Disease Management Software is a software system that uses a patient’s unique medical history to create a personal disease management plan for each patient. These plans include information about the patient’s individual diseases and tips for preventive care and lifestyle change. The patient can use the system to monitor his or her progress and make changes as needed based on personalized recommendations from their doctor.
In this post, we review the aspects of Disease Management Software, utilization management software, most popular healthcare software, and best chronic care management software.
Disease Management Software
Diseases are among the leading causes of death and disability in the United States. The Centers for Disease Control and Prevention (CDC) estimates that chronic diseases account for about 70% of all deaths each year in the United States. Chronic conditions can be very challenging to manage, especially if they are not diagnosed early or treated properly. The CDC estimates that half of patients who have been diagnosed with diabetes or heart disease do not receive any treatment or education from their healthcare provider regarding these conditions.
This software is designed to assist health care providers in managing chronic disease.
Disease management software is a type of enterprise-wide software that helps health care providers manage chronic diseases. It’s designed to increase efficiency and reduce costs by streamlining the delivery of care, improving clinical outcomes and reducing patient mortality.
Disease management is a system of coordinated health care interventions and communications for populations with conditions in which patient self-care efforts are significant.
Disease Management is a system of coordinated health care interventions and communications for populations with conditions in which patient self-care efforts are significant. Disease management programs have been used to treat chronic illnesses such as diabetes mellitus, congestive heart failure and asthma, but they can also be applied to other disorders such as diabetes, hypertension (high blood pressure) and cardiovascular disease. The goal of these plans is to help patients manage their condition more effectively by providing them with tools that will make it easier for them to manage their own care.
The term “case management” is often confused with “disease management” because both are used interchangeably when describing health services that focus on helping patients manage their condition(s). However, there is an important difference between the two concepts:
Case Management – refers only to coordinating services within one facility or organization (i.e., hospital case managers coordinate services within just one hospital system)
Disease Management Programs – focus on coordinating patient care across multiple facilities or providers
The goal of disease management is to reduce mortality, morbidity, and healthcare costs through prevention, early diagnosis, and treatment of the condition by increasing patients’ awareness of their own health status thereby reducing unplanned hospitalizations and emergency department visits.
Disease management programs use a patient-centered approach that allows for optimal outcomes for patients through the education of individuals about their specific illness or injury. The goal of disease management is to reduce mortality, morbidity, and healthcare costs through prevention, early diagnosis, and treatment of the condition by increasing patients’ awareness of their own health status thereby reducing unplanned hospitalizations and emergency department visits.
Current disease management programs that report cost savings generally do so by reporting the cost savings from a population.
In our experience, the question being asked is about cost savings from a population. In other words, if you look at the total costs of treating all patients with a disease over time, how much did it cost them to not use your software? The answer is that it depends on what you’re comparing it against.
If you compare your costs without using disease management software (i.e., no software) with the costs of using disease management software and reporting those results to payers or patients, then yes: there will be cost savings from using your product because those people would otherwise have spent more money than they did during their treatment period while still being reported by another provider as having had that disease. If however instead we compare these two numbers directly—the nominal amount saved by making someone’s life easier in general and also getting paid more often for doing so—then no one wins because both parties get less money than they would have otherwise gotten had they done nothing at all! This isn’t necessarily bad news though; if everyone agrees beforehand on what’s been negotiated before hand then this kind of agreement might make sense – but only after long negotiations (and probably lots of emails).
Disease management programs use a patient-centered approach that allows for optimal outcomes for patients through the education of individuals about their specific illness or injury.
Let’s take a look at how disease management programs utilize a patient-centered approach that allows for optimal outcomes for patients through the education of individuals about their specific illness or injury.
