Claro Healthcare

What Claro Healthcare does

Claro Healthcare is a U.S. healthcare consulting firm specializing in Clinical Documentation Integrity (CDI) advisory services for hospitals and health systems. Founded in 2017 and headquartered in Chicago, the firm operates as the Claro CDI service line within Kaufman Hall's Revenue & Operations Improvement (ROI) practice, which includes nearly 400 specialists focused on revenue cycle performance, CDI, strategic sourcing, and hospital operations improvement.

Claro CDI delivers three interconnected service areas spanning the care continuum: Inpatient CDI (documentation enhancement for acute care settings), Outpatient CDI (documentation, coding, and charging improvement for facility outpatient settings including ED, Observation, OR, GI/Endo, Cath Lab, and Cancer Center), and Professional Fee CDI (physician documentation education, E/M code selection, and HCC risk adjustment). The methodology is framed around balancing people, process, and technology to produce sustainable documentation improvement and appropriate reimbursement reflecting true patient acuity.

The business model is professional services sold via direct enterprise engagement. Pricing is custom and quote-based, structured as multi-year contracts tailored to each hospital or health system's CDI program requirements. Claro CDI serves hundreds of hospitals, including large academic medical centers, major health systems, and community-based hospitals across the United States. Distribution is direct through managing directors and specialized consultants, supplemented by Kaufman Hall's content marketing, Vizient-co-branded insights, and industry events. The legal entity is Kaufman, Hall & Associates, LLC (Illinois), and Claro Healthcare operates as a DBA / sub-brand within that parent structure.

Name

Claro Healthcare

Legal name

Kaufman, Hall & Associates, LLC

Website

https://clarohealthcare.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

101–250 employees

Short description

Claro Healthcare is a U.S. healthcare consulting firm delivering Clinical Documentation Integrity advisory — Inpatient, Outpatient, and Professional Fee CDI — to hospitals and health systems via custom multi-year engagements, operating as the Claro CDI service line within Kaufman Hall's Revenue & Operations Improvement practice.

Ownership category

akta.pro rank

Product category

Healthcare Consulting

SIC

Services-Health Services (8000)

akta.pro primary industry

Computer-Assisted Physician Documentation (CAPD) & Clinical Documentation Improvement (CDI) (HLACAAAH)

akta.pro secondary industry

Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF)

Keywords

• Clinical documentation integrity
• Healthcare consulting
• Revenue cycle consulting
• CDI services
• Hospital revenue operations

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Healthcare Consulting Services: Professional consulting services provided to hospitals and health systems to improve clinical documentation integrity, revenue cycle performance, and operational efficiency. Engagement model involves direct partnership with healthcare organizations through managing directors and specialized consultants.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Claro Healthcare provides Clinical Documentation Integrity (CDI) consulting services to hospitals and health systems through its Claro CDI service line. The offering spans Inpatient CDI, Outpatient CDI, and Professional Fee CDI, helping healthcare organizations improve documentation accuracy, capture appropriate reimbursement, and reflect true patient acuity across the continuum of care. The practice operates within Kaufman Hall's Revenue & Operations Improvement (ROI) practice and is staffed by nearly 400 specialists.

Product overview

Claro Healthcare offers Claro CDI (Clinical Documentation Integrity), a unified consulting service portfolio consisting of three interconnected sub-products: Inpatient CDI, Outpatient CDI, and Professional Fee CDI. These offerings work together across the care continuum (Inpatient, Outpatient, and Physician Office settings) to improve clinical documentation accuracy, ensure appropriate reimbursement, and reflect true patient acuity. The core Claro CDI framework emphasizes the balance of people, process, and technology to achieve sustainable documentation improvement outcomes.

Differentiator

Problem solved

Functional benefit

Brands

• Claro CDI: Clinical Documentation Integrity (CDI) service providing holistic approach to accurate documentation for enhanced and sustainable CDI processes across inpatient, outpatient, and physician office settings.

Products and services

• Claro CDI (Clinical Documentation Integrity) A holistic consulting approach to accurate clinical documentation that enhances and sustains CDI processes across the continuum of care, including Inpatient, Outpatient, and Physician Office settings. The solution focuses on balancing people, process, and technology to facilitate improved documentation, appropriate reimbursement, and accurate reflection of patient acuity for hospitals and health systems.
• Inpatient CDI Consulting services that partner with hospitals and health systems to enhance and expand existing Inpatient CDI programs to appropriately reflect quality of care and capture appropriate revenue for the complexity of patients treated, creating more robust medical records across the care continuum.
• Outpatient CDI Consulting services that expand CDI programs to the hospital facility outpatient setting, including Emergency Department, Observation, Operating Room, GI/Endo, Cath Lab, Cancer Center, and other outpatient services to improve documentation, coding, and charging accuracy.
• Professional Fee CDI Collaborative services with physicians to educate, enhance, and improve clinical documentation for better Evaluation and Management (E/M) code selection and accurate patient risk reflection, including Hierarchical Condition Categories (HCCs).

Quantifiable outcome

• Improved revenue capture through accurate patient acuity documentation
• +1 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators4 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Huron Consulting Group: Large healthcare consulting firm with a dedicated revenue cycle and clinical documentation practice serving hospitals and health systems — directly comparable to Claro's CDI service line in both offering and customer base.
• Optum (UnitedHealth Group): Operates one of the largest healthcare consulting and RCM/CDI services businesses in the U.S., working with hospitals and payers on documentation, coding, and revenue integrity — overlapping Claro's mid-revenue cycle focus.
• Guidehouse: Healthcare advisory practice (formed from Navigant) serving providers and payers on revenue operations, clinical operations, and compliance — a direct competitor in hospital CDI and revenue integrity consulting.
• FinThrive: End-to-end revenue cycle management and CDI technology/services company focused on hospitals — competes with Claro on documentation integrity, charge capture, and coding accuracy across the care continuum.

Emerging players

• Iodine Software: AI-powered CDI platform vendor serving hospitals and health systems — competes with Claro on inpatient documentation accuracy and increasingly on outpatient/HCC workflows, representing the software-native threat to consulting-led CDI.

Broad incumbents

• Solventum (3M Health Information Systems): Spun off from 3M, Solventum is the dominant CDI software vendor (3M 360 Encompass) embedded across most U.S. hospitals — sets the technology standard against which Claro's people-led methodology must justify incremental value.
• Deloitte (Healthcare Consulting): Global consulting firm with a large healthcare provider practice that includes revenue cycle, clinical operations, and CDI advisory engagements — competes with Claro on large-system transformation mandates.
• Accenture (Health): Global professional services firm with a healthcare provider consulting practice covering revenue cycle management, digital health, and operational improvement — overlaps with Claro on enterprise health system engagements.
• Premier Inc. Healthcare performance improvement company providing consulting, analytics, and supply chain services to hospitals and health systems — comparable to Claro on operational and financial improvement engagements.

Others

• Vizient: Member-driven healthcare performance services company providing analytics, benchmarking, and advisory to hospitals — comparable ecosystem participant that influences CDI benchmarking and provider decision-making alongside Claro's engagements.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@kaufmanhall
• LinkedInlinkedin.com/company/kaufman-hall

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Claro Healthcare