Arcadia Analytics

by Arcadia  · Based in United States → — A healthcare data analytics platform trusted by top payers and providers to deliver insights where they matter most.
Family Medicine Hospital Medicine Internal Medicine
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Subscription-based pricing model.
Regulatory Status Disclosed

Overview

Arcadia Analytics is a leading cloud-based healthcare data platform purpose-built for analytics, unifying disparate data from multiple sources such as Electronic Health Records (EHRs), claims, social determinants of health (SDoH), pharmacy records, and ADTs. It provides a comprehensive view of patients and populations, enabling visual analytics, risk stratification, and automated workflow tools. The platform is designed to help healthcare organizations deliver better outcomes, reduce medical expenses, and drive innovation, supporting success in various value-based care contracts like MSSP, NextGen, Medicaid, and commercial agreements. Arcadia’s platform leverages AI and machine learning to transform raw data into actionable insights, empowering care teams and improving operational efficiency and financial performance.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Data aggregation and unification (EHRs, claims, SDoH, pharmacy, ADTs)
  • Visual analytics and customizable dashboards
  • Risk stratification and risk suspecting
  • Automated workflow tools and care coordination
  • AI and machine learning capabilities
  • Point-of-Care Insights for gap closure
  • Contract IQ for value-based care contract management
  • Benchmark reporting and performance measurement
  • Patient engagement tools (AI-driven campaigns, outreach)
  • Report distribution (PHI-free PDF reports)

Use Cases

  • Population Health Management
  • Value-Based Care
  • Care Management
  • Healthcare Analytics
  • Risk Adjustment
  • Health Equity and SDoH

What Physicians Need to Know

Risk Stratification Models
Arcadia Analytics utilizes predictive analytics and algorithms that assess health, socioeconomic markers, and traditional utilization metrics to identify patients most likely to benefit from intervention. The platform leverages risk adjustment analytics to predict healthcare service utilization and costs, assigning risk scores. Its HCC Risk Suspecting App integrates diverse data sources (claims, EHR, APIs, SDoH) with a proprietary engine to identify diagnosis gaps relevant to CMS-HCC risk models, providing intelligent risk suspecting and documentation through AI analysis of structured and unstructured clinical data.
Social Determinants Integration
Arcadia's platform integrates Social Determinants of Health (SDoH) data, providing context beyond ICD codes. It unifies patient-level SDoH insights into a single registry, categorized across more than 12 distinct domains. This integration helps in building care strategies for vulnerable populations, especially those covered by Medicaid, by combining SDoH data with clinical and EMR data to develop effective interventions. The Arcadia SDoH Package streamlines the identification of populations most in need.
Disease Registry Support
The platform supports care management workflows, including the creation and management of patient registries. It empowers analyst teams to quickly build cohorts and stratify patients based on various criteria. Arcadia enables tracking of longitudinal data related to disease profiles and unifies patient-level insights into a single SDoH registry.
Care Gap Identification
Arcadia Analytics is recognized for its strong capabilities in identifying and closing care gaps. It achieves this by aggregating data to create comprehensive longitudinal patient health records, then using this data to pinpoint and communicate care gaps to provider practices at the point of care. The platform's advanced EHR integration and AI-powered analytics surface actionable opportunities to address these gaps effectively.
Readmission Prediction
Arcadia Analytics contributes to reducing hospital readmissions by using predictive analytics to identify patients who would most benefit from care management interventions. The platform features a dedicated Readmission dashboard to provide insights into hospital readmission trends post-inpatient stay, offering actionable steps for improvement. Data analysis highlights conditions frequently leading to readmissions, and studies show that timely post-discharge primary care visits, facilitated by Arcadia's insights, correlate with lower readmission rates.
Claims Data Analysis
Arcadia Analytics excels at combining diverse healthcare data sources, including claims data, with EHR-derived clinical data to form a longitudinal patient view. This comprehensive aggregation supports performance measurement, including utilization and cost trends. Claims data analysis provides crucial insights into health demands and resource allocation for payers, and is integrated into Arcadia's measures engine for quality reporting.
Quality Measure Reporting
The platform supports robust quality measure reporting, aligning its data model with common value-based care and quality reporting requirements. Arcadia's analytics software ensures accurate and timely capture of quality and risk data, improving performance on mandated quality measures. Its measures engine integrates real-time clinical, claims, and supplemental lab data to generate quality measure results. Dashboards are provided to monitor and enhance quality for members, supporting STARS and HEDIS performance, and aiding compliance with evolving CMS quality reporting requirements.
Cohort Builder
Arcadia Analytics includes robust cohort building capabilities, enabling analysts to quickly create and stratify patient populations. This functionality is integral to population health and care management use cases, allowing healthcare teams to identify and focus on specific patient groups for targeted interventions and program management.
Geographic Mapping
Arcadia Data (Arcadia Analytics) integrates Mapbox GL vector mapping technology to offer granular visual geospatial analytics. This enables the visualization of micro-segmented geographical boundaries and demographic parameters, including socioeconomic factors. The platform can handle vast datasets, querying billions of rows to represent millions of geospatial shapes, supporting use cases like disease tracking with real-time, dynamic updates and detailed visualizations.
Physician Tip