Patient-centered approach: These programs generally focus on the well-being of individuals and work from the assumption that people are capable of making informed decisions about their health care. This approach allows patients to play an active role in managing their own health care and allows them to make decisions about how best to manage their condition. It also takes into account other factors that might affect a patient’s quality of life, such as family functioning, employment issues, financial concerns, etc., so that these can be addressed as needed in order to improve overall health outcomes
Disease Management software leverages technology specifically designed to help you manage your medical practice and deliver quality care to your patients more efficiently than ever before.
Disease Management Software is a form of electronic medical record that is designed to help healthcare providers manage chronic disease. The software creates a holistic view of each patient’s condition, including their medications and health history. This allows doctors to monitor the progress of their patients’ chronic conditions, providing guidance and support along the way.
The goal of disease management is to improve quality of life through early diagnosis and intervention
Disease management programs use a patient-centered approach that allows for optimal outcomes for patients through the education of individuals about their specific illness or injury. Disease management programs also focus on a team approach to health care, which includes physicians, nurses and other healthcare professionals.
utilization management software
Payers, health plans, Managed Care and Coordinated Care Organizations (MCO/CCO), Third-Party Administrators (TPA) and benefit administrators are all looking to streamline their utilization management review operations and make them as efficient as possible. Prior authorizations, the continuation of care and medical necessity evaluations are increasingly a challenge for many payer organizations. With a scarcity in nursing and physician advisor resources, plus volume fluctuations, it’s increasingly tough for many organizations to staff for and manage these critical functions. And with many demands on in-house Medical Directors, many payer organizations are increasingly partnering with companies like AllMed for processing their incoming service requests.
AllMed has been supporting utilization review and appeals departments for over 25 years, providing flexible services that align our workflow with your needs. We cover the spectrum of standards as dictated by your clinical protocols, including in-house medical policy, plan language, published care guidelines and latest standards of care.
Nurse and Physician Utilization Management Reviews
AllMed offers prior authorizations, pre-certifications, concurrent reviews and retrospective reviews to align with your needs at every stage of your clinical operations processes. Our services for utilization management in healthcare include both generalist and specialty-matched options for the management of utilization for high-volume specialties and treatments.
Medical Review Products
Our review products cover a spectrum of needs, including first-level prior authorizations, complex and critical claims, appeals, medical director services and staffing services.
Our In-House Utilization Management Team
AllMed’s services are delivered by our in-house clinical team of utilization management nurses, physician advisors, and clinical copy editors. Our Medical Director team provides clinical quality oversight to all review operations, including case-related troubleshooting as well as Inter-Rater Reliability (IRR) programs.
Whether you are a utilization management department within a health plan, a medical management organization, or specialty benefits manager, we work closely with you to define your requirements, design a UM program that integrates with your systems, train your personnel. Our Program Directors and Account Executives work closely with you through pilot deployment to full volume implementation.
Superior Quality That Makes a Difference
All of our services are deployed through PeerPoint®, AllMed’s advanced medical review portal, which embeds healthcare intelligence and automation tools that produce the highest quality reviews at industry-leading turnaround times and costs.
But what really makes us different is our people. Our commitment to consistently exceeding our clients’ expectations through everything we do, is why AllMed’s clients remain loyal partners, year-after year. This is because of the special care we take to recruit the highest quality talent as well as train, grow, and engage them in our Lean management system. As a values-based company that puts culture first, our employees care deeply about each member’s health and about delivering the highest quality care.
Whether you need specialized expertise or added review capacity, we’re here to help with customized services that fit your exact needs.
most popular healthcare software
Technologies have brought a profound change to the healthcare industry. Patients now have access to cutting-edge treatments, innovative diagnostic tools, and many minimally-invasive procedures that offer more effective solutions for the healthcare industry.
The availability of emerging technologies and modern solutions have led to enhanced patient care and superior healthcare experience. Tech-savvy leaders and healthcare solution providers are now leveraging next-gen technologies like AI, IoMT, Big Data, Blockchain to provide high-end solutions to patients.
What is Healthcare Software and What Type of Buyer Are You?
