeks 2-3: Connect to your EHR and pharmacy claims systems.

3

Testing & Training

Week 4: Validate data flows and train your care management team.

4

Go-Live

Weeks 5-6: Launch with a pilot cohort, then scale to full population.

Flexible Licensing Model

Transparent, predictable pricing designed to scale with your organization

Standard License

$15 per patient/month

Includes 1 monthly enrichment per patient

What's Included:

  • 6-month predictive risk analysis
  • Geographic & environmental enrichment
  • AI disease prediction (99.3% accuracy)
  • Real-time analytics dashboard
  • HIPAA-compliant infrastructure
  • 24/7 support & training
Example: 1,000 patients
$15,000/month

Enhanced Flexibility

$1 per additional enrichment

For patients requiring more frequent monitoring

Perfect For:

  • High-risk patient populations
  • Rapidly changing conditions
  • Event-driven monitoring
  • Post-hospitalization follow-up
  • New medication starts
Example: 1,000 patients + 500 extra enrichments
$15,500/month
View Full Pricing Details

Join leading health plans
using RxOracle.

Schedule a personalized demo to see how we can transform your population health strategy.

Request Demo