Pulse 8
Pulse 8, now operating as Veradigm Payer Analytics, is a healthcare analytics company providing risk adjustment, quality management, and RADV audit defense software to health plans, payers, and at-risk providers using predictive analytics, NLP, and OCR.
- Company typePrivate
- Founded2012
- HeadquartersAnnapolis, United States
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
What Pulse 8 does
Pulse8, now operating as Veradigm Payer Analytics following its 2021 acquisition by Veradigm (then Allscripts) and the 2022 Allscripts-to-Veradigm rebrand, is a healthcare analytics company that delivers risk adjustment and quality management software to health plans, payers, government program administrators, and at-risk providers. The platform combines patented Dynamic Intervention Planning, an NCQA Certified HEDIS engine, predictive analytics, Natural Language Processing (NLP), Optical Character Recognition (OCR), and machine learning to surface gap closure opportunities, project risk factors and risk revenue, and audit-proof submissions for ACA Commercial, Medicare Advantage, and Managed Medicaid programs. Its product portfolio includes Risk Adjustment Analytics (Calcul8), Quality Analytics (Qualit8), Risk Mitigator, Provider Engagement Solutions, eChart Integration and Analytics, Veradigm eChart Coder, and Veradigm Comprehensive Submissions. The platform is differentiated against competitors by integration with the Veradigm Network, which provides immediate connectivity to over 400,000+ providers across multiple EHR systems for chart retrieval, and by an NCQA-certified engine plus 98%+ claims acceptance rates that underwrite RADV audit defense.\n\nCommercially, Pulse8 operates a subscription SaaS model with enterprise field sales targeting health plan executives in Finance, Actuary, and Pharmacy Program Management departments, supported by 'Get Demo' and 'Request a Proposal' conversion paths typical of B2B enterprise pricing negotiated on a per-contract basis. Marketing emphasis is on education-led content (Veradigm Insights blog, white papers, the Smart Medicine podcast, webinars, RWE publications) feeding a top-of-funnel pipeline for enterprise conversion. The company was founded in 2012 by Dominick M. Berta and Dan Jones, raised early capital from the Maryland Venture Fund (~$1.44M across 2013-2014 rounds), grew to 51-100 employees pre-acquisition, and is now a wholly owned product line of Veradigm LLC, headquartered in Chicago, Illinois, and serving North American customers with a globally distributed remote workforce.\n\nCurrent operating leadership includes Amy Mann (Chief Financial Officer), Courtney Yeakel (Co-President and Chief Product Officer), and Scott Stratton (Chief Data Scientist and VP Product Analytics). As a private subsidiary within Veradigm LLC, Pulse8-derived solutions now operate alongside post-acquisition integrations including Babel Health, Koha Health, and Evalytica (the latter rebranded as the Veradigm Real-World Evidence Analytics Platform).
Pulse 8 firmographics
Firmographics- Name
- Pulse 8
- Legal name
- Veradigm LLC
- Website
- https://pulse8.com
- Company type
- Private
- Founded year
- 2012
- Operating status
- Acquired
- Headcount range
- 51–100 employees
- Short description
- Pulse 8, now operating as Veradigm Payer Analytics, is a healthcare analytics company providing risk adjustment, quality management, and RADV audit defense software to health plans, payers, and at-risk providers using predictive analytics, NLP, and OCR.