The rapid growth of the healthcare industry has increased technological possibilities, especially for healthcare software.
More and more medical facilities and organizations take over emerging trends such as electronic health record (EHR) software, mHealth, eHealth solutions, etc.
As healthcare sector stakeholders prepare their roadmap for the upcoming changes, it is crucial for them to understand all the possibilities digital disruption offers them tomorrow.
After long hours of profound research on Clutch, GoodFirms, LinkedIn, Crunchbase, and a couple of other high-authority B2B ranking platforms and business directories, we’ve compiled a list of the leading healthcare software companies with expensive business knowledge and exhibit competence in delivering trustful solutions that meet the needs of modern customers.
We hope this edition helps you foster productive partnerships and enhance growth through the integration of robust software solutions.
List of Top 10 Healthcare Software Companies 2023
ScienceSoft is a trusted technology partner with 17-year experience in healthcare IT, well-known across the industry for their practical knowledge of advanced techs (ML, AI, IoMT, big data, etc.). ScienceSoft’s customers point out their reliability, deep understanding of domain-specific methodology, and highly proactive approach to cooperation.
With a team of capable medical IT consultants and software developers with 7-20 years of experience, ScienceSoft delivers custom apps and SaaS products, including:
With 100+ successful projects in healthcare, ScienceSoft clearly understands the key needs of their customers: complete reliability and security of their healthcare solutions, paired with smooth integration capabilities. ScienceSoft is ready to take over the design, development, and evolution of medical software, ensuring prompt delivery and compliance with relevant regulatory requirements (e.g., HIPAA, HITECH, FDA). ScienceSoft holds ISO 9001, ISO 27001 and ISO 13485 certifications, proving their dedication to mature quality management and security practices.
› Headquarters: McKinney, Texas, U.S. › Founded in: 1989. › Healthcare Focus: IoMT, medical device software, patient apps, telehealth apps.
Cerner is one of the best healthcare software companies that has launched health referral solutions. The software is at the forefront of healthcare innovation, providing holistic value to the healthcare industry. It is among the best healthcare companies which offer integrated software and analytics, enabling care delivery and value-based care.
Cerner is smartly developed using dedicated science to improve the clinical usability of data and personalized medicine. It is an open, interoperable system for health data curation. Cerner helps health organizations in managing chronic conditions and reducing wellness gaps. It offers various health referrals like Health Analytics, HealthRegisteries, and Healthcare. In addition, the software provides an open platform to curate wellness programs and consumer-directed campaigns.
Cerner is a cloud-based healthcare technology company that is used by various healthcare organizations to streamline their operations and provide better healthcare.
› Headquarters: North Kansas City, Missouri, U.S. › Founded in: 1979 › Healthcare Focus: Health and wellness consulting, behavioural health, application services, continuum of care, etc.
Athenahealth is one of the innovative top healthcare software companies in the USA. This company is developed with advanced features that help in exploring insights into healthcare and making it more human-friendly. Athenahealth partners with hospitals and healthcare organizations in the USA to help them optimize their financial operation and deliver world-class health support.
Athenahealth is a cloud-based medical care solution that connects more than 140k health providers on a data-powered open-network platform. It offers patient engagement, documentation of medical records, revenue cycle, and care coordination services. Its modern technology discovers patterns and unlocks insights into what is working in the healthcare units. Athenahealth is a well-connected, advanced, and recognized healthcare software company that supports clinicians and patients looking for a streamlined, flexible experience. This software is an easy-to-use, integrated suite of service-oriented products that can help accelerate and reform the healthcare organizations in the country.
› Headquarters: Watertown, Massachusetts, U.S. › Founded in: 1997 › Healthcare Focus: electronic health records, medical billing, telehealth, care coordination, etc.