Arcadia Analytics is designed to integrate seamlessly into existing physician workflows, providing actionable insights directly at the point of care. This reduces administrative burden and context switching, allowing physicians to focus more on patient care. The platform offers a holistic patient view, surfacing suspected and historical conditions, care gaps, and risk factors within the charting workflow. Real-time data updates ensure that insights are current and relevant, empowering more informed and proactive clinical decisions.

Arcadia Analytics is built on a connected ecosystem, aggregating data from a wide array of sources including Electronic Health Records (EHRs), claims systems, clinical data, and various third-party data. Key integrations include the HCC Risk Suspecting App for athenahealth, which embeds advanced analytics directly into athenaOne workflows. It also integrates with Mapbox GL for advanced geospatial mapping and partners with entities like Quest Analytics for enhanced provider performance intelligence. The platform's core strength lies in its ability to standardize disparate data, overcoming silos to create a comprehensive, longitudinal patient view and power AI models and reporting.

Details

Category Population Health Analytics, Practice Analytics & BI
Pricing Subscription-based pricing model.
  • Pricing is typically structured according to organization size, usage tier, and required functionality, with options for add-ons and scaling based on data volume or user count
  • Direct quotes and package details are provided upon request for customized needs
DeploymentCloud-based
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status Not applicable AI-estimated
Integrations
EHR Not specified
Specialties Family Medicine, Hospital Medicine, Internal Medicine

What the Web Says

Arcadia Analytics is a healthcare data platform specializing in population health management, data aggregation, and advanced analytics. It aims to improve care delivery, operational efficiency, and financial performance for healthcare organizations by unifying data from various sources like EHRs and claims systems. The platform offers tools for performance measurement, risk stratification, and care coordination, enabling organizations to identify care gaps and manage patient populations.

Overall: Positive

Strengths

  • Provides AI-powered insights that can reduce hospital readmissions and improve preventative care.
  • Automated reporting frees up doctors, allowing for more patient interaction time.
  • Enhances data security and protects patient privacy with features like blockchain encryption.
  • Streamlines workflows, leading to faster diagnoses and increased efficiency.
  • Offers strong data integration capabilities, harmonizing data from multiple sources to create a unified patient record.
  • Users appreciate the speed at which dashboards can be created against large datasets.

Limitations

  • High implementation costs may deter smaller clinics from adopting the platform.
  • Potential for algorithm bias, which could lead to inequalities in treatment recommendations.
  • Over-reliance on AI might erode doctors' clinical judgment in the long term.
  • Integration with legacy systems can be challenging and time-consuming.
  • Some users have reported encountering bugs in the software, though support is responsive.
  • Mixed reviews on management and decision-making consistency within the company.

