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.
Track population health metrics, quality measures, and financial impact in real-time. Make data-driven decisions with confidence.
Real results from real health plans across the United States.
Reduction in hospitalizations
Preventing avoidable ER visits and hospital admissions through proactive risk-based interventions
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
Member satisfaction
Health plans report high confidence in data-driven population health insights
RxOracle provides decision intelligence across every aspect of population health management.
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.
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.
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.
Disease Prediction Accuracy
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.
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.
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.
Health Plan Satisfaction
From contract to go-live in 4-6 weeks.
Week 1: Understand your infrastructure, goals, and integration requirements.
Weeks 2-3: Connect to your EHR and pharmacy claims systems.
Week 4: Validate data flows and train your care management team.
Weeks 5-6: Launch with a pilot cohort, then scale to full population.
Transparent, predictable pricing designed to scale with your organization
Includes 1 monthly enrichment per patient
For patients requiring more frequent monitoring
Schedule a personalized demo to see how we can transform your population health strategy.
Request Demo