Softeq is one of the medical and healthcare software companies that has transformed healthcare organizations digitally. With advanced features and technological detailing, hospitals can now reduce paperwork, serve more patients, maintain health records, and access medical data stored on open-network. Unlike other U.S. healthcare software companies, Softeq stands out for its modern ideology. The software offers Remote patient monitoring (RPM), AI-based medical imaging solutions, and uninterrupted workflow management.
Softeq assists in building and fine-tuning AR-based performance, remote operating theatres, and medical schools. It helps in finding an optimal way to connect custom devices to hospitals, pharmacies, and health insurance companies. Softeq digitalizes the medical system in the way by offering automatic prescription refills, health data management, remote patient care, and telemedicine follow-ups. This custom software provides full-stack embedded services under one roof.
› Headquarters: Suite 125 Houston, Texas 77079 USA › Founded in: 1997 › Healthcare Focus: remote patient monitoring (RPM), AI-based medical imaging solutions, workflow management
Provider of cutting-edge engineering solutions, Intellectsoft is the new-age digital transformation consultancy. The software development company stepped its initial foot with a vision to untangle complex issues during the digital evolution of enterprises.
Intellectsoft launched its services in 2007 with a skilled and expert team. Since then, it has helped healthcare and various other industry in leveraging big data. This company helps in exploring major challenges of the healthcare industry and revolutionizing the main trends that will affect the market. Intellectsoft helps in discovering and analyzing big data that may transform the process of how clinical care, public care, and personal care are performed. This software development company helps organizations in exploring new business models and achieve better decision-making efficiency.
Intellectsoft is among impactful healthcare software companies that fit the healthcare industry within a shorter time frame. Its experienced team of developers uses an effective design process to customize the software to ease the digital implementation of new technology.
› Headquarters: Palo Alto, CA › Founded in: 2007 › Healthcare Focus: mHealth, telemedicine, IoMT, AI, Blockchain, etc.
Healthcare organizations struggle balancing business requirements simultaneously maintain healthcare. Allscripts is a stop solution for healthcare IT companies that do not want to compromise with human life when in the healthcare business. It is a customizable platform that adapts to your needs and builds connected health communities over the open network. Allscripts makes this digital transformation possible by providing innovative HER, financial and operational management, patient management, population health management, precision medicine, analytics, and intervention solution.
Allscripts is a top healthcare software company in the USA that streamlines operations to suit your business requirement without risking the main objective- human healthcare. It boosts the revenue cycle, improves practice management across all departments, and performance management solutions. The software tracks patient welfare through optimized health records, informed referral plans, and up-to-date shareable care plans.
› Headquarters: Chicago, Illinois, U.S. › Founded in: 1982 › Healthcare Focus: electronic health records, electronic prescribing, revenue cycle management, practice management, document management, medication services, hospital care management, etc.
Headspring is one of the dedicated medical software companies designed to evolve the health industry and improve healthcare. Today, when healthcare is the most important subject, organizations seek expert knowledge and innovative platform to enhance lives. Headspring offers subsequent results by marrying deep industry insights and top-level software expertise. In addition, the platform addresses unique and vital healthcare requirements across the country through its developed technology.
Headspring healthcare software solution offers high-value asset tracking, supports digitalized transformations through its modern efforts, empowers clinicians with effective data analysis, connects medical systems to modern devices, and enhances donor engagement and recruitment. Healthspring has catered specific digital requirements to medical manufacturers, healthcare providers, insurance groups, and various pharma and biotech companies.
› Headquarters: Austin, Texas 78759 USA › Founded in: 2001 › Healthcare Focus: high-value asset tracking, accelerated digital transformation, donor recruitment & engagement, data analysis, connected systems and devices
CompuGroup Medical is a healthcare IT company acting as a bridge between physicians, laboratories, rehabs, care facilities, and hospitals. Among top medical software companies, CompuGroup is experienced and holds a better understanding of how the medical industry works for the betterment of human lives. Healthcare is one of the most sensitive sectors. CompuGroup manages software for medical professionals, as well as products for connecting them. The platform is recognized as the best healthcare software company connecting patients with doctors and medical facilities.
