We offer both Medical and Pharmacy Covered Lives Dashboards to help you navigate challenges associated with an ever-changing payer coverage landscape. The tool allows you to: 

• View lives at the granularity level you need – State or County
• See the big picture via the interactive map, charts, and summary tables 
• Dive deeper with filters and narrow down results by Payers, Plan Types, and States 
• View all parent – subsidiary relationships 
• Understand payer – PBM relationships 
• Export a copy for offline use

Empower your teams with Policy Reporter's payer documents library, change alerts, and reserach tools. 

Healthcare providers face numerous challenges in navigating the complex U.S. healthcare system:​

• Keeping up with evolving medical necessity criteria, coverage policies, and billing rules​
• Understanding and complying with diverse payer policies and prior authorization across commercial and government plans​
• Efficiently managing revenue cycle processes in a constantly changing reimbursement landscape​
• Ensuring patient access to necessary care while meeting payer requirements​
• Minimizing claim denials and optimizing reimbursement​

This causes challenges such as: ​

• Interpreting and applying complex payer policies consistently across the organization​
• Reducing administrative burden associated with prior authorizations and claim appeals​
• Staying current with frequent policy changes that impact reimbursement and patient care​
• Balancing compliance requirements with operational efficiency​
• Maximizing revenue while ensuring appropriate utilization of healthcare services​

Policy Reporter empowers healthcare providers to address these challenges by:​

• Delivering analyst-verified alerts for tracking policy changes customize to your specialties and payer mix​
• Simplifying access to up-to-date coverage criteria, prior authorization and reimbursement rules​
• Offering comprehensive research capabilities to comply with key contract and claims rules​
• Supporting efficient revenue cycle management with targeted insights and tools​

Our solutions reduce administrative burden, streamline reimbursement-related research, and empower your entire team to make informed decisions that improve patient care and financial performance.​​

Turn data into decisions with healthcare’s first and only streaming platform for personal health data. With connections to more than 550 unique devices, Validic helps you access and manage your population’s health data, personalizing care and ensuring you trigger the right insights to support the right actions.

Validic is a digital health and personalized care company. With the world’s largest health IoT platform and EHR-embedded remote care application, we help care teams give every patient tailored interventions and personalized care, improving healthcare efficiency and delivery, and empowering patients to play an active role in their health and well-being.

Validic's health IoT platform streams remotely captured personal health data and embeds it within the EHR. Discrete data is written to EHR flowsheets.

Use the most complete health data available to make better clinical decisions

With a single connection to the Validic® Inform health IoT platform, organizations can access data from 540+ home health and wearable devices. We maintain the business relationships, technical updates, and ongoing support — including vendor agreements, third-party terms and conditions, bugs, and compliance with industry regulations and standards.

Personalized, timely interventions with high-frequency data access

Validic’s advanced streaming capabilities provide the most efficient means to integrate continuous, near real-time personal health data from home health devices. High-frequency provides access to activity, heart rate, and blood glucose data at a rate up to one reading per minute.

Flexible, scalable, integrated

Using simplified data context, metrics, and reporting features, we intentionally built our proprietary data model and standardization process to scale and seamlessly integrate into any system. We standardize the endpoints to ensure data integrity and security in storage and in transit. Our platform architecture provides unlimited potential for personalization and customization with published APIs and SDKs that support future device and data type integrations.

Manage by exception

With configurable rules, care teams can track and manage their patients’ engagement, outcomes, and program adherence with automated triggers and notifications. Rather than monitoring constant streams of data or sifting through aggregated insights, elevate the data that requires attention and use rules to trigger actions based on the data delivered. Clinicians choose how to display, analyze and act upon insights while our solution works entirely “behind the scenes.”

Validic offers the largest device-agnostic platform for personal health data. With one API connection, your organization gains access to secure, standardized data from more than 550 unique personal health devices — the broadest selection available on the market. As the only streaming platform for personal health data, Validic offers healthcare the next-generation tools for integrating continuous and aggregated data. With a simplified data retrieval process and expanded data model, Validic provides the most efficient means of ingesting near real-time personal health data without the need for additional IT resources. With insight from continuous monitoring devices, clinicians can help patients stay on track and make the right lifestyle choices to accomplish their goals.