Unmatched analytics that drive better care

Turning provider performance analytics into actionable insights that improve care, reduce cost, and elevate outcomes.

We believe better quality measurement leads to better care. Our peer-reviewed methodology combines clinical expertise and real-world data to deliver insights that improve outcomes.

Setting the standard for quality measurement

A market-leading Provider Quality Score that powers smarter navigation, better network design, and more informed healthcare decisions.

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Complete Claims Dataset

Aggregating complete claims data on 230+ million individuals, spanning commercial insurers, Medicare, and Medicaid.

Patented & Peer-Reviewed

Peer-reviewed, patented approach that evaluates the entire care journey at the individual provider performance level.

Evidence-Based

Evaluating care from the first symptom to the outcome across 21 specialties and 68 subspecialties.

Risk Adjusted

Adjusted to account for patient health complexity to ensure fair comparisons among providers.

Powering insights that connect members to top-performing providers

Measuring what matters

AppropriatenessAre providers recommending the right care at the right time?

EffectivenessAre treatments aligned with evidence-based guidelines and achieving desired outcomes?

CostIs care delivered efficiently, avoiding unnecessary expenses?

Insights that drive change

40%higher likelihood of members selecting high-performing providers.

30+%fewer unnecessary procedures among members who see top-tier providers.

60%more likely to switch from a low to high-quality physician.

Our Solutions

Powering better networks, smarter navigation, stronger outcomes

Provider Insights

A provider performance intelligence tool built for healthcare leaders.

Transparent benchmarking: Compare provider scores against national and state benchmarks.
Actionable analytics: Drill into clinical measures and procedure-level trends (e.g., C-section rates).
Presentation-ready reports: Export image-based score summaries to share with care teams, leadership, or provider groups.

Network Optimization

A network intelligence tool delivering ready-to-use provider performance insights.

High-performer identification: Pinpoint top-performing providers by specialty, region, and population segment.
Network design & steerage intelligence: Build and refine network configurations while reducing out-of-network leakage.
Systems integration: Seamlessly embed insights into existing care navigation, contracting, or provider engagement workflows.

Flexible Application

Deliver Embold's high-performance analytics directly into your existing tools, workflows, and platforms.

Plug-and-play data feeds: Access pre-analyzed provider performance data via secure flat files or APIs—ready for ingestion into your systems.
Seamless system integration: Power care navigation, contracting platforms, and internal dashboards without reinventing your tech stack.
Customizable delivery: Get data outputs tailored to your preferred formats, update frequency, and population segments.

The right insights lead to the right care

Stop relying on outdated approaches. Use precise, validated analytics to identify high-performing providers, eliminate unnecessary variation, and take confident action that improves care and reduces cost.