HealthCorum

HealthCorum is a health data analytics company that specializes in provider quality scoring and benchmarking using comprehensive claims data. The company analyzes over 50 billion claims from more than 20 distinct data sources covering commercial, Medicare, Medicaid, and Medicare Advantage populations across all 50 states.

The company's core offering includes Overall Quality Scores for 1.4 million individual providers, 100,000+ provider groups, and 25,000+ facilities. Their methodology blends population-based effectiveness, cost efficiency, and appropriateness metrics to identify high-value care providers. HealthCorum's data is designed to integrate into existing care navigation directories, network optimization strategies, price transparency tools, and referral management systems.

The leadership team includes clinical and technical experts with healthcare domain experience, including a Chief Medical Officer and VP of Clinical Analytics. The company maintains partnerships with organizations including MedVision, MCRA, AHIP, and SIIA.

Organizations should consider HealthCorum when they need statistically robust provider quality data that goes beyond volume metrics or patient satisfaction scores. The platform's strength lies in its comprehensive multi-payer claims dataset and ability to generate consistent quality scores across specialties and geographies.

Expect a data licensing or integration engagement where HealthCorum's provider scores and insights are incorporated into existing platforms—care navigation tools, provider directories, network design workflows, or price transparency solutions. The company positions itself as a data provider rather than a full-service consulting firm.

HealthCorum operates exclusively in healthcare with a focus on payer organizations, health plans, and care navigation solutions. The company's entire business model centers on healthcare claims analytics, addressing specific industry challenges including network leakage, referral pattern optimization, value-based care measurement, and the integration of quality metrics with price transparency mandates.

Their data products support compliance with emerging transparency requirements while enabling more sophisticated provider network strategies for commercial payers, Medicare Advantage plans, Medicaid managed care organizations, and self-insured employers.

Health plans and third-party administrators with sophisticated network management or care navigation programs seeking to differentiate provider quality within their networks. Self-insured employers implementing value-based benefit designs. Digital health companies building provider directories or care navigation tools that require objective quality data to complement pricing information.