Population Health

See Every Patient.
Close Every Gap.

Identify your highest-risk patients, close care gaps at scale, and report quality measures automatically — with Veradigm Population Health.

Core Capabilities

Analytics that turn
data into action

Move beyond reporting to real intervention. Veradigm surfaces your highest-priority patients and equips your care team to act.

Risk Stratification

ML-powered algorithms analyze clinical, claims, and SDOH data to identify your highest-risk patients before they end up in the ED.

Care Gap Identification

Automatically identify patients overdue for screenings, follow-ups, and chronic disease milestones. Export targeted outreach lists with one click.

Quality Reporting (HEDIS/MIPS)

Automate HEDIS, MIPS, and payer quality reporting. Track measure performance in real time and maximize your quality bonuses.

Patient Registry Management

Maintain condition-specific registries for diabetes, hypertension, asthma, and 40+ conditions. Track protocols and measure outcomes.

Automated Outreach

Trigger personalized outreach via SMS, email, or phone when care gaps are identified. Our campaign tools make gap closure scalable.

Predictive Analytics

Forecast readmissions, identify ED-avoidable patients, and model intervention impact on quality scores and total cost of care.

Client Stories