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AI-Driven Innovation at SpectraMedix 

Practical AI, Built for Real-World Performance

SpectraMedix takes a purpose-driven approach to AI, delivering measurable business value to health plans and health systems—without the hype. 

Our AI models leverage machine learning (ML), predictive analytics, and large language models (LLMs) to support risk prediction, operational efficiency, and decision-making in value-based care.

Faster, Smarter Contract Management with LLMs

Contracts define reimbursement, provider obligations, and regulatory requirements, yet manual contract analysis is slow and inefficient. SpectraMedix is revolutionizing this process by using LLMs to automate contract ingestion and administration, transforming scattered, static documents into a structured, up-to-date repository.

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Cuts contract ingestion time

to streamline data access and ease administrative burden
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Extracts key contract terms

for immediate use in settlement, financial modeling, and compliance
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Builds a structured, filterable contract repository

for easier administration, real-time updates, and portfolio-wide visibility
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Value-Based Payment and Provider Network Teams

Easily track and manage value-based contracts and provider performance
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Chief Financial and Actuary Officers and Finance Teams

Track value-based program portfolio financial performance
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Value-Based Payment Analytics Team

Deliver financial, quality, risk, and utilization insights to health plan and provider stakeholders
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Contract/Medical Economics Teams

Model and adjust value-based contracts to maximize revenue and promote cost-effective care
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Providers and Non-Physician Practitioners

Provide detailed transparency into quality, risk, and financial performance

User Roles

The SpectraMedix VBP Platform empowers users across your health plan's value-based care enterprise with solutions to your specific, role-based challenges and pain points.

Simplify Joint Operating Committee Reporting  

Automate and personalize financial reporting on quality, risk, and utilization—by contract with practice- and provider-level transparency—to help providers understand and improve their performance on value-based contracts.

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The Platform (mobile header)
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Provider Collaboration Portal

Contract objectives simplified, empowering providers to understand and improve performance 
 
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VBP Analytics Suite

Insight into quality, risk, utilization, and financial performance
 
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Contract Settlement

Contract settlement with timely and accurate understanding of value-based contract performance of each TIN and provider
 
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VBP Contract Modeler

Design and simulate value-based contracts at scale
 
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AI-Powered Risk Stratification
and Cost Prediction

SpectraMedix applies advanced ML models to enhance risk stratification and cost prediction, enabling early identification of high-risk patients.

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Rising risk models that filter out noise and improve prediction accuracy
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Condition-specific models such as opioid harm prediction to enable proactive intervention
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Optimized resource allocation to ensure care teams focus on the highest-need patients
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On-Demand, Intelligent User Support

To enhance user experience, SpectraMedix is introducing an AI-powered chatbot that helps users navigate the platform, access key functionality, and troubleshoot issues using natural language queries. This on-demand assistant provides quick answers, reducing wait times and improving workflow efficiency.  

Driving Value Through AI

SpectraMedix is also integrating other AI-based technology that will provide a major leap toward optimizing risk-sharing, improving provider enablement, and driving better value-based care outcomes. 

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SpectraMedix: AI Innovation to Transform Healthcare Analytics

Learn more about Spectramedix's approach to AI-based innovation

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Ready to Learn More?

Better outcomes start with better insight. Learn how SpectraMedix drives value-based success with an AI-enabled platform purpose-built to deliver clarity, alignment, and smarter decision-making.