Seamlessly share clinical information to improve care

And gain valuable insight across your healthcare partner ecosystem

Clinical Solutions

Looking to accelerate your shift from pay-for-volume to pay-for-value?

Edifecs Clinical Solutions automate healthcare data exchange between payers and providers without disrupting existing IT investments. Increase effectiveness of population health management partnerships through clinical data integration and continuous monitoring at the edge of the enterprise.

Solution Spotlight

  • Clinical Data Integration

    Clinical Data Integration builds trust and transparency in healthcare partnerships. Health plans and providers exchange patient and population data coalesced into a common format with member and network context.

  • Population Health

    Edifecs Population Health reveals the clinical opportunities that lead to healthier populations. With real time data interrogation, Population Health detects changes in morbidity patterns, risk thresholds, and patient and provider behavior.


Edifecs Clinical Solutions let you observe, validate and link incoming and historical administrative, clinical and financial data within the context of a longitudinal member record. Gain insights—including gaps in care and risk scores—to create greater transparency while you share a workflow that supports cross-enterprise decision making.

Clinical information exchange

Support continuity of care by acquiring and correlating claims and clinical information with patient identity and network context.

  • Create context with a patient-centric extensible data repository
  • Eliminate costly medical chart acquisition, review and storage
  • Distribute information more efficiently to business units for reporting, analytics, care coordination and network management
  • Activate virtual coordinated care teams with shared insights and common workflows

Population health

Bring scale and automation to your value-based reimbursement programs and population health strategies.

  • Create visibility into the patterns and behaviors that drive costs and impact outcomes
  • Create and dynamically model concepts that support your population health strategies
  • Apply concepts and rules to data streaming at the edge of your enterprise
  • Issue notifications and alerts to care teams

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