- Ownership category
- akta.pro rank
Pulse 8 industry classification
Industry- Product category
- Healthcare Risk Adjustment Analytics Software
- NAICS
- Computer Systems Design and Related Services (54151), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)
- SIC
- Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Risk Stratification & Predictive Modeling (utilization, cost, readmission) (HLACAHAB)
- akta.pro secondary industries
- Quality Measurement, Reporting & Benchmarking (HEDIS/Stars/CQM) (HLACAHAC), Healthcare Data Integration, ETL/ELT & Pipeline Orchestration (HLACAIAC)
Keywords
Where Pulse 8 is headquartered
LocationHeadquarters
- HQ city
- Annapolis
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Pulse 8 business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Healthcare Risk Adjustment Software: Subscription-based SaaS model providing risk adjustment analytics, quality management, and related healthcare software solutions to health plans and at-risk providers. Revenue derived from licensing the Veradigm Payer Analytics platform including Risk Adjustment Analytics, Quality Analytics, Risk Mitigator, and comprehensive submissions solutions.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels7 records
Pulse 8 product offering
Product offeringCore offering
Pulse 8 (now Veradigm Payer Analytics) provides a healthcare analytics SaaS platform for health plans and at-risk providers covering risk adjustment, HEDIS quality measurement, RADV audit defense, provider engagement, computer-assisted medical coding, and comprehensive data submissions to government programs. The platform leverages predictive analytics, NLP, OCR, and machine learning to deliver real-time gap closure visibility, dynamic intervention planning, and automated exchange of CCDA/medical record information across a network of 400,000+ providers.
Product overview
Pulse8, now operating as Veradigm Payer Analytics, offers a comprehensive suite of healthcare risk adjustment and quality management solutions. Former Pulse8 products including Calcul8 and Qualit8 form the core of the platform, which now integrates with additional Veradigm solutions. The portfolio includes Risk Adjustment Analytics and Quality Analytics as primary modules powered by patented Dynamic Intervention Planning, supplemented by Risk Mitigator for RADV audit protection, Provider Engagement Solutions for payer-provider collaboration, eChart Integration and Analytics for automated medical chart exchange with 400,000+ providers, eChart Coder for NLP/OCR-powered computer-assisted coding, and Comprehensive Submissions for government program data. The unified platform enables health plans and at-risk providers to optimize financial performance while enhancing risk and quality scores across ACA Commercial, Medicare Advantage, Managed Medicaid, and other government programs.
Differentiator
Problem solved
Functional benefit
Brands
- Veradigm Payer Analytics: Comprehensive suite of healthcare risk adjustment and quality management solutions including Risk Adjustment Analytics, Quality Analytics, Risk Mitigator, Provider Engagement Solutions, eChart Integration and Analytics, Veradigm eChart Coder, and Comprehensive Submissions.
Products and services
- Veradigm Payer Analytics (formerly Pulse8 platform) Core healthcare risk adjustment and quality management platform delivering complete visibility into the efficacy of Risk Adjustment, Quality Management, and Pharmacy programs through a unified analytics suite for health plans and at-risk providers.
- Risk Adjustment Analytics
Quantifiable outcome
- 98%+ claims acceptance rate through validated data submissions
- +1 more outcomes
Companies that use Pulse 8
Customer profileSegments3 records
Ideal customer profiles2 records
Pulse 8 technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Pulse 8 partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- Koha HealthcoreKoha Health was acquired and integrated into Veradigm, providing advanced support for managing staff, streamlining workflows, ensuring medical coding accuracy, insurance claims submission, and comprehensive reporting. This integration leverages existing technology investments and drives meaningful improvements impacting the bottom line.
- Babel HealthcoreBabel Health solutions were acquired and integrated into Veradigm Payer Analytics, creating an enhanced end-to-end solution for regional health plans and payers. The acquisition brought enhanced Risk Adjustment submission workflow capabilities.
- EvalyticacoreEvalytica platform was acquired and integrated into the Veradigm Network as Veradigm Real-World Evidence (RWE) Analytics Platform, a powerful self-service analytic platform. This transition enabled advancement of RWE Analytics technology and expansion of platform capabilities.
Scale indicators1 record
Recent moves7 records
Expansion highlights6 records
Pulse 8 competitors and assessment
Company assessmentDirect peers
- Inovalon: Inovalon provides risk adjustment, quality, and outcome analytics to health plans and providers using large-scale clinical data, closely overlapping with Pulse 8's risk adjustment and quality management capabilities.