CompuGroup’s Ambulatory information system develops software to facilitate administrating data management and provide more information to doctors. Its Pharmacy information system facilitates software for the pharmacy that helps in warehouse optimization, documentation, information analysis, and product organization. Additionally, CompuGroup offers hospital information system and consumer health management information system that addresses pharmaceutical companies, healthcare IT companies, and medical experts with relevant information and data.
› Headquarters: Germany › Founded in: 1987 › Healthcare Focus: hospital information systems, lab solutions, care management, electronic health records, etc.
Glorium Technologies is a full-cycle app and software development company that serves specific client business needs via the best possible technology solutions. Are you a startup or a mid-size business trying to push your project to the market faster? Are you developing a digital product for Healthcare or Real Estate? We provide tech startups with the strategic & technical expertise they need to build their vision, for less. With deep knowledge in many industries, we work alongside your team, assisting in creating sophisticated software solutions and getting to the market faster.
Since 2010, we have been inventing digital solutions, helping startups and SMBs come out on top in the real estate and healthcare industries.
Key Glorium Facts:
› 11+ YEARS of healthcare & real estate expertise › 200+ experts in 3 geographical locations › We named among the Inc5000 (2020, 2021) fastest-growing private companies in America and in INC. Regionals Northeast No. 86 (2022)
› HIPAA/HITRUST compliance › ISO-13485 certified for medical device development › ISO-9001 certification for quality management
HTD Health is a strategic, modern, and highly recommended best healthcare software company. HTD Health is a virtual health software development consultancy with extreme knowledge and expertise in the healthcare space and quality engineering culture. Its team is well-versed with the FHIR system. HTD is highly recommended to organizations dealing with medical and healthcare systems for its excellent team of developers and in-depth expertise.
HTD Health focuses on customizing its strategy to suit individual requirements. It is involved in value creation, reimbursement competency, and monitoring investment for various healthcare companies. HTD acquires the ability to set realistic expectations for each undertaken project, making it the top healthcare software company in the USA. HTD Health undertakes warehouse management, web and mobile development, data warehousing, reporting, and predictive analysis, de-stigmatization, and connecting healthcare management with EHR.
› Headquarters: Brooklyn, NY, U.S. › Founded in: 2016 › Healthcare Focus: HTD advisory, managed services, desing & development, HIPAA compliance, etc.
SoftClinic is a comprehensive, end-to-end hospital and clinic management software. Among the top healthcare technology companies, SoftClinic stands out for its customizable features that suit every management with its unique requirement. Each laboratory, Inventory, HR, hospital, and accounting department comes with different modules. SoftClinic digitizes the basic management and record-keeping activities, making healthcare management easy to run.
SoftClinic delivers Electronic health record (EHR) software which digitizes patient records and helps physicians in keeping track of health records with ease. It also assists patients in storing their health records on Patient Portal, which is easily accessible by family members and doctors. In addition, it delivers smart features like an online appointment system, mobile application access for physicians, HIPAA compliant cloud backup, fingerprint scan identification system, barcoded reporting system, auto-notifications, equipment interfacing, and advanced data analysis.
› Headquarters: Ahmedabad, Gujarat, India › Founded in: 2010 › Healthcare Focus: hospital management software, EHR, lab information management system, pharmacy software
Globant is a new age, the modern medical software company that helps organizations go through the cognitive transformation. Digital reinvention is a challenge for the health sector, where there is an infinite number of data and patient records. Globant is one of the leading medical and healthcare software companies that reinvent professional working companies, create solutions and help them in moving forward.
Globant blends engineering, design, and innovation with a unique approach to helping the healthcare business grow and re-discover itself. This software development company is powered by AI tools that help in unique coding for various healthcare sectors. Its AI decision platform allows organizations to navigate and optimize large-scale data and gather business process knowledge. Globant is focused on developing and growing businesses by helping them adapt to modern technological changes and transform themselves.
