Business Intelligence Companies & Consultants in Rocky Hill, CT

Based in Rocky Hill, Connecticut, Hexplora concentrates on data analysis and business intelligence for the medical sector. Instead of chasing customers across many fields, the firm designs both its software and its advisory work specifically for healthcare.

Its customer base spans insurers that offer health coverage, Medicare accountable care organizations, independent practice associations, doctor-led medical practices, outfits that coordinate ongoing patient support, businesses that handle billing and collections for providers, and agencies offering community wellness and social assistance.

Employers that fund their own benefit plans and hospitals or similar facilities also turn to Hexplora when they need clearer insight into spending, care standards and the results patients experience.

The HEX Platform

At the center of Hexplora's portfolio sits the HEX Platform, a collection of interchangeable components that unites data storage, report generation and clinical insight tools. According to the firm, the product ships with roughly one hundred ready-to-use visual displays and scorecards plus about three hundred metrics and performance indicators tailored to medicine, letting customers launch quickly instead of constructing every element themselves. Its components are arranged into four categories:

• Analytics: forecasting, operational performance, billing-to-payment and care-standard insight
• Management: oversight of patient support programs, hierarchical condition category risk tracking, whole-population oversight and clinician involvement
• Reporting: organization-wide report production along with a component built for the MassHealth Community Partners program
• Data warehouse: HEX EDW, a central repository for an entire organization's information

Recent additions to the product family are HEX AI and a HEX Point of Care application. Both signal the firm's effort to use machine intelligence to strengthen results under value-based payment arrangements.

Regulatory and Quality Reporting

Much of what Hexplora delivers helps customers meet government and payer requirements tied to payment. The firm presents itself as holding HEDIS vendor certification, and it offers care-standard reports grounded in that credential. It additionally assists with MIPS filings, whether a single practitioner submits alone or several practitioners file jointly.

Further services include care-standard reports for Managed Long Term Care plans covering Medicaid enrollees, as well as HCC reports that let customers monitor how their risk documentation progresses and help ensure payments reflect patient complexity correctly.

Consulting and Microsoft Services

Beyond its software, Hexplora operates an advisory and technical services arm. The firm notes that it holds Microsoft Gold partner status. It assists customers in shifting systems onto Azure and keeping them operating in that environment, and it covers Power BI planning, rollout, build-out and bespoke report creation. Its information-handling services address gathering, checking, housing, protecting and interpreting unprocessed data. Customers seeking adaptable arrangements may choose usage-based billing for Azure and Power BI development projects.

When working with community wellness agencies, Hexplora merges information from electronic health records and insurance claim files to produce a unified view of every individual served. That consolidated view aids coordination among caregivers, spotting groups facing elevated risk, focused outreach efforts, hands-off production of mandated reports and evaluation of financial results.

Customer success stories released by the firm describe boosting Medicaid automatic member assignment by improving care-standard scores, refining a central data repository for faster performance and greater capacity, and lifting risk-based revenue through more complete data consolidation.

Track Record

By Hexplora's own figures, it supports roughly two million enrollees and has handled about half a billion claims. The firm attributes approximately eight hundred million dollars in cost reductions to its efforts.

Endorsements it publishes come from a leader at an accountable care organization in New York and from the chief executive of the Center for Human Development in Springfield, Massachusetts. Each highlights the firm's deep medical-sector knowledge and the speed with which its analysis tools went live.

For organizations weighing intelligence software providers, Hexplora's distinguishing trait is its pairing of a prebuilt medical analysis product with advisory expertise in Microsoft's cloud and Power BI.

Infowave Systems, Inc. is a Connecticut technology firm that builds data, analytics and modernization solutions for organizations working in healthcare and the public sector. Established in 1998, the company has spent more than two and a half decades helping health plans, care delivery organizations and state agencies turn large, complicated datasets into information they can act on.

For buyers comparing Business Intelligence vendors, its defining trait is depth in one field: rather than serving every industry, Infowave concentrates on the regulated, data-heavy world of health coverage and government benefit programs.

Who They Serve

The firm's client base spans several parts of the healthcare and government ecosystem:

• Payers, including Medicare, Medicaid and commercial health plans
• Provider organizations such as ACOs, IPAs, clinically integrated networks and value-based care groups
• Government programs covering Medicaid, public health and integrated eligibility
• Partner organizations in care management, revenue cycle management and community networks

Its payer experience reaches beyond medical claims to pharmacy, behavioral health, dental and group life lines, which matters for buyers who need reporting that combines several benefit types in one view.

Business Intelligence Services and Products

Infowave designs modern data platforms, from cloud infrastructure through to artificial intelligence, with the aim of producing usable insight rather than raw reports. According to its public company profile, its specialties include enterprise data warehouse design and deployment covering ETL and BI layers, informatics for health plans, insights and analytics for providers, and Medicare and Medicaid reporting.

Its flagship product is Hexplora, a cloud-based healthcare data warehouse and analytics platform that gives organizations a ready foundation for performance and population reporting instead of starting from scratch. Beyond analytics, the team has led large-scale eligibility system modernizations intended to streamline benefit programs and improve member access, and it also offers application development work.

How They Work

The company positions itself as a long-term collaborator, pairing practical industry knowledge with current technology so that clients can simplify operations, strengthen regulatory compliance and sustain results over time. Its solutions are built to be secure and scalable for regulated environments, and it uses a near-shore delivery model to support projects. The values it lists, including integrity, people first, innovation, partnership and customer delight, point to a relationship-oriented style of engagement.

Background and Track Record

Infowave reports more than 100 enterprise implementations, work in over 30 states, and a client list that includes Fortune 1000 organizations. It states that its technology supports millions of lives and has produced savings of over $800 million for healthcare customers.

The leadership team includes Ravi Obbu as CEO, Srinivas Pendyala as CSO, Sai Alahari as CTO and Sri Velivala as VP of Operations. The company maintains its office in Rocky Hill, Connecticut, placing it within easy reach of Bristol and the wider Hartford area.

Buyers seeking a BI partner with specialized healthcare and government data expertise, and a packaged analytics platform to go with consulting services, will find Infowave a focused option.