HCIS
HCIS is a CMS-certified Qualified Registry and healthcare AI subsidiary of NJII that provides MIPS/MVPs quality reporting, QIP-NJ managed services for NJ hospitals, and an AI portfolio including AutoChart chart abstraction, sepsis prediction, and AI governance tools for clinicians, group practices, hospitals, and health systems across the US.
- Company typePrivate
- Founded2018
- HeadquartersNewark, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What HCIS does
HCIS (Healthcare Innovation Solutions, Inc.) is a wholly owned subsidiary of New Jersey Innovation Institute (NJII), founded in 2018 and headquartered at the NJIT campus in Newark, NJ. The company operates a CMS-certified Qualified Registry and provides quality reporting services for US healthcare providers, including individual clinicians, group practices, hospitals, and health systems. Its core offerings are organized around three lines: (1) MIPS/MVPs Registry and Managed Services — including a self-service web-based MIPS Portal priced at $499 per provider per submission and a dedicated-expert managed submission service for hospitals and health systems; (2) QIP-NJ Managed Services — data abstraction, analysis, and submission support for New Jersey acute care hospitals participating in the state's Medicaid pay-for-performance initiative focused on maternal and behavioral health; and (3) a Healthcare AI Solutions portfolio delivered in partnership with Cognome, comprising AutoChart (agentic LLM-based chart abstraction), Sepsis Management Ensemble (predictive and real-time ML models plus a sepsis-specific LLM), ExplainerAI (governance and drift monitoring platform built on NIST/NIH frameworks), Case Cancellation Prevention, and Length of Stay Optimization, all integrated with Epic, Meditech, and Oracle (Cerner) EHR systems.
The company's go-to-market combines self-service (PLG) for SMB clinicians with enterprise field sales for hospital and health system clients, supported by content marketing, webinars, and event participation (e.g., NJDVHIMSS). Pricing for managed services and AI solutions is quote-based; revenue is generated through per-provider subscriptions, professional services engagements, and emerging AI licensing/implementation contracts. HCIS does not disclose revenue and operates with 11-50 employees. Cumulative customer outcomes since 2018 are reported at approximately $30M in provider penalties avoided and $100M in incentives earned across MIPS, QIP-NJ, and DSRIP programs, with 15,000+ clinicians and 4,300+ practices having submitted through the registry. Leadership includes CEO Jennifer D'Angelo (SVP & GM of NJII Healthcare), Executive Director Mary Aitken (RN), CFO Tom Nehila, and VP of AI/ML Thomas Villani, Ph.D.
HCIS's strategic positioning rests on its dual regulatory certifications (CMS Qualified Registry since 2018 and designated QIP-NJ entity), a proprietary data asset of 30M+ patient records, and a layered AI platform targeting both quality reporting automation (AutoChart) and clinical decision support (Sepsis, LOS, Case Cancellation). The combination of federally and state-endorsed registry operations with an emerging enterprise AI portfolio makes HCIS a niche healthcare compliance-and-AI hybrid, differentiated from pure-play MIPS registries by its AI ambitions and from pure-play clinical AI vendors by its regulatory trust and incumbency in quality reporting workflows.
HCIS firmographics
Firmographics- Name
- HCIS
- Legal name
- Highlander Factory, Inc.
- Website
- https://healthcareinnovationsolutions.com
- Company type
- Private
- Founded year
- 2018
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- HCIS is a CMS-certified Qualified Registry and healthcare AI subsidiary of NJII that provides MIPS/MVPs quality reporting, QIP-NJ managed services for NJ hospitals, and an AI portfolio including AutoChart chart abstraction, sepsis prediction, and AI governance tools for clinicians, group practices, hospitals, and health systems across the US.
- Ownership category
- akta.pro rank
HCIS industry classification
Industry- Product category
- Healthcare Quality Reporting Software
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Quality Measurement, Reporting & Benchmarking (HEDIS/Stars/CQM) (HLACAHAC)
- akta.pro secondary industries
- Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting) (HLACABAL), Lab Data Exchange & Interoperability (HL7/FHIR/LDT Results Delivery) (HLACAMAL)
Keywords
Where HCIS is headquartered
LocationHeadquarters
- HQ city
- Newark
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
HCIS business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- MIPS Registry Subscription - Self-Service: Per-provider, per-submission fee providing CMS-certified registry access, online self-help tools, FAQ, educational webinars, support for all performance categories (Quality, Improvement Activities, Promoting Interoperability), and U.S.-based helpdesk support via phone and email. Priced at $499 per provider per submission.
