Abacus Insights

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Abacus Insights Company Information

Abacus Insights is a company specializing in health data transformation, offering a variety of solutions such as the Abacus Insights Platform, Data Solutions, CMS Interoperability Solution, Risk Adjustment Solution, Clinical Data Solution, and Cost of Care Management Solution. The company has raised $28 million in Series C financing and its platform is both HITRUST r2-certified and SOC 2-certified. Abacus Insights’ data solutions are available in the AWS Marketplace, and the company has joined the AWS ISV Accelerate Program. Their Clinical Data Solution integrates and validates clinical data from HIEs, EMRs, digital apps, and other external sources with core payer data. The Risk Adjustment Solution provides accurate, complete, and timely data tailored for each health plan, while the Cost of Care Management Solution enables health plans to calculate and monitor total medical costs in real-time throughout the claims process. The CMS Interoperability Solution is compliant with the CMS Interoperability and Patient Access rule. Abacus Insights manages data for more than 21 million health plan members and supports various use cases including risk adjustment, cost of care management, clinical data, and CMS interoperability. Built specifically for health plans, the platform helps payers achieve goals such as efficiency, equity, health services, and member outcomes by breaking down and organizing healthcare data through cloud computing solutions. The platform also offers rapid implementation, scalability, and enterprise-level data operations at scale, enabling better care within the healthcare industry.

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