activities · 25
what they do
direct service · 18
- API and technical data integration services Health Data Interoperability & ExchangeDelivers health data through APIs and HL7 feeds for seamless integration into provider and health plan platforms, enabling real-time data access and interoperability across disparate systems.
- Delivering Comprehensive Patient Health Information Health Data Interoperability & ExchangeUnifies and securely delivers clinical, claims, behavioral health, and social care information for more than 50 million Californians, providing providers with access to comprehensive patient histories and longitudinal health data to identify and close gaps in care.
- Facilitating Data Integration Health Data Interoperability & ExchangeDelivers health data via APIs and HL7 feeds for integration into existing platforms and tools, with integrations with over 70 EMR and technology systems.
- Health Plan Data Services and Compliance Support Health Data Interoperability & ExchangeAggregates, normalizes, matches, and shares claims, encounters, and clinical data to support health plans in meeting California AB 133 compliance requirements, reduce outbound calls by 15–20%, reduce chart chases by 54%, and conduct concurrent reviews by providing access to hundreds of member records monthly.
- Longitudinal Patient Record Access Health Data Interoperability & ExchangeDelivers comprehensive, longitudinal health records—including clinical history, claims, behavioral health, and social services data—to over 2,700 ambulatory providers and health plans at the point of care via APIs and HL7 feeds, supporting virtual care, care management enrollment, and reduction of unnecessary medical tests.
- Longitudinal patient data accessProvides healthcare providers with access to comprehensive, longitudinal patient records—including clinical, claims, behavioral health, and social services data—at the point of care. Supports virtual care, care management enrollment using risk scores, and reduces redundant testing by ensuring prior results and history are available.
- Operating a Statewide Health Information NetworkOperates as a nonprofit statewide health information network and Qualified Health Information Organization (QHIO) under the CalHHS Data Exchange Framework (DxF), serving all of California by connecting over 3,400 healthcare organizations, including more than 150 hospitals and 19 health plans.
- Providing Data for Population Health ManagementOffers data and reports to support population health management and assists providers in streamlining HCC/RAF follow-up by providing complete diagnosis lists and accurate clinical data.
- Providing Real-time Event Notifications Health Data Interoperability & ExchangeSends real-time hospital event notifications (admit, discharge, transfer) to providers and care coordinators from hospitals, county behavioral health organizations, and skilled nursing facilities, enabling immediate follow-up and reducing hospital readmissions by 6%.
- Public Health Data Infrastructure Support Statewide Health Data Infrastructure SupportBegan supporting the California Department of Public Health in 2022 by providing infrastructure for statewide electronic lab reporting, contributing to broader public health surveillance and response capabilities.
- Public health data infrastructure support Statewide Health Data Infrastructure SupportSupports the California Department of Public Health with infrastructure for statewide electronic lab reporting, expanding the organization’s role in public health surveillance and response.
- Real-Time Clinical Event Notifications Health Data Interoperability & ExchangeProvides real-time hospital admit, discharge, and transfer (ADT) alerts and customizable event notifications to care coordinators and providers through integrations with over 70 EMR and technology systems, enabling timely follow-up and reducing hospital readmissions by 6%.
- Real-time clinical event notifications Health Data Interoperability & ExchangeProvides real-time hospital admit, discharge, and transfer (ADT) alerts to care coordinators and providers via integrations with over 70 EMR and technology systems. These notifications enable timely follow-up care, reduce hospital readmissions by 6%, and support care coordination across settings.
- Statewide Health Information Exchange Healthcare Provider Network CoordinationOperates as a nonprofit health information network and designated Qualified Health Information Organization (QHIO) under the CalHHS Data Exchange Framework (DxF), connecting over 3,400 healthcare organizations—including 150+ hospitals and 19 health plans—across all California counties to securely share clinical, claims, behavioral health, and social services data for more than 50 million individuals.
- Statewide health information exchange (HIE) operations Healthcare Provider Network CoordinationOperates as a statewide health information network and Qualified Health Information Organization (QHIO) under the CalHHS Data Exchange Framework (DxF), connecting over 3,400 healthcare organizations—including 150+ hospitals and 19 health plans—across California. Participates in both the state DxF and national TEFCA frameworks, delivering real-time, secure health data sharing for more than 50 million Californians.
- Support for health plan compliance and operations Health Data Interoperability & ExchangeAggregates, normalizes, matches, and shares claims, encounters, and clinical data to help health plans meet California AB 133 data-sharing requirements. Enables concurrent reviews, member procedure authorizations, and reduces chart chases by 54% and outbound hospital calls by 15–20% per month.
