Revolutionizing Healthcare Analytics

Pulse8 is the only Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustment, Quality Management, and Pharmacy programs.
Learn how to improve your financial performance.
Request demo

Our Suite of Products

Pulse8 seamlessly integrates our modular products to create the exact solution suite that best meets your organization’s needs.  Based on our innovative and powerful Illumin8 technology platform, Pulse8’s uniquely pragmatic solutions deliver unprecedented visibility into the efficacy of your risk adjustment, quality management, and pharmacy programs.  The Pulse8 Platform includes cutting-edge Analytics, Coding Technology, EDPS/RAPS, and EDGE Server Submissions Solutions.

For more information on each of Pulse8’s eight products and our Illumin8 Active Intelligence platform, please click on the appropriate portal below:

Calcul8
Risk Adjustment Analytics & Reporting

Calcul8 delivers the most advanced risk adjustment analytics to the ACA Commercial, Medicare Advantage, and Managed Medicaid Markets as well as Value-Based Payment Models for Medicare. Calcul8 provides the real-time visibility needed to monitor and manage risk adjustment revenue against budgeted gap closures and Key Performance Indicators (KPIs).

Qualit8
Quality Analytics

Qualit8 facilitates gap closure in Star Rating, QRS, and other quality measures using advanced analytics and predictive models to identify and prioritize the quality gaps most worthy of attention and to recommend the ideal intervention method and timeline for closing each.

Formul8
Pharmacy Program Management

With a continually evolving pharmacy management industry, Pulse8 is the only objective partner that can support a payer’s relationship with its PBM, pharmaceutical manufacturers, pharmacy networks, prescribers, and patients.

Valid8
Risk Mitigation

Valid8 analyzes conditions at risk of failing a data validation audit, whether or not they have been submitted to the EDGE server, CMS (EDPS/RAPS), or Medicaid (MEDS II), and strips away the “False Positives” that can expose a health plan during a RADV Audit for attributing risk factors that cannot be fully validated from the member’s medical records.

Collabor8
Provider Engagement

Collabor8 helps health plans and at-risk providers to engage physicians, advance quality initiatives, and deliver provider education, benchmarking, and member-specific alerts for gaps in Documentation, Coding, and Quality – all within a provider’s point-of-care workflow, via an intuitive self-service portal.

Integr8
EMR Analytics & Integration

Integr8 utilizes advanced IT linkages to unite an ever-growing number of leading Electronic Medical Record (EMR) systems in order to access their expansive data sets, embed advanced analytics into the provider’s workflow, and push alerts directly to the provider for gap closure in the clinical setting.

Popul8
Coding Technology

Popul8 employs advanced Computer-Aided Coding technologies, such as Natural Language Processing (NLP) and Optical Character Recognition (OCR), to enable health plans to more efficiently and accurately find, document, and code those conditions for which their members were treated.

Reconcili8
Submissions & Reconciliation

Reconcili8 is an integrated solution for EDPS/RAPS and/or EDGE Server Submissions that enables direct data entry, contains correction utilities, manages and prioritizes exceptions, and provides reconciliation dashboards – all to ensure complete and accurate data submissions.

Discover Illumin8

Every Number is a Life

We enable health plans and at-risk providers to achieve the greatest financial impact in the ACA Commercial, Medicare Advantage, and Medicaid markets.  By combining advanced analytic methodologies with extensive health plan experience, Pulse8 has developed a suite of uniquely pragmatic solutions that are revolutionizing risk adjustment and quality.

MEET OUR TEAM

‍Latest News

#News
Kentucky Medicaid Program Takes on the PBM Middlemen

Spread Pricing in Medicaid Managed Care programs needs to end. The state of Kentucky published a report this week showing that Pharmacy Benefit Managers (PBMs) took $123.5 million in hidden fees from Kentucky health plans that serve the state’s low-income population. Similar to a case in Ohio, the agreements between the health plans and PBMs were those referred to as “spread pricing”.

#News
Pulse8 Returns to the 2019 RISE Nashville Summit

Pulse8, the ONLY healthcare analytics and technology company delivering complete visibility into the efficacy of Risk Adjustment, Quality Management, and Pharmacy programs, is excited to return as a platinum sponsor at the 2019 RISE Nashville Summit. Pulse8 will begin the Summit by hosting a Pre-Conference Workshop that pairs Pulse8’s industry experts with some notable health plan partners on Sunday, March 17th, from 1-4 pm CST.

#News
Under Pressure: Pay to Play Increasing Drug Costs for Hospitals and Consumers

Pressure is building regarding the "Pay to Play" payments that are made to pharmacy management middlemen. These middlemen include Pharmacy Benefit Managers that receive rebates from drug manufacturers for preferred formulary placement and the exclusion of coverage of competing manufactures.

read more NEWS

Request a Demo

For all general and sales inquiries, please contact us at 410.928.4218 or email us at info@pulse8.com
Cancel

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form