Solutions

HealthCorum Scores

HealthCorum’s scores identify providers of high-value care using a blend of population-based effectiveness, cost efficiency, and appropriateness metrics to define value.

Our rigorous approach combines evidence-based clinical guidelines, expert clinical review, analysis of unwarranted variation, and specialty-specific definitions of low-value care to develop risk-adjusted, population-based metrics.

Our metrics and scores are derived from the nation’s largest and most comprehensive claims dataset covering 98% of all payers across commercial, Medicare, Medicaid, and Medicare Advantage populations. This includes over 50 billion claims from more than 20 distinct sources.

This combination of our industry-leading methodologies and expansive underlying data result in our ability to consistently deliver Overall Quality Scores for 1.4M+ individual providers, 100k+ provider groups, and 25K+ facilities across the country.

Overall Quality ScoreOverall Score4.2Cost5.0Effectiveness3.0Appropriateness4.5

HealthCorum's data drives our primary solutions:

$Price TransparencyQualityScoresProviderInsightsProviderScorecardsPatient PhysicianMatchAPIHome › Find a ProviderFind a ProviderACL repair by arthroscopy · 48 results within 25 milesFiltersSort: RecommendedIn Network2.5 mi awayTotal Cost$14,542Your Cost$2,404HealthCorum Quality4.5 out of 5In Network2.4 mi awayTotal Cost$22,504Your Cost$3,200HealthCorum Quality4.0 out of 5

HealthCorum Transparency Hub

Our scores and other ancillary data are powering industry leading provider search tools and point solutions by way of our API. The service adheres to industry-specific requirements and is fully managed, scalable, and secure while being backed by our robust security and privacy policies, ensuring full compliance with SOC 2 and HIPAA standards.

HealthCorum Executive Dashboards

HealthCorum data is brought to life in our Executive Dashboards which can be accessed on-demand through our website or ported into partner platforms. With modules dedicated to key workflows such as provider search and market analysis, there is a wealth of information available with just a few clicks.

HealthCorum Executive Dashboards
HealthCorum AI Navigator

HealthCorum AI Navigator

HealthCorum’s AI Navigator empowers care navigation teams, healthcare organizations, and digital health platforms with intelligent provider guidance built directly into existing workflows. Powered by HealthCorum’s comprehensive provider scoring and insights platform, the solution helps teams surface high-value providers faster, supporting better outcomes at a lower total cost of care.

HealthCorum Plan Selection Agent

Today's healthcare benefits decisions require more than comparing premiums and deductibles. HealthCorum's Plan Selection Agent helps brokers, consultants, and ICHRA organizations evaluate health plans, analyze provider networks, assess disruption risk, and identify high-value care opportunities through a conversational AI experience.

HealthCorum Plan Selection Agent