HBI Solutions, Inc.

HBI Solutions Inc., founded in 2011 by a pediatric surgeon, PhD data scientist, and healthcare IT executive from Stanford University Medical Center, delivers predictive analytics solutions designed to help healthcare organizations identify population, quality, and cost risks. The company's Spotlight Analytics platform serves over 50 million people across hospitals, health systems, ACOs, and payers.

The company's approach combines machine learning with clinical expertise to predict disease risk, hospital admissions, readmissions, and ED visits in real-time. HBI Solutions aggregates data from EMR, clinical, claims, laboratory, pharmacy, behavioral, and other sources to deliver risk stratification and actionable insights. The platform is NCQA certified for HEDIS measures and has published peer-reviewed research, including a suicide attempt early warning model that identifies high-risk individuals at 60 times the population baseline rate.

HBI Solutions recently expanded into generative AI solutions, including AI Nurse Care Management using virtual agent technology and large language models, and AI-powered wearable health monitoring for chronic conditions. The company's research-driven approach, with prospective testing and peer-reviewed publications, distinguishes its methodology in the healthcare analytics market.

Choose HBI Solutions when clinical validation and peer-reviewed research backing predictive models is a priority. Organizations seeking to reduce hospital readmissions, identify behavioral health risks, or improve quality measure performance will benefit from HBI's evidence-based approach combining data science with clinical expertise.

Expect a guided implementation approach focused on configuring solutions to organizational needs and maturity level in value-based care. The company provides ongoing guidance to help organizations grow risk management capabilities, with particular strength in behavioral health integration and complex population risk stratification.

HBI Solutions operates exclusively in healthcare, serving hospitals, health systems, ACOs, payers, physician practices, and federally qualified health centers. The company's entire platform is built around healthcare-specific data sources (EMR, claims, pharmacy, lab) and clinical workflows, with NCQA certification for HEDIS measures and HIPAA compliance as foundational requirements.

Specialized capabilities include behavioral health risk prediction, chronic disease management, care transition risk assessment, and quality measure optimization. The suicide attempt prediction model and behavioral health integration work demonstrate particular depth in mental health populations, while the platform addresses both physical and behavioral health comorbidities across diverse care settings.

The ideal client is a U.S.-based health system, ACO, or health plan with 100,000+ covered lives, existing EMR and claims data infrastructure, and dedicated care management staff. Organizations with established quality improvement programs seeking to enhance population health outcomes through predictive analytics, particularly those managing behavioral health populations or participating in value-based payment arrangements, align well with HBI's capabilities and approach.