› Headquarters: Buenos Aires, Argentina › Founded in: 2003 › Healthcare Focus: life sciences, IoT, data analytics, etc.
GE is one of the leading global healthcare software companies that enable clinicians and medical professionals to make faster decisions. This software company is popular among healthcare organizations for providing intelligent devices, data analytics tools, and information support systems. The company fosters an inclusive culture of transparency, respect, and integrity. GE Healthcare integrates leading technology to help healthcare organizations improve patient outcomes. It is recognized as an industry leader for its world-class installed base and tailored portfolio that meets the unique requirements of medical professionals.
GE Healthcare uses intelligent technology to help practitioners make precision health decisions. The software developing company provides support tools used in diagnosis, treatment, and monitoring patients.
best chronic care management software
I have come up with a list of 6 Chronic Care Management Software companies that can help you with your practice’s Chronic Care Management (CCM) program. They are in no particular order, and there are many more out there. Consider this a starting point as you try to find the right company for your needs.
As you know, Medicare’s Chronic Care Management Program helps medical practices with patients that have chronic illnesses get paid for services like phone calls, coordinating with other providers, and checking on medications. These services have always been done by providers, but they were never permitted to bill for them.
Well, now healthcare providers can get paid for CCM using CPT code 99490. But practices have to meet the CCM billing requirements if the code before they can bill, which are very specific.
Regardless if you are using a paper charts or have electronic health records, practices find it difficult to track all the time spent managing the patient, which is a key requirement. Even if you are using an EHR, they are just not very good in this area.
New CCM software companies have come to the rescue to help practices document all that is required to bill 99490 properly, and they can offer much more that your EHR or paper system can provide.
Software created by Signallamp works with your practice’s existing EHR system to develop an IT framework to work as an extension of your practice. The program helps identify eligible CCM patients and provides them with educational materials on the management of their chronic conditions. A nurse is assigned to your practice and acts as a go-between for both the practice and the patient to ensure successful adherence to CMS communication guidelines for reimbursement.
Delivering both technological solutions and staffing resources to businesses, CSC can provide your practice with the technology needed to capture patient information and coordinate care and monitoring, all while meeting CPT 99490 requirements. They offer a variety of patient outreach services including phone calls, texts, and video conferencing capabilities. They also assist in creating a comprehensive care plan for each patient, enabling healthcare providers to establish treatment goals and share crucial information with the patient.
Specifically designed to manage chronic care patients, ChronicCareIQ integrates into your existing practice software to automate time tracking of non-face-to-face patient care. A central dashboard featuring patient-reported health information and alerts allows providers to more effectively treat pressing patient issues remotely while keeping track of billable time.
Combining technology with 24/7 nursing support, Vatica Health makes it easy for patients to access care online and by phone through constant access to clinical health assistants. They also work with your practice to develop a comprehensive care plan for your CCM patients that can be shared with all providers involved in care. For providers, Vatica Health provides monthly reports and all documentation required by CMS for reimbursement through the program. For more complicated patients, Vatica Health can also integrate wearable medical devices and health trackers for remote monitoring of your patient’s condition.
ThoroughCare provides tools to help your practice manage CCM patients in-house, including a web-based technology platform that’s HIPAA compliant. The program walks providers through the creation of a patient-centered care plan, making it possible to track time spent with the patient, reviewing patient labs or making changes to the care plan. Providers can also access a detailed time log for each patient in case of audit. Billing reports can be created that include all patients for whom monthly claims can be submitted.
The technology created by CareMerge integrates with your practice’s existing EHR to merge communication and care coordination among providers and CCM patients. Their product helps providers create and manage the Medicare required care plan, keep track of time and required communication with patients, and run automated, comprehensive reports detailing your practice’s efforts toward Medicare CCM compliance.