Ribbon Health Launches Next-Generation “Provider Focus Areas” to Better Connect Patients with Providers

Ribbon Health, a leading healthcare data platform delivering the most comprehensive information on providers, insurance plans, and cost and quality of care, today announced the launch of Provider Focus Areas, the healthcare industry’s first provider data solution that uses machine learning to surface rich information from claims data to enable personalized provider recommendations. With information about providers’ patient panel demographics, conditions treated, and treatments delivered, Provider Focus Areas finally allows health organizations to understand the type of care a provider performs and match patients with the right provider, ultimately simplifying patient care journeys and driving better health outcomes.

Connecting patients to the right care for their health needs is critical to enabling better care experiences and outcomes. Typically, the best available information on a provider’s focus is the academic specialty, i.e., “orthopedics.” However, when searching for a specialist to treat hand or wrist concerns, “orthopedist” is not a helpful indicator to determine whether the provider is truly the right fit. These examples persist across nearly every specialty, resulting in inefficiency, waste, and delayed or inappropriate care.

Ribbon’s industry-first solution will empower health organizations and innovators such as Firefly and Health Karma to confidently direct care for patients, lower the total cost of care, and improve care experiences by enhancing their ability to find providers that truly meet patients’ health needs.

“We aim to deliver half-priced healthcare that is twice as good, clinically and emotionally. Our care model is powered by intuitive technology and built around people,” said Fay Rotenberg, CEO at Firefly Health. “We’re proud to partner with Ribbon to bring Provider Focus Areas to our clinical team and further elevate the exceptional care we deliver to our patients.”

“Getting connected to the right provider can be transformative for patients, but all too often, information on specialties lack depth or are too complex, causing frustration and making it challenging for consumers to find the right care,” said Michael Swartz, President of Health Karma, Inc. “Ribbon has been a key partner for us as we integrate Provider Focus Areas to build a truly impactful and consumer-friendly healthcare search.”

In addition to Ribbon’s existing best-in-class data on providers, insurance plans, and cost and quality of care, Provider Focus Areas delivers:

  • Claims-based data on providers’ practices – Ribbon pairs coverage across 99% of providers in the United States with an industry-leading claims dataset to supply a deep understanding of providers’ practices. Combining breadth of data with depth of clinical and claims analysis generates rich insights that increase provider time efficiency and ensure patient referrals are well suited for the provider
  • Specific detail on patient panel, conditions treated, and treatments performed – Ribbon enables confident care guidance with a deep, contextualized understanding of the type of care a provider performs. This insight can help identify better provider matches the first time, decreasing time spent matching patients with providers and lowering the total cost of care.
  • Simple, intuitive terms summarizing the type of care a provider performs – Ribbon reduces the complexity and confusion around academic terms, making it easier for patients and internal teams to understand which provider is the right fit for their health needs. For example, rather than reviewing conditions such as “atopic dermatitis,” “flexural eczema,” and “eczema,” Ribbon clusters each into one intuitive search term, “eczema.”

“Provider Focus Areas promises to be a game changer for patient care—for the first time, healthcare organizations and patients will have the rich, specific data they need to inform which providers are the best fit,” said Nate Maslak, CEO of Ribbon Health. “Together with our best-in-class data, it will be not only possible but also simple to identify the right provider and connect patients to them. We’re proud to create new possibilities with Provider Focus Areas that will improve patient journeys and health outcomes.”

To learn more about Ribbon Provider Focus Areas, visit our website.

About Ribbon Health

Ribbon Health is a healthcare data platform making it easy for every health care decision to be high-quality, cost effective, and convenient by delivering the most comprehensive, real-time information on doctors, insurance plans, and cost and quality of care. Built to integrate seamlessly into existing workflows, Ribbon’s API layer provides payers, providers, and digital health solutions with the data and infrastructure needed to power accurate provider directories, simple referral management, and efficient care navigation – all in one platform. By bringing clarity and reliability to provider data, Ribbon Health is enabling a simpler, more connected healthcare experience. Headquartered in New York, Ribbon is backed by leading investors including Andreessen Horowitz, Y Combinator, BoxGroup, and several leading health care entrepreneurs.