Babel Health

Risk data, real clarity

Pittsburgh, Pennsylvania, United States

Babel Health was a healthcare technology company that provided an integrated suite of risk adjustment and encounter submission software and services for government-sponsored health plans. Acquired by Allscripts Healthcare in March 2022, its solutions are now integrated into Veradigm Payer Analytics, enhancing risk adjustment submission workflows for various health plans and payers.

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Check out Babel Health on @MedStartr Today Babel Health was a healthcare technology company that provided an integrated suite of risk adjustment and encounter submission software and services for government-sponsored health plans. Acquired by Allscripts Healthcare in March 2022, its solutions are now integrated into Veradigm Payer Analytics, enhancing risk adjustment submission workflows for various health plans and payers. #MentalBehavioralHealth #ClaimsRevenueCycleAI #MedMo #MedStartrVentures

https://www.medstartr.ai/s/NYAP4s2ATRw

Note, this image was autogenerated by Syggy based on what we know about the company. It is not an official company publication.

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Problem Statement

Babel Health helped health plans manage complex business data, improve data quality, optimize revenue, and ensure compliance with regulatory requirements, particularly for Encounter Data Processing System (EDPS) submissions.

Core Technology

Integrated SaaS Extract-Transform-Load (ETL) data management platform

Key Differentiators

Innovative, customer-focused approach, providing health plans with full transparency and control of their underlying data through a user-friendly platform, aiming to be the 'gold standard' for risk adjustment and encounter submission requirements.

Target Customers

Government-sponsored health plans, targeting Medicare, Medicaid, and Affordable Care Act (ACA) markets

Product Stage

Mature

Company Info

Business Model: SaaS, B2B
Founded: 2014
Total Funding: Only accessible to MedStartr community members. Join now
Only accessible to MedStartr community members.
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Disease Areas

Mental Health

Technologies

SaaSETLData Management Platform

Clinical & IP

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Clinical Validation

Regulatory validation through CMS EDPS submissions and Medicare Advantage programs. Proven at scale with Highmark (5.6M members across PA, DE, WV). Data pre-validated to 100% accuracy before submission to prevent errors and revenue loss.

MedStartr Engagement Score

The MedStartr Index is a reflection of how the crowds that come to MedStartr everyday to find healthcare innovations reacted. Calculated by our AI agent Fyggy based on algorithms we have been building since 2012 and over 100 different factors, the math is proprietary and complex. Suffice to say, it has been found to be highly correlative with early stage company growth. What you see here is the public version. To learn more or to get deeper access to our predictive data on startup success for your fund or company, click here.

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What do you think of Babel Health?

A HUGE part of what early stage companies, and even late stage ones, need and get on MedStartr is honest feedback from actual patients, clinicians, hospital leaders and industry insiders. It is very easy to get tunnel vision as a founder. Please tell the team that runs this company what you think.

Clinical Benefit Potential

The potential for a project to have a large and significant impact on medical care, treatment, or prevention.

Feasibility

The likelihood that this will provide benefit for patients / care givers and that the founders can execute on their vision and plan.

Innovativeness

The distinguishing features, concept, or technology that differentiates the entry compared to others that already exist and are in widespread use.

Fundability

The reviewers' beliefs that the idea is fundable or can make it to sustainability without outside investment.

Scalability

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