- MIPS Managed Services: Full-service managed submission support for hospitals and health systems. Includes a dedicated MIPS submission expert, end-to-end submission management, personalized feedback, data entry guides, and assistance across all performance categories. Priced as a consulting services package, quote-based.
- QIP-NJ Program Support: Managed services for New Jersey hospitals participating in the Quality Improvement Program - New Jersey (QIP-NJ), a Medicaid pay-for-performance initiative. Services include data abstraction, analysis, submission support, and performance optimization for maternal health and behavioral health quality measures.
- Healthcare AI Solutions: AI-powered solutions including AutoChart AI, sepsis detection models, case cancellation prevention, and AI governance tools offered in partnership with Cognome. Revenue is generated through implementation, licensing, and consulting engagements for health systems adopting AI platforms.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Self-Service MIPS Registry - $499 per provider per submission |
| Other | Multi-year contract | Managed Services for Hospitals and Health Systems |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels7 records
HCIS product offering
Product offeringCore offering
HCIS provides CMS-certified quality reporting software and managed services for healthcare providers, including the MIPS Portal for Merit-Based Incentive Payment System (MIPS) submissions, the Measures Manager platform for population health quality reporting, and managed QIP-NJ program support for New Jersey hospitals. The company also delivers AI-powered healthcare solutions such as AutoChart (automated chart abstraction), the Sepsis Management Ensemble (predictive sepsis detection), and ExplainerAI (AI governance), sold to hospitals and health systems pursuing value-based care and AI-driven quality improvement.
Product overview
HCIS (Healthcare Innovation Solutions) offers a comprehensive portfolio of AI-powered solutions for healthcare quality improvement and value-based care. The core offerings include the MIPS Portal (CMS-certified registry for Merit-Based Incentive Payment System and MIPS Value Pathways submission), the Measures Manager™ platform for population health quality reporting, and AutoChart™ for automated AI-powered chart abstraction. AI-enabled solutions include the Sepsis Management Ensemble (predictive sepsis detection and surveillance), ExplainerAI™ (AI governance and model monitoring), Case Cancellation Prevention, and Length of Stay Optimization. Services span MIPS/MVPs reporting, QIP-NJ population health support, and healthcare AI consulting. The company operates as a subsidiary of New Jersey Innovation Institute (NJII) and has been a CMS Qualified Registry since 2018.
Differentiator
Problem solved
Functional benefit
Brands
- MIPS Portal: Proprietary user-friendly submission software for MIPS reporting and measure management
- AutoChart
- Measures Manager
- ExplainerAI
- MIPS Value Pathways (MVPs)
Products and services
- MIPS Portal
Quantifiable outcome
- $25.9M in MIPS provider penalties avoided (based on 2017 MIPS Reporting for 2019)
- +10 more outcomes
Companies that use HCIS
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles4 records
HCIS technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability10 records
Feature7 records
HCIS partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Cognito (Cognito/Cognome)coreCognito (also referenced as Cognome) is a trusted AI partner providing validated, advanced AI-driven solutions for health systems. NJII/HCIS collaborates with Cognome to deliver AI solutions including the Sepsis Management Ensemble (SEPSIS-EARLY, SEPSIS-REALTIME), AutoChart AI, and Case Cancellation Prevention models. Cognome's models are integrated into HCIS's portfolio and offered to health systems alongside HCIS's implementation, consulting, and support services. The partnership combines Cognome's AI technology with HCIS's clinical expertise and regulatory knowledge to deliver enterprise-ready AI solutions for healthcare quality and population health.
Scale indicators14 records
Recent moves5 records
Expansion highlights5 records
HCIS competitors and assessment
Company assessmentBroad incumbents
- Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving health systems with quality, population health, and value-based care analytics. Overlaps with HCIS's Measures Manager, population health, and quality measurement orientation, particularly via its Data Operating System and Quality/Regulatory modules.
- Optum (UnitedHealth Group): Optum is the largest healthcare analytics and value-based care services franchise, offering quality measurement, population health, and AI/analytics for providers and payers. Comparable as an incumbent in MIPS-adjacent analytics, payer-provider value-based programs, and healthcare AI—representing the high end of competitive pressure on a niche player like HCIS.
