Our CEO, Minalkumar Patel, shares his perspective on why the shift to digital quality measures is a turning point for HEDIS®. As the industry moves beyond manual chart review, payers gain faster access to trusted insights and a stronger foundation for value-based care. Read our blog to learn more. https://lnkd.in/ekEHNQ6d
Abacus Insights
Software Development
Boston, Massachusetts 7,395 followers
U.S. leader in healthcare data usability for payers
About us
Every time a person visits a doctor or hospital, a surge of data is created. That data is the lifeblood that has the power to deliver insights and the promise to transform our healthcare experience. But today, these data are stuck in old systems and are hard to share, making it difficult to give patients the best possible care and experience they deserve. This creates a frustrating reality for patients who are looking for answers to basic questions: Do I need to see a doctor? If so, which doctor should I see? How much will this cost me? Abacus’ mission is to improve people’s lives by breaking down these silos and liberating healthcare data to make real impact. Abacus believes this is achievable today because of two recent fundamental and unprecedented shifts: the digitization of healthcare data and the advent of cloud computing have given us the ability to securely bring vast amounts of data together to produce powerful insights. We are a fast-growing, values-driven team that cares deeply about improving the healthcare experience. If you like using innovative technologies to solve complex problems and build products from the ground up. Check out our job openings at www.abacusinsights.com/careers/
- Website
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https://abacusinsights.com/
External link for Abacus Insights
- Industry
- Software Development
- Company size
- 201-500 employees
- Headquarters
- Boston, Massachusetts
- Type
- Privately Held
- Founded
- 2017
- Specialties
- Data Management, Analytics, SaaS Platform, Healthcare Data Transformation, Healthcare Data Management, Risk Adjustment, CMS Interoperability, and Clinical Data
Locations
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Primary
Get directions
40 Broad St
Suite 600
Boston, Massachusetts 02109, US
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Get directions
347 W 36th St
Unit 1100
New York, NY 10018, US
Employees at Abacus Insights
Updates
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Sip. Connect. Celebrate. Join Abacus Insights, Mongoose, and ZS for a cocktail reception at HLTH! Monday, October 20, 5-7pm PST at Sugarcane on Restaurant Row https://hubs.ly/Q03LxbDG0
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In our new blog with Databricks, we highlight how #FHIR powered, #InteroperableData + advanced #analytics help health plans move beyond #CMS0057 compliance to build a reusable, governed data foundation that enables improved care delivery and better member outcomes. Read more: https://lnkd.in/eRQepf5r
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By 2030, all #HEDIS® measures must be digital. What started with the 21st Century Cures Act and evolved through #CMSinteroperability rules is now reshaping how health plans measure and improve outcomes. This isn’t just a regulatory shift, it’s an opportunity to transform care #quality, streamline reporting, and get ahead of the digital deadline. 👇 Read the blog to see how your plan can prepare: https://lnkd.in/ekEHNQ6d
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We’ve partnered with Tech Mahindra to streamline and accelerate the implementation lifecycle for payers that have to comply with #CMSInteroperability mandates. The partnership streamlines and accelerates the implementation lifecycle while reducing administrative burden, lowering total cost of ownership, and future-proofing, usable, interoperable healthcare data for payers. Read more about this strategic partnership here: https://lnkd.in/e4J9G24Y
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📊 A recent AJMC survey revealed that 73% of payers are falling behind on CMS 0057 implementation. As a payer, are you facing similar challenges? Abacus Insights offers a turnkey interoperability solution—purpose-built for payers—to help you move from compliance hurdles to true business value. 👉 From mandate to momentum: abacusinsights.com #CMS0057 #HealthcareInteroperability #FHIR #PayerData #DigitalHealth #HealthIT #DataStrategy #AbacusInsights #ValueBeyondCompliance #InteroperabilityAtScale #HealthTechSolutions
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Abacus Insights took center stage at the Power of Payment Integrity Conference, with insightful sessions led by our own Gokul Varadharaj, Chief Revenue Officer, and Jonathan Kaplan, AVP Strategic Accounts. Together, they shared best practices for building a modular, purpose-built data foundation tailored to meet health plans' unique pre- and post-payment integrity needs. #PaymentIntegrity #HealthcareInnovation #AbacusInsights #DataFoundation #ClarisHealth
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🎉 5 Years of Trusted Data Protection Abacus Insights has achieved HITRUST r2 & SOC 2 certification for the fifth consecutive year—a powerful testament to our long-standing commitment to protecting sensitive health information. The milestone underscores our unwavering dedication to safeguarding healthcare data and maintaining the highest standards in privacy, security, and compliance. 🔐 Trust isn’t a one-time achievement. It’s earned, year after year. #HITRUST #DataSecurity #SOC2 #HealthTech #AbacusInsights #TrustInAction #HealthcareCompliance #HealthDataProtection
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📍 Heading to the Power of Payment Integrity Conference this Tuesday, April 22? Join Abacus Insights’ very own Gokul Varadharaj, Chief Revenue Officer and Jonathan Kaplan, AVP Strategic Accounts, at the AC Hotel Downtown Nashville. Discover why 65% of payers cite legacy technology as a roadblock and learn how a usable data foundation can drive payment integrity performance and accelerate strategic and operational value. #AbacusInsights #PaymentIntegrity #DataStrategy #ClaimsProcessing #DataUsability #PayerStrategy #HealthcareInnovation #HealthTech #RevenueCycleManagement #DigitalTransformation #PowerOfPaymentIntegrity #Clarishealth
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#Payers, the new #CMS-0057-F #data #interoperability and #priorauthorization mandates are a golden opportunity to go beyond #compliance to realize strategic value for members, providers, and your business performance—all for lower total cost of ownership than the expensive #CMS-9115-F implementations with disappointing adoption rates. To succeed at the significantly more ambitious and complex #FHIR APIs and other requirements of CMS-0057-F starting in 2026, read our blog for best practices. https://hubs.ly/Q034DpQq0
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