HCIS

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.

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

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

• Healthcare quality reporting
• MIPS submission software
• Value-based care technology
• AI-powered chart abstraction
• Population health management

Headquarters

HQ city

Newark

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. 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.
2. 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.
3. 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.
4. 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

Go-to-market motion3 records

Distribution channels4 records

Marketing channels7 records

Core 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

Named customers3 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability10 records

Feature7 records

Partnerships

One partnership is on record.

• Cognito (Cognito/Cognome)coreTechnology or IntegrationCognito (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

Broad 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

• Xx.com/HCISinc
• YouTubeyoutube.com/channel/UClLzTiSayWy3MrZ4iJhWSNA
• Facebookfacebook.com/healthcareinnovationsolutions
• LinkedInlinkedin.com/company/healthcare-innovation-solutions-inc

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 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 HCIS