The Power of
In-depth Analysis
With over one hundred pre-built dashboards and scorecards, 300 measures and KPIs
The Power of
Performance Measurement
With pre-defined reports, full Microsoft Office and SharePoint integration, Alerts, and Scheduling
The Power of
Incredible Foresight
With Disease Identification and Stratification, Risk Scores, and Risk Adjusted Forecasting
Hexplora 2022 NCQA
The Power of
Quality Metrics
Across Commercial, Medicare, and Medicaid lines including HEDIS, STARs, and State-specific Medicaid measures.

The Power of HEX

Range of products to meet Healthcare industry Analytical, Metrics and Reporting needs.



Members Served


Claims Processed


Million $ Saved

Hexplora has become a valuable and trusted IT partner for CHD in pursuing our strategic goal to create a data-driven culture and enhance the value of community-oriented human services that CHD provides. Hexplora with their strong healthcare domain expertise, was able to rapidly implement their Analytics solution that supports Quality and Care Coordination and ensures a patient’s overall health need are being met.
Mr. Jim Goodwin - President and CEO Center for Human Development Springfield, MA
Right out of the box, Hexplora has been a game-changer for our ACO. Their analytics platform provides us with the sort of timely and actionable insights that our leadership depends on every day to drive real performance improvement in how we care for patients and effectively manage resources.
Dr.Ben Kornitzer MD - Chief Operating Officer Chief Strategy Officer New York based ACO
As CIO of Riverside I am happy to recommend Hexplora, both as a product and a company. Since our early days of discussion, and through all that has followed, I have enjoyed their clear, direct, and honest approach to understanding and meeting Riverside’s needs. Every date that has been committed has been met, with high quality. Every question answered promptly. There have been no hidden charges, nor negative surprises at all. Their product has done everything as advertised, and we now use it daily to understand and manage our BH CP program commitments. Working with Hexplora has been so pleasurable and productive that we have now significantly increased our plans to consolidate other agency data in the Hexplora warehouse, for use across an even wider scope of Riverside.
Charley O’Neill - Chief Information Officer Riverside Community Care , Dedham, MA
Eliot is excited to gain access to the rich information that is embedded in our Claims Files. Until Hexplora we were unable to uncover the data in a visually organized manner. At this time, this platform is the only way we were able to unlock the potential of our Claims Data. Hexplora’s Claims Analytics dashboard now gives us historical claims data on Members, as well as which ACO/MCO, we intersect with the most with. This is going to help us identify and target who better to collaborate with more effectively. We can now approach ACO/MCOs with actual Claims Data as the foundation for meaningful collaboration meetings. We have been looking for a way to share information with our Care Managers that visually shows them Member level detail. The Member Detail report is just one tool that will be helpful as it shows relevant information regarding utilization, cost and affiliations.
Jeffrey Franas - Director of Care Coordination Eliot Community Human Services,Lexington, MA

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