Building value-based care on infrastructure you can trust

Healthmonix Prism™ ingests, validates, and aligns clinical and claims data into a single, program-ready dataset that supports multiple quality and cost-based, risk-bearing contracts at once. Embedded AI enhances data quality, accelerates normalization, and surfaces the insights needed to manage performance across your entire value-based care portfolio.

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Trusted by leading healthcare organizations

One infrastructure layer for all your value-based care contracts

Prism creates a single, program-aligned dataset that supports multiple quality and cost-based contracts, then activates it so leaders can manage performance across MSSP, TEAM, ASM, MIPS, and commercial arrangements.

Healthmonix Prism™ clients have secured $300M+ in shared savings.

Unify: Aggregate data across EHRs, claims, registries, and payer sources into one longitudinal dataset

Align once, use everywhere: Structure data so it can support multiple contracts and measure sets without rework

Operationalize: Turn program-ready data into prioritized actions, workflows, and accountability

Enhance with AI: Apply AI to detect data issues, improve attribution accuracy, identify performance patterns, and prioritize interventions

The cost of fragmentation is real

Shared savings leakage: Many ACOs leave 10–30% of achievable shared savings unrealized because gaps aren’t identified until after reconciliation.

Margin exposure: A 1% swing in performance adjustments can represent $3–7M annually for a mid-sized health system. Quality and utilization are financial levers.

Contract sprawl: Each payer program has different measures, rules, and timelines. Leadership needs 1 view of performance.

Tool fragmentation: Many health systems manage quality across 4–7 separate tools and registries. Each handoff slows decisions and introduces risk.

Lagging visibility: CMS reconciliation happens once a year. Performance management should happen every day.

Healthmonix Prism™: The new standard for value-based care success

Healthmonix Prism™ is a unified ecosystem that centralizes your data, streamlines your workflows, and adapts in real time to evolving CMS, payer, and interoperability standards.

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Our Focus

Purpose-built for every value-based care leader

Health systems

Protect margin and standardize value-based care performance
Prism replaces fragmented quality reporting with one real-time view for the chief quality officer (CQO), chief medical officer (CMO), and chief financial officer (CFO). Align priorities, reduce variation, and act faster across programs.

ACOs

Stop leaving shared savings on the table
Prism gives ACO executive directors and medical directors prospective performance data so they can intervene before reconciliation. Manage MSSP, TEAM, ASM, and commercial value-based care contracts from a single platform.

Large physician practices

Be ready for downside risk without adding administrative burden
Prism manages commercial quality programs alongside MIPS performance. Track quality and close care gaps while staying focused on patient care.

We built our reputation on getting the details right

AI, applied where it matters
We embed AI throughout the data lifecycle, from ingestion and validation to performance prioritization, improving accuracy, reducing manual effort, and helping teams focus on the actions that drive results.

Built for real-world healthcare performance
Prism was built by teams with deep value-based care expertise. We focus on improving outcomes and performance, not just checking reporting boxes.

From single programs to enterprise performance
While we began in quality reporting, Prism now supports organizations across MSSP, bundled payment models, advanced primary care, and commercial value-based arrangements.

From insights to actionable intelligence
Prism doesn’t just surface data. It highlights the patients, practices, and gaps that need attention now, giving you time to act before the performance year closes.

Built to perform from Day 1
Every engagement starts with a plan. We map your data, your programs, and your goals, then activate Prism so your teams have the visibility and accountability to perform.

Industry Leaders

The largest healthcare organizations in the world trust Healthmonix to help them make their data actionable

Common questions about Healthmonix Prism™

What is Healthmonix Prism?

Healthmonix Prism™ is a value-based care performance platform that unifies, normalizes, and activates clinical, claims, and operations data across MSSP, TEAM, ASM, commercial value-based care programs, and MIPS. It provides a single source of truth for scenario planning and performance management across the VBC portfolio.

How does Prism help organizations transition to downside risk?

Prism helps leaders standardize performance management across VBC contracts, identify leakage early, and prioritize actions that improve quality, cost, and utilization. Forecast results of new programs based on your real data so you can take on downside risk with confidence.

Does Healthmonix have a MIPS solution?

Yes. Healthmonix has more than 15 years of MIPS expertise. That capability is embedded in Prism. MIPS performance is managed alongside other value-based care programs. Pay only for what you need — you can use Prism for MIPS alone or with many other VBC programs.

Where does AI fit into the Prism platform?

AI is embedded throughout the Prism data lifecycle. It is used to identify data quality issues, improve normalization and attribution accuracy, detect performance patterns, and prioritize actions. This ensures that insights are built on a reliable foundation and that teams can act quickly and confidently.

How does Prism support multiple value-based care contracts at once?

Prism creates a single, normalized dataset that is aligned to the specifications of multiple CMS and commercial programs simultaneously. This allows organizations to manage MSSP, TEAM, ASM, MIPS, and other contracts without rebuilding data pipelines or reconciling conflicting results across systems.

15+ years of MIPS expertise — now part of a bigger value-based care picture

Healthmonix built its reputation on MIPS reporting. That expertise is embedded in Prism. Your MIPS performance is managed alongside every other value-based care program you run — with one platform, one source of truth, and one operating rhythm.

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HITRUST certified

The HITRUST CSF (Common Security Framework) certification is a rigorous and prestigious milestone that recognizes Healthmonix’s comprehensive approach to managing risk and securing sensitive information. This achievement showcases our commitment to safeguarding patient data and maintaining the utmost confidentiality, integrity, and availability of healthcare information.

One dataset. Every contract. Real performance improvement.

See how Healthmonix Prism™ helps organizations build a trusted data foundation, manage multiple risk-bearing contracts, and use AI to improve quality, cost, and outcomes across their entire value-based care portfolio.

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