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Healthcare Payers

Advanced healthcare payer analytics solutions

Arcadia’s healthcare analytics improve performance and risk adjustment accuracy. Healthcare payers leverage Arcadia’s platform to collaborate closely with provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts.

Ready to put healthcare payer analytics solutions to work?

The challenge

Healthcare is changing, creating new challenges for growth

New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed.

The solution

Improve your healthcare payer analytics strategy to retain members and reduce costs

Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy.

Payer analytics advantages

Break through data silos

Transform disparate information into a longitudinal view of patients through clinical and claims data.

Close gaps in real-time

Help providers make impactful decisions at the point of care with insights deliver at just the right time.

Act on what matters most

Stop the data debates and give your teams the ability to focus on the best next step.

Drive innovation

Unlock collaboration across your organization, providers, partners, and members.

Automate manual workflows

Forget spreadsheets and unify business processes and infrastructure on a single source of truth.

Scale your business

Spot opportunities and problems quicker with an intelligent analytics platform built for payers.

Close large risk and care gaps with Arcadia’s healthcare payer analytics solutions.
Clinical data

Unlock the benefits of clinical data for risk and quality

Use Arcadia’s healthcare payer reporting platform to discover actionable insights and distribute highly-personalized and contract-specific reports to providers, employer groups, and more–at scale.

4% lift in risk

When you supplement claims data with clinical vs. claims only data

.04 more RAF

Captured through supplemental EHR documentation

~.3 higher STAR points

Captured by supplementing your claims data with clinical data

Data integration

Centralize data management for real-time data exchange

Power your business with a provider source of truth. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform.

Operational enablement

Drive operational efficiency with new workflow tools

Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources.

Read this section to learn how Arcadia's healthcare payer analytics solutions power better outcomes.

Close more risk, drive better performance

A northwest payer saw a $7M increase in their Medicaid premium by partnering with Arcadia to improve their closed risk per patient by 59%. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care.

Latest Resources

How we're making a difference for our customers


We chose Arcadia because their product seemed to be the best balance of newer architecture and technology with rich, real-world functionality that was strong in general purpose analytics, data science, perspective health status assessment, and quality management. And Arcadia had really outstanding leadership in terms of the knowledge of the business. We were very impressed with the people, and we have continued to be able to have access to those people, so that was a big part of our decision as well.

CEO/President, SEPTEMBER 2022

A data analytics platform for healthcare payers

Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs.