Illumin8 is the ONLY platform you’ll need for all of your risk adjustment, quality, and pharmacy programs.  Designed to remove waste, optimize revenue, and deliver innovation within the workflow of a health plan or at-risk provider, Illumin8 empowers Big Data, risk adjustment, and quality management analytics.
Choose a Product
Learn how to improve your financial performance.
Request demo

Advanced Big Data Approach

Traditional Data + New Data = Better View of Members

Effective utilization of all data sources improves confidence levels and offers new visibility into your membership, thereby improving financial performance and reducing costs.

Predictive Modeling & Dynamic Intervention Planning

Better Informatics + Advanced Analytics = Optimal Targeting

Analytics inform us where to focus limited resources.  Predictive modeling identifies specific factors associated with natural gap closure.  Event Sequencing tools simplify temporal patterns affecting natural gap closure.  Low-confidence cases are identified in order to avoid pursuing wasteful and unnecessary interventions.

Business Intelligence

Powerful. Extensive. Flexible.

Pulse8 provides actionable data in real-time, tracking performance against expectations and key milestones.  Unbiased.  Our Visualization & Reporting measures the latest interaction, creating real-time ROI projections and transparency across the supply chain.

Health Plans and At-Risk Providers utilize the Illumin8 platform for unprecedented visibility into the efficacy of outcomes and removal of considerable waste from the system.

Suite of Products

Illumin8 is the only Visualization & Reporting platform that risk-bearing entities need to master the intertwined worlds of Risk Adjustment and Quality Metrics for all government programs:  ACA Commercial, Medicare Advantage, and Managed Medicaid.

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).

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.

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.

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.

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.

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.

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.

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.

Stop wasting money, increase your financial reimbursement.
Request demo

Request a Demo

For all general and sales inquiries, please contact us at 410.928.4218 or email us at

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form