Turn data complexity into clarity.
AT THE HEART
Unify data.
Manage risk with confidence.
The data is in your hands. Now it’s time to get the most out of it. Close care gaps to improve member outcomes and financial performance.
Bring the full volume of data you must manage into a single, reliable view, with an AI-infused interoperability platform.
THE CHALLENGES YOU FACE
When obstacles become opportunities
Fragmented data limits visibility.
Bringing together clinical, claims, pharmacy and social data into a single, reliable view is a persistent struggle for health plans. Siloed systems and inconsistent data quality make it difficult to identify risk, understand utilization and act in real time. Without a unified foundation, decision-making stays reactive instead of proactive.
But we’re shifting that paradigm. With us, clinical and claims data come together into one longitudinal member record instead of a dozen partial ones, and AI output runs on that same trusted foundation. Our national trust network gives health plans a single point of access to more than 300 million patient participants nationwide.
Rising risk and persistent care gaps.
Managing risk across diverse populations grows more complex as value-based care models expand. Incomplete documentation, missed diagnoses and unaddressed care gaps lead to inaccurate risk adjustment, lost revenue and members with unmet needs.
With the right technology partner, you can get in front of risk and drive better outcomes. With Altera you can get a summary of high-risk members, prioritize interventions, sequence outreach across a care team and draft care briefings. Turn your manual worklist into something a care manager can act on in minutes.
Pressure to improve quality and performance.
Health plans face constant pressure to improve HEDIS rates, Star Ratings and overall quality performance while controlling administrative costs. Disconnected workflows and manual processes slow care coordination and make it harder to show measurable improvement.
With Altera by your side, you can leverage quality intelligence AI that identifies why measure rates are falling, surfaces denominator leakage and data quality issues, while also explaining performance changes in plain language for quality teams and medical directors.
CareInMotion
Where data converges, delivering a trusted, actionable asset to improve care with confidence.
CLIENT STORY
Connected data for connected care
When launching an interoperability project in the mid-2000s, the University of Pittsburgh Medical Center (UPMC) team recognized it needed a solution that could work with multiple EHRs. Learn more about our work with UPMC to harmonize data for this massive health system.