Driven by Results
Outcomes
Maximize your performance in the value-based economy
For over 15 years, Healthmonix has been the clinical data foundation for thousands of providers, practices, and health systems. We don’t just simplify reporting; we optimize your standing. Through on-demand performance dashboards, seamless API integration, and automated regulatory management, we empower our partners to maintain top-tier quality scores. See how our data-driven approach turns complex compliance into a measurable competitive advantage.
Revenue protection
$800 million
MIPS shouldn’t be a gamble. In 2024, we protected our clients from over $800 million in potential penalties. We provide a frontline defense for your bottom line, ensuring every submission is valid, scorable, and secure.
Outcome improvements achieved
63%
We ensure your clinical excellence is accurately captured. Our validation engine identifies gaps before they impact your score, ensuring that your data reflects the true quality of your care.
Score outperformance
35%
For MSSP ACOs, meeting the quality threshold is the gateway to shared savings. Our clients achieved quality scores 35% higher than the national average, significantly increasing their standing and potential for financial reward.
Incentives and shared savings
$300 million
We turn effort into earnings. In 2024, our specialized reporting pathways helped our partners secure $300 million in combined shared savings and MIPS incentives.
Partner approval rating
96%
Reporting is complicated; your partnership shouldn’t be. We’re proud of our 96% CSAT rating, a testament to our commitment to providing expert guidance and proactive support at every stage of the reporting year.
Industry-leading responsiveness
1.7 hours
Regulatory deadlines wait for no one. Our dedicated support team resolves technical and program inquiries in an average of 1.7 hours, giving you the answers you need to stay on track.
Houston Methodist Coordinated Care ACO case study
As the requirement for ACOs to report to CMS loomed for the 2025 performance year, HMCC recognized the urgency to establish its workflows and data collection processes in advance. With over 1,600 providers and data fragmented across 13 different electronic health records (EHRs), HMCC sought a partner capable of merging these varied data streams into a unified reporting account for CMS quality performance evaluation. In 2022, HMCC selected Healthmonix, which not only facilitated the integration of disparate data sources but also provided critical provider education and conducted quality reviews with ACO leadership. This strategic alliance was designed to set HMCC on a path to successful compliance and reporting efficiency under the new CMS mandates.
Read more
Healthmonix is a true partner in driving HMCC ACO’s continued success in CMS ACO quality performance with all payors. Our relationship and work achieved together with our providers is foundational for succeeding in the required 2025 CMS submission of quality data.”
Julia D. Andrieni, MD MACP
President & CEO, HMCC ACO
Houston Methodist
American Psychological Association case study
In the early 2010s, mental and behavioral health professionals lacked a Qualified Clinical Data Registry (QCDR) to offer specialty-focused measures beyond those provided by CMS. Healthmonix and the American Psychological Association formed a partnership in 2014, leading to the development of the Mental and Behavioral Health Registry in 2018.
Read more
Developing the MBHR provided an opportunity for psychology and psychologists to take a leadership role in determining quality mental and behavioral health care. It is critically important that psychologists and other mental/behavioral health professionals have access to measures that represent how they actually practice, that are true indicators of quality outcomes, and that are most useful to the patients they serve, especially given the increasing impact it has on provider reimbursement.”
C. Vaile Wright, Ph.D. Senior Director
Health Care Innovation, American Psychological Association
Flatiron Health case study
Flatiron Health partners with Healthmonix to streamline MIPS reporting for oncology practices, ensuring seamless data submission and improved performance tracking. Through integrated solutions like MIPS Cost Analytics and MIPS Analytics, clients gain valuable insights to enhance care and maximize scores.
Read more
Healthmonix has been a great partner in enabling our practices to navigate the complexities of MIPS reporting. Healthmonix helped coach our mutual clients on MIPS requirements, walk them through the submission process, and submit providers’ MIPS data to CMS. The data integration between OncoEMR® and MIPSpro is easy to set up and unlocks the ability for practices to leverage easy-to-use data visualization and reporting tools.