The Challenge
Clinify Health is a Chicago-based digital health startup focused on care-gap management for Medicaid populations.
- Fragmented clinical, claims and care-coordination data
- No consistent quality reporting
- Infrastructure needed for value-based care programs
Our Approach
Unified data model: Clinical and claims data in a single longitudinal model.
Standardized attribution: Consistent attribution and cohort definitions.
VBC intelligence: A HEDIS-aligned quality measurement engine with NCQA-traceable reporting.
Care coordination: Chronic-care workflows and cross-site care-gap visibility.
Auditability: Version-controlled measures and auditable quality computation.
The Results
- NCQA certification achieved for 3 HEDIS measures
- Reduced manual reconciliation burden
- More consistent care-gap identification
- Better coordination across sites
- Foundation for expanding value-based-care workflows