- Supporting Health Plan Operations and Compliance Health Data Interoperability & ExchangeAggregates, normalizes, matches, and shares claims, encounters, and clinical data to support health plan compliance with AB 133 data sharing requirements, reduces outbound calls to hospitals by 15-20% per month, and reduces chart chases by 54%.
- Supporting Public Health Infrastructure Statewide Health Data Infrastructure SupportSupports the California Department of Public Health with infrastructure for statewide electronic lab reporting, which began in 2022.
advocacy · 2
- Health information policy and community engagement events Recovery Awareness Events & OutreachHosts annual events focused on leveraging health data for community health improvement, such as a February event in Los Angeles dedicated to opioid abuse prevention and treatment.
- Hosting Events on Community Health Recovery Awareness Events & OutreachHosts annual events to explore leveraging health information for community health, including a February event focused on opioid abuse prevention and treatment in Los Angeles.
capacity building · 5
- Capacity Building for Data Exchange Framework Participants Statewide Health Data Infrastructure SupportProvides support to all Data Exchange Framework (DxF) participants across California to achieve CalAIM and DxF goals, regardless of location or technical capacity.
- Capacity Building for Data Exchange Participants Statewide Health Data Infrastructure SupportProvides technical and operational support to all Data Exchange Framework (DxF) participants across California to achieve CalAIM and DxF goals, regardless of location or technical capacity, and hosts a user group forum with biannual meetings to gather feedback and guide service development.
- Engaging Stakeholders through Advisory Committees and User GroupsOperates an advisory committee to gather user feedback and propose new products or policy changes, and hosts a user group forum twice per year for participants to influence product and service development.
- Provider and participant capacity building Statewide Health Data Infrastructure SupportProvides technical and operational support to all Data Exchange Framework (DxF) participants across California, regardless of location or technical capacity, to achieve CalAIM and DxF goals. Hosts a user group forum with biannual meetings and operates an advisory committee to gather feedback and guide product and policy development.
- Stakeholder Engagement and Product Development AdvisoryOperates an advisory committee and user group forum to gather user feedback, align services with industry developments, and influence the development of new products and policy changes based on participant input.
strategies · 17
how they think
Theories of action extracted from this org's own source material. Click any to see the full field of orgs running the same approach.
- Advancing Whole Person Care and Population Health through Partnerships whole_person_careThe organization advances health transformation by collaborating with local, statewide, and national partners. This partnership approach is designed to support whole person care initiatives and improve population health outcomes.
- Building a Digital Health Safety Net through ADT Notifications digital_health_safety_netThe organization establishes a digital health safety net by providing a free, secure Admission, Discharge, and Transfer (ADT) notification exchange. This mechanism enables real-time alerts to facilitate timely care coordination for hospitals and health systems.
- Data Interoperability and Utility Infrastructure data_interoperabilityFunctions as a health information utility and Qualified HIO within the CalHHS Data Exchange Framework and TEFCA™, providing secure, standardized, and equitable data exchange infrastructure to eliminate silos and ensure accessibility regardless of technical capacity or geography.
- Digital Health Safety Net for Equitable Access digital_health_safety_netBuilds a statewide digital health safety net through free, secure ADT notification exchange and participation in national and state data frameworks to ensure equitable access to critical health information for all providers, especially safety-net institutions.
- Ensuring Equitable and Compliant Data Exchange equitable_health_data_exchangeThe organization supports equitable data sharing by enabling participation in key data exchange frameworks (DxF and TEFCA™) regardless of location or technical capacity. It also provides regulatory compliance support for Medi-Cal managed care plans to meet state-mandated data sharing requirements through integration with a qualified health information organization and offers interoperable data solutions.
- Facilitating Health Information Exchange for Coordinated Care health_information_exchangeThe organization operates as a health information exchange (HIE) and utility, delivering timely, standardized, and comprehensive health information (including clinical, behavioral, and social data) to care teams. This approach supports clinical decision-making, care coordination, and whole-person care by breaking down data silos and providing longitudinal patient records across various providers and settings. It also aims to improve patient outcomes, population health management, and prevent redundant testing.
- Health Information Exchange Platform for Coordinated Care health_information_exchangeOperationalizes a health information exchange (HIE) platform that integrates clinical, behavioral, and social data to enable real-time data sharing across healthcare systems, supporting coordinated, whole-person care, clinical decision-making, and risk-based provider contracting.
- Health Information Exchange Platform for Coordinated Care health_information_exchangeOperationalizes a secure, standardized health information exchange platform that integrates clinical, behavioral, and social data to support real-time care coordination, clinical decision-making, and risk-based contracting across providers and health plans.
- Interoperable Data Infrastructure to Eliminate Silos data_interoperabilityBreaks down data silos across healthcare systems by providing interoperable data solutions and operating as a Qualified Health Information Organization within state