Based on reviews from: Gartner Peer Insights, KLAS Research, PeerSpot, Elion Health, Slashdot, ITQlick, Capterra, G2, Reddit, Indeed.com, CaseBasix, Newswire

Last updated: 2026-07-28

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Press & Coverage

Arcadia.io
Arcadia Expands Leadership Team to Redefine AI-Driven Healthcare Performance and Scale into Life Sciences
Arcadia announced new executive appointments to its leadership team, aiming to redefine AI-driven healthcare performance and expand into the life sciences sector. These additions bring expertise in product, regulatory affairs, and life sciences to further Arcadia's impact across healthcare.
2026-04
Arcadia.io
Arcadia enables high-value care with advanced interoperability and AI solutions
Arcadia launched new solutions to help payers and providers drive high-performing networks, simplify value-based care contract creation, and enhance provider management. The company also unveiled an analyst-friendly AI development platform to deliver predictive insights and improve patient outcomes.
2025-02
Arcadia.io
New Report: 85% of Health Plans Still Lack Centralized Data Strategies
A new report from Arcadia reveals that 85% of health plans have yet to centralize their data across systems, limiting their ability to leverage AI and advanced analytics for improved operational and financial performance. The report highlights missed opportunities in AI and data strategy.
2025-08
Arcadia.io
Arcadia & HIMSS Report: Data Gaps Blocking Health System Growth
A joint report by Arcadia and HIMSS indicates a disconnect between health systems' short-term priorities and long-term, data-backed growth strategies. The report suggests that investing in AI, preventive care, and specialist integration could strengthen financial sustainability.
2025-11
Atropos Health
Advancing Personalized Healthcare: Atropos Health's Partnership...
Atropos Health partnered with Arcadia Analytics to enhance access to real-world data for research and analytics, aiming to advance personalized healthcare. Arcadia Analytics is recognized as a leading cloud-based platform for this purpose.
2024-01
GlobeNewswire
Arcadia Partners with WellSpan Health to Support the Health System's Value-Based Care Journey
Arcadia announced a partnership with WellSpan Health to improve the health system's performance in Medicare's Shared Savings Program. Arcadia's data analytics platform will provide actionable insights across WellSpan Health's network.
2023-12
PR Newswire
MSSP ACOs Using Arcadia Earn Nearly 20% Higher Average Bonuses in 2022
Accountable Care Organizations (ACOs) utilizing Arcadia Analytics outperformed the market in Medicare Shared Savings Program (MSSP) bonuses by nearly 20% on average in 2022, resulting in $279 million in total earnings. Arcadia's MSSP ACO customers also generated $419 million in total savings.
2023-09
Business Wire
Arcadia Raises $125 Million in New Financing from Vista Credit Partners
Arcadia secured $125 million in financing from Vista Credit Partners to accelerate its platform innovation and go-to-market strategy. This investment will help meet the demand from healthcare organizations to aggregate and analyze data for improved efficiencies and patient care.
2023-04

Videos

Product demos, reviews, and walkthroughs for Arcadia Analytics.

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Frequently Asked Questions

Arcadia Analytics aggregates diverse patient data, including EHRs and claims, to provide actionable insights at the point of care. This can help physicians identify care gaps, stratify patient risk, and support clinical decision-making to improve patient outcomes and operational efficiency.
Yes, Arcadia Analytics is a cloud-based, HIPAA-compliant healthcare data platform. It employs robust security measures, including data cleansing, integration, storage, encryption, access controls, and regular audits, to protect sensitive patient information and maintain confidentiality.
While powerful, predictive analytics in healthcare, including those used by Arcadia, face challenges regarding data security, privacy, accuracy, and reliability. There's a continuous need to scrutinize models to prevent potential misdiagnoses, biases, or treatment errors, especially given the sensitive nature of health information.
Arcadia Analytics uses a subscription-based pricing model. The cost is generally structured based on factors such as the organization's size, the usage tier, and the specific functionalities required, with options for add-ons and scaling based on data volume or user count.
Several alternatives exist for population health management and healthcare analytics. Some notable competitors include Epic Healthy Planet, Oracle HealtheCare, athenahealth Population Health, and NextGen Population Health Analytics.
Arcadia Analytics is designed to be a frictionless add-on that complements existing EHRs and IT infrastructure. It aggregates and unifies disparate healthcare data sources, including clinical EHRs, claims, and other records, into a single platform to create a unified data foundation.
Arcadia Analytics unifies a wide array of healthcare data, including clinical data from EHRs, claims data, social determinants of health (SDoH) information, pharmacy records, and ADTs (Admissions, Discharges, Transfers). This comprehensive data aggregation forms the foundation for its analytics and AI capabilities.

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Suggest an Edit → | Last Verified: 2026-04-26 | First Added: 2026-04-26
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