Dynamic, Real-Time Analytics to Inform Clinical Workflows and Drive STAR, MLR, and Value-Based Outcomes
We help care teams act earlier with precision, streamline operations, and measurably improve outcomes across populations — without a multi‑year overhaul.
ACO Predictive Analytics & Population Health Modeling
AI-Driven Insights to Boost STARS, Reduce MLR, and Achieve the Quadruple Aim
If you think transforming healthcare analytics means a year-long project and massive data cleanup, think again. We work with your existing stack and bring prebuilt accelerators and data models to quickly improve STARS, boost gainshare, reduce MLR, and advance the quadruple aim.
Predict dynamic patient risk, take the next best action, and shift care to a proactive, continuous model. Anticipate future health needs and potential adverse events, then measure the impact of your interventions — improving lives while reducing costs.
Integrate all available patient data with public SDoH datasets and leverage models trained on your data for targeted outreach — delivering timely, meaningful impact with always‑on predictive capabilities.
- Prevent avoidable adverse events
- Optimize utilization and access
- Achieve more quality goals
- Anticipate revenue and operational disruptions
Core capabilities
Interoperability
HL7/FHIR, ADT, claims, devices, files.
Predictive modeling
Continuously updated risk and propensities.
Next Best Action
Evidence‑based actions in the clinical flow.
Real‑time signals
ADT and streaming events power interventions.
Population engagement
Targeted outreach across channels.
Quality & MLR analytics
Track STARS, gaps, utilization, and cost.
Security & governance
Privacy by design and access control.
Observability
Transparent performance and data health.
Scalability
Elastic and reliable at population scale.
Pre‑built models & dashboards
Pre‑built data models and dashboards accelerate VBC and help unlock gainshare and quality bonuses. Deploy quickly and measure impact continuously.
- Stars
- Quality measures
- Gaps in care
- CAHPS
- Re‑admissions / 1000
- RAF (Risk Adjustment Factors)
- Provider score cards
Who we serve
Providers & ACO’s
Predict risk. Act decisively. Transform care into a proactive, continuous journey — improving lives and lowering costs.
Health Systems
Unify data, streamline clinical workflows, and surface insights where teams work.
Payers
Improve quality, reduce MLR, and power value‑based partnerships with transparent analytics.
PBM’s
Medication adherence signals and targeted interventions to reduce avoidable spend.
Digital Health
Embed predictive insights and longitudinal engagement into your virtual care experience.
Insights
Prevent Avoidable Adverse Conditions and Events
Use dynamic risk models that combine SDoH, ADT feeds, and clinical data — not just lagging claims — to intervene earlier and improve outcomes.
Operationalize the Next Best Action
Route insights into clinical workflows with automated tasks, longitudinal care pathways, and targeted patient engagement.
Security & Trust
Built with privacy by design and enterprise-grade controls to protect PHI while accelerating time to value.
See how fast you can move
Tell us about your organization and we’ll schedule an inside look at how PleromaHealth can optimize your clinical and financial performance.
- Go live quickly with prebuilt models and accelerators
- Works with your current analytics platform
- Measure impact on STARS, MLR, and outcomes