- Cotiviti: Cotiviti delivers payment accuracy, risk adjustment, and quality analytics for payers, directly competing with Pulse 8 in risk adjustment submissions and quality measurement.
- SCIO Health Analytics (EXL): SCIO provides risk adjustment, quality, and care management analytics to health plans, with overlapping NLP-driven coding and chart retrieval capabilities similar to Pulse 8's eChart Coder and eChart Courier.
- Conduent Midas Health Analytics: Conduent's Midas Health Analytics solutions offer risk adjustment, quality, and HEDIS reporting for payers, directly overlapping with Pulse 8's Qualit8 and Risk Adjustment Analytics modules.
- Health Catalyst: Health Catalyst provides data and analytics infrastructure, including quality and population health analytics, that competes for the same payer and at-risk provider budget Pulse 8 targets.
- Cedar Gate Technologies: Cedar Gate offers value-based care analytics for payers and providers, including risk adjustment and quality performance tools that overlap with Pulse 8's platform.
- Apixio: Apixio (now part of Optum) provides AI-powered risk adjustment and quality analytics using NLP on clinical records, directly comparable to Pulse 8's NLP/OCR-driven coding and risk adjustment capabilities.
- Edifecs: Edifecs provides healthcare data interoperability, EDI, and risk adjustment solutions, with overlapping capabilities in clinical data exchange and submissions management for health plans.
Broad incumbents
- Optum (UnitedHealth Group): Optum offers risk and quality solutions, including the Apixio risk adjustment AI platform, as part of a much broader payer-services and analytics portfolio, competing with Pulse 8 across most modules.
Emerging players
- Persivia: Persivia delivers population health, risk adjustment, and quality analytics with NLP-driven chart abstraction, positioning it as a focused competitor to Pulse 8's analytics suite for payers and at-risk providers.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
Pulse 8 social profiles
Digital presencePulse 8 financial estimates
Financial estimateRevenue estimate
Valuation estimate
Pulse 8 leadership team
Management profileNumber of profiles
Profiles3 records
Pulse 8 subsidiaries and ownership
Company hierarchySubsidiaries3 records
Pulse 8 funding detail
Funding detailFunding overview
Funding rounds2 records
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Pulse 8 M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Pulse 8
What does Pulse 8 do?
Pulse 8 (now Veradigm Payer Analytics) provides a healthcare analytics SaaS platform for health plans and at-risk providers covering risk adjustment, HEDIS quality measurement, RADV audit defense, provider engagement, computer-assisted medical coding, and comprehensive data submissions to government programs. The platform leverages predictive analytics, NLP, OCR, and machine learning to deliver real-time gap closure visibility, dynamic intervention planning, and automated exchange of CCDA/medical record information across a network of 400,000+ providers.
Is Pulse 8 a public or private company?
Pulse 8 is a private company. It is classified as corporate owned and is currently acquired.
When was Pulse 8 founded?
Pulse 8 was founded in 2012. It employs 51 to 100 people.
Where is Pulse 8 based?
Pulse 8 is headquartered in Annapolis, United States, in the North America region.
How does Pulse 8 make money?
One revenue line is on record: healthcare Risk Adjustment Software.
Who are Pulse 8's main competitors?
Direct peers on record are Inovalon, Cotiviti, SCIO Health Analytics (EXL), Conduent Midas Health Analytics, Health Catalyst, Cedar Gate Technologies, Apixio and Edifecs. Optum (UnitedHealth Group) is listed as a broad incumbent. Persivia is listed as an emerging player.
Does Pulse 8 have an API?
No public API is recorded for Pulse 8.
What industry is Pulse 8 in?
Pulse 8's product category is Healthcare Risk Adjustment Analytics Software. Its primary akta.pro industry code is HLACAHAB, Risk Stratification & Predictive Modeling (utilization, cost, readmission), with a secondary code of HLACAHAC, Quality Measurement, Reporting & Benchmarking (HEDIS/Stars/CQM). Its NAICS code is 54151 and its SIC code is 8000.