LOMAinsights Healthcare operating intelligence

Healthcare Operating Intelligence

Diagnose, forecast, and act — across every domain that drives performance.

LOMAinsights connects financial, workforce, quality, access, and experience data into a single intelligence layer that tells leaders what happened, why, and what to do next.

6 domains AI diagnostics Quality & incentives Action worklists

Live product signals

Margin 7.2%
Turnover 16.8%
Quality 76 / 100
Incentives Earned 72%
Turnover spike preceded quality drop by 6 weeks.
Access bottleneck driving downstream revenue shortfall.
Next action: registry outreach for 312 overdue patients.
Domains6
Historical depth24 mo
Quality measuresHEDIS · UDS · VBC
Forecast window6 mo
ScenariosDelivery · Plan

Who it's for

Built for the people who run healthcare operations.

Whether you deliver care, manage a health plan, or operate a hybrid network — LOMAinsights gives you a shared operating picture.

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Delivery organizations

Health systems, FQHCs, primary care groups, and specialty networks. See quality, workforce, access, and financial signals in one view.

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Health plans & coverage

Commercial, Medicare Advantage, Medicaid managed care, and marketplace plans. Track member experience, quality incentives, utilization, and network performance.

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Hybrid & managed networks

IPAs, ACOs, clinically integrated networks, and delegated entities operating across delivery and coverage. LOMAinsights bridges both views.

What it connects

Your data sources, unified.

Import from EHR exports, claims feeds, HRIS files, patient surveys, quality registries, and financial systems. LOMAinsights normalizes everything into a single canonical model.

EHR / PM systems
Claims & encounters
FHIR R4 endpoints
CSV / XLSX data drops
HRIS & workforce feeds
Patient / member surveys
Quality registries (UDS, HEDIS)
Financial & GL systems
Scheduling & access logs
Authorization & referral data

What it solves

Six domains, one intelligence layer.

LOMAinsights doesn't just chart your data. It connects domains, detects root causes, forecasts risk, and recommends action.

💰 Financial performance

Revenue trends, margin analysis, budget variance, and AR aging — with AI that explains why numbers moved.

Revenue · Margin · Budget

👥 Workforce stability

Turnover, vacancy, tenure, and overtime — with cross-domain detection of how staffing stress ripples into quality and access.

Turnover · Vacancy · Overtime

🎯 Quality & incentives

HEDIS, UDS, and value-based care measure tracking with numerator/denominator detail, gap-to-target, and dollars at risk.

HEDIS · UDS · VBC · Dollars at risk

🚪 Access & operations

Scheduling volume, no-shows, cancellations, wait times, and new-patient access — with causal links to downstream revenue and quality.

Wait time · No-shows · Cancellations · New patients

⭐ Patient & member experience

Survey dimensions across satisfaction, communication, scheduling, and digital experience — flexed for delivery or plan language.

Satisfaction · Communication · Digital

🧠 AI diagnostics & action

Cross-domain anomaly detection, root-cause hypotheses, and a prioritized worklist that tells operators what to do next.

Anomalies · Root cause · Worklist

Why it's different

More than dashboards built from data dumps.

Most analytics tools take the same exports you already have and rearrange them into charts. LOMAinsights diagnoses, forecasts, and recommends action across domains.

Static dashboard tools

  • One domain at a time
  • Descriptive charts only
  • No cross-domain causality
  • No quality measure or incentive context
  • No recommended actions
  • Manual export → import → build cycle

LOMAinsights

  • Six domains, unified
  • AI-powered diagnosis and forecasting
  • Cross-domain causal narratives
  • Quality gaps and dollars-at-risk tracking
  • Prioritized worklists with next actions
  • Canonical import model with normalization

Live Demo

See it in action.

The Demo showcases cross-domain operating intelligence with real-time AI diagnostics, quality tracking, and an action worklist — using synthetic data across delivery and plan scenarios.

Executive overview Quality & incentives AI diagnostics Action worklist Natural-language chat Delivery + Plan scenarios

Trust & security

Built for production healthcare environments.

🔒 Data handling

No PHI is stored in the demo environment. Production deployments support customer-isolated workspaces with encryption at rest and in transit.

🔌 Integration-ready

FHIR R4, CSV/XLSX import, claims feeds, and direct database connectors. LOMAinsights adapts to your existing data infrastructure.

🚀 Implementation model

Hosted SaaS or customer-managed deployment. Configuration-driven onboarding with canonical data mapping, not months of custom development.

From the field

Why community health center rigor generalizes so well.

LOMAinsights was born in FQHC operations — one of the most data-constrained, quality-intensive environments in healthcare. FQHCs manage UDS quality reporting, HEDIS compliance, workforce crises, thin margins, and patient experience — all at once. The cross-domain intelligence we built for that environment translates directly to health systems, specialty networks, and health plans facing similar operational complexity at larger scale.

Operational stress test
UDS + HEDIS Quality, incentives, and reporting in one operating frame
Thin margins Finance, access, and workforce tradeoffs surfaced together
High variability Site-level diagnostics that still roll up to enterprise action
Patient context Experience and social needs tied back to operational execution

Get in touch

Ready to see what your data can tell you?

We'll walk you through the platform and explore how LOMAinsights fits your organization.