Shaping intelligent decisions for healthcare

XSOLIS helps healthcare organizations transform their financial and operational models through a winning formula: artificial intelligence + technology + people + process. We are here to support you.

Transforming Healthcare Operations with AI

Take a new approach to utilization management by connecting providers and health plans through a shared framework for case review — built on evidence-based, predictive analytics. Improve staff efficiencies and reduce friction by using XSOLIS' analytics to authorize status determinations and identify opportunities for "touchless" case reviews. 

 

Hospital@3x
Hospitals

When medical necessity determinations are reduced to "checking a box" the focus shifts from the patient to the criteria. XSOLIS'  evidence-based, predictive analytics assess the clinical merit of each case and provide a full clinical picture for each patient — enabling hospitals to take a patient-centered approach to utilization management.

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Health System@3x
Health Systems

Today's manual utilization management processes create inefficiencies and enable inconsistent case reviews that result in incorrect status determinations and denials. Stop digging through the EMR and break down silos across your health system with a new, precision-based approach to utilization management.

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PAyer@3x
Payers

Misalignment of documentation, limited access to clinical data, and the burden of administrative tasks can be blamed for provider abrasion at the forefront of member dissatisfaction. XSOLIS connects health plans to providers by streamlining authorization communications and giving staff a real-time view of the clinical data of each case escalated by providers. 

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Client Success

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We are always pushing towards the future. As healthcare reforms and these things change, if we are not ahead of the curve, then we are going to be left behind.

 

Rikki Moye Vice President of Case Management at Hillcrest HealthCare System
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Now I can log in each night and see which patients have had a review, and that’s not something we’ve had before. We are a strong team now.

Tracy Neidetcher Manager of Utilization Management at Legacy Health
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We want to make sure our workflows align and that we offer the same workflow for each of our payers. In this collaborative effort, everyone was willing to ask: ‘What if?’ The most compelling result is that the provider-payer relationship has thrived.

Sherri Ernst Revenue Integrity & UM Officer at Covenant Health
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Industry-leading, AI-driven technology with enhanced security

CORTEX's real-time predictive analytics continuously assign an objective medical necessity score and create game-changing efficiencies for our customers — now bolstered with the most proactive data security and compliance measures available. 

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XSOLIS Insights

Precision Utilization Management
XSOLIS Introduces Precision Utilization Management
The power of precision medicine has been brought to utilization management. Learn more about what precision UM is and how it is being used by hospitals and health plans.
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Beckers 2021 webinar
XSOLIS & Humana Redefine Provider Relations
Health plans are bolstering provider relationships and utilization processes with CORTEX, XSOLIS' technology platform. Learn how your organization can too.
View On-Demand
CFO WP-1-1
How Does CORTEX Impact Financial Objectives?
An automated utilization management process gives organizations the potential for undiscovered financial opportunities. Read more about how CORTEX can yield financial results.
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