- Arcadia: Arcadia provides a healthcare analytics platform for value-based care, population health, and quality reporting across large provider and payer organizations. Comparable to HCIS's measures/quality reporting workflows and to AutoChart-style abstraction for value-based contracts, though Arcadia operates at a much larger enterprise scale.
- Cotiviti: Cotiviti provides healthcare analytics, quality and risk adjustment, and payment-integrity solutions used by payers and providers, including value-based care program support. Comparable in value-based care analytics, risk/quality measurement, and integration with payer-provider workflows, though Cotiviti is a much larger incumbent.
- Premier Inc: Premier is a large healthcare improvement company serving hospitals and health systems with quality reporting, population health, and value-based care solutions (including through its CMS-certified registry). Overlaps with HCIS's hospital-side managed services and quality measurement capabilities but operates as a broad portfolio incumbent rather than a focused MIPS niche player.
Direct peers
- Medisolv: Medisolv provides quality measurement, MIPS, eCQM, and value-based care reporting solutions to hospitals and physician practices, including CMS-certified submission tools. Comparable to HCIS across MIPS reporting, hospital/practice segments, and the integration-heavy quality measurement workflow.
- Healthmonix: Healthmonix is a CMS Qualified Registry (since 2014) that provides MIPS, MVPs, and ACO quality reporting software and services to clinicians and practices. Directly comparable to HCIS's core MIPS Portal and managed services offering, including overlap on registry certification, clinician target market, and self-service/managed hybrid model.
- Mingle Analytics: Mingle Analytics offers a CMS Qualified MIPS registry, MIPS/MVP submission software, and quality reporting services targeted at small and mid-sized practices. Most direct head-to-head with HCIS in self-service MIPS tooling at similar price points for individual clinicians and group practices.
Emerging players
- Innovaccer: Innovaccer is a healthcare data platform that unifies EHR, claims, and clinical data for value-based care, quality reporting, and care management. Comparable in data integration, quality measurement, and population health positioning, and overlapping where HCIS's AutoChart substitutes for manual abstraction that Innovaccer also automates.
- Iodine Software: Iodine Software applies clinical AI to hospital quality, coding, and documentation workflows (e.g., mid-revenue cycle, CDI). Closely comparable to HCIS on AI-driven clinical documentation analysis, sepsis-adjacent use cases, and the chart abstraction problem space AutoChart targets.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
HCIS social profiles
Digital presenceHCIS compliance and trust
Trust signalCompliance2 records
HCIS financial estimates
Financial estimateRevenue estimate
Valuation estimate
HCIS leadership team
Management profileNumber of profiles
Profiles10 records
HCIS funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
HCIS 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 HCIS
What does HCIS do?
HCIS provides CMS-certified quality reporting software and managed services for healthcare providers, including the MIPS Portal for Merit-Based Incentive Payment System (MIPS) submissions, the Measures Manager platform for population health quality reporting, and managed QIP-NJ program support for New Jersey hospitals. The company also delivers AI-powered healthcare solutions such as AutoChart (automated chart abstraction), the Sepsis Management Ensemble (predictive sepsis detection), and ExplainerAI (AI governance), sold to hospitals and health systems pursuing value-based care and AI-driven quality improvement.
Is HCIS a public or private company?
HCIS is a private company. It is classified as corporate owned and is currently operating.
When was HCIS founded?
HCIS was founded in 2018. It employs 11 to 50 people.
Where is HCIS based?
HCIS is headquartered in Newark, United States, in the North America region.
How does HCIS make money?
Four revenue lines are on record. MIPS Registry Subscription - Self-Service is the primary driver. The others are MIPS Managed Services, QIP-NJ Program Support and healthcare AI Solutions.
Who are HCIS's main competitors?
Broad incumbents on record are Health Catalyst, Optum (UnitedHealth Group), Arcadia, Cotiviti and Premier Inc. Direct peers are Medisolv, Healthmonix and Mingle Analytics. Emerging players are Innovaccer and Iodine Software.
Does HCIS have an API?
No public API is recorded for HCIS.
What industry is HCIS in?
HCIS's product category is Healthcare Quality Reporting Software. Its primary akta.pro industry code is HLACAHAC, Quality Measurement, Reporting & Benchmarking (HEDIS/Stars/CQM), with a secondary code of HLACABAL, Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting). Its SIC code is 8000.