PHM software is a suite of digital tools designed to aggregate and analyse large volumes of health data from various sources, such as electronic health records (EHRs), claims data, and patient-reported outcomes. By using these tools, healthcare organisations can identify trends and risks, predict future health issues, and allocate resources more effectively. This approach enables Integrated Care Systems to develop targeted interventions, ensuring that those with the greatest health risks receive personalised, proactive care.
In this article, we explore 10 popular PHM solutions designed to meet the unique needs of NHS ICSs, highlighting their features and the benefits they bring to healthcare providers, patients, and the broader community.
1. Oracle Population Health Management Solutions
Oracle’s PHM solutions focus on improving care for individuals with chronic conditions while promoting population-wide wellness. The software helps identify care gaps across populations by leveraging integrated data sources. This enables clinicians to make informed decisions and deliver personalised interventions, such as targeted treatment plans and in-network care options.
Oracle’s platform also enhances value-based care by connecting information across care venues, optimising resource allocation, and improving clinical decision-making. For ICSs, this means more efficient healthcare delivery and reduced unnecessary hospital admissions.
🔗 https://www.oracle.com/uk/health/population-health/#rc30p5
2. Optum Population Health Management
Optum offers a comprehensive PHM platform that has been instrumental in supporting 36 NHS Integrated Care Systems (ICSs) across England. The platform links multiple datasets to create a shared understanding of community health needs and health inequalities.
Optum’s PHM solutions enable care teams to view patients holistically, not just by their diseases, but also by the social and environmental factors impacting their health. With advanced analytics and advisory services, NHS ICSs can implement effective interventions and track the outcomes of those interventions, helping to reduce health disparities and improve care across diverse populations.
🔗 https://www.optum.co.uk/population-health.html
3. Graphnet Population Health Management Software
Graphnet’s Population Health Insights To Actions (PHITA) platform is tailored for the UK healthcare system, offering an end-to-end solution that supports proactive and preventive care. It integrates data from multiple sources to provide a unified health record that helps identify at-risk patients and plan interventions accordingly.
Graphnet’s software also offers advanced capabilities for remote monitoring, which can reduce hospital admissions by keeping patients healthier at home. For NHS ICSs, Graphnet’s tools help manage healthcare demand, reduce waiting lists, and promote health equity by identifying the populations most at risk of health inequalities.
🔗 https://www.graphnethealth.com/solutions/population-health
4. Arcadia Population Health Management Analytics
Arcadia’s platform is designed for value-based care providers, including Accountable Care Organisations (ACOs) and Integrated Delivery Networks (IDNs). It aggregates clinical, financial, and social determinants of health (SDoH) data to provide a holistic view of population health. Arcadia’s software allows care teams to manage patients longitudinally, tracking their health over time and intervening when necessary.
NHS ICSs can benefit from Arcadia’s ability to benchmark healthcare performance, identify care gaps, and assess the effectiveness of interventions, ensuring resources are allocated where they are needed most.
🔗 https://arcadia.io/population-health
5. Athena Health Population Health Tools
Athena Health provides a suite of PHM tools that simplify the management of patient populations across multiple EHRs. The platform aggregates and normalises clinical, financial, and payer data to create a single source of truth, enabling ICSs to easily identify care gaps and monitor population health trends.
Athena Health’s software also includes features for patient engagement, such as mobile apps and automated outreach services, which help patients stay on track with their care plans. For NHS ICSs, these tools improve care coordination and help reduce unnecessary GP appointments and hospital admissions.
🔗 https://www.athenahealth.com/solutions/population-health
6. NextGen Population Health Management
NextGen’s PHM platform focuses on improving chronic disease management and enhancing care coordination. It uses risk stratification tools to identify high-risk patients, enabling care teams to intervene early and reduce the likelihood of costly hospitalizations. The platform aggregates data from various sources, such as EHRs and health information exchanges (HIEs), to offer a comprehensive view of patient health. For NHS ICSs, NextGen’s software supports value-based care by improving performance on quality measures and ensuring that resources are allocated to those most in need.
🔗 https://www.nextgen.com/solutions/value-based-care/population-health
7. Epic Population Health
Epic’s Healthy Planet module offers a robust PHM solution that integrates data from EHRs, claims, and risk scores to close care gaps and reduce unnecessary testing.
Epic’s software allows ICSs to track patient care across multiple settings, from GP surgeries to hospitals, and promote team-based care. The platform also helps ICSs address social determinants of health by connecting patients to relevant community services, such as housing support or food banks. This holistic approach enables NHS ICSs to provide more personalised care and improve outcomes for at-risk populations.
🔗 https://www.epic.com/software/population-health/
8. Cegedim Population Health Management
Cegedim’s Outcomes Manager platform provides an innovative approach to population health by collecting and analysing healthcare data in a cloud-based dashboard. It offers clinical decision support tools that help clinicians make evidence-based decisions, ensuring best practices are followed across all GP practices. For NHS ICSs, Cegedim’s software enhances care consistency and supports federated services, which allow for cost-effective healthcare delivery across multiple practices. This approach helps ensure that patients receive the same quality of care, no matter where they are treated.
🔗 https://info.cegedim-healthcare.co.uk/population-health-management
9. Azara Population Health
Azara offers a PHM platform tailored to safety net providers, such as Federally Qualified Health Centers (FQHCs), which aligns well with the NHS’s mission to reduce health inequalities. The platform integrates social determinants of health data and supports care coordination across multiple providers.
For NHS ICSs, Azara’s tools help improve care outcomes by closing care gaps and managing risk more effectively. The platform also enables continuous improvement by tracking the impact of interventions, ensuring that care teams can learn from past experiences and refine their approaches over time.
🔗 https://www.azarahealthcare.com/
10. i2i Population Health Solutions
i2i provides a deep analytics platform that helps healthcare organisations improve care coordination, close care gaps, and enhance quality outcomes. It integrates data from multiple EHR systems and uses configurable workflows to support clinicians in delivering proactive, patient-centred care. For NHS ICSs, i2i’s solutions offer valuable insights into the health needs of their populations, enabling them to allocate resources more efficiently and improve access to care. The platform also supports value-based care initiatives by helping ICSs meet quality measures and reduce healthcare costs.
🔗 https://www.i2ipophealth.com/
Conclusion
For NHS Integrated Care Systems, adopting Population Health Management software is critical for improving health outcomes, reducing costs, and addressing health inequalities. PHM solutions offer a range of benefits, from data integration and care coordination to patient engagement and risk stratification. By leveraging these digital tools, NHS ICSs can transition from reactive, hospital-based care to a proactive, preventive model that focuses on keeping people healthy and improving care across the entire healthcare continuum.
Whether it’s Oracle’s chronic condition management tools, Optum’s linked datasets, or Epic’s social determinants of health integration, each PHM solution provides unique features that cater to the diverse needs of NHS ICSs. These platforms not only support value-based care but also enhance the efficiency of healthcare delivery, ensuring that resources are used where they will have the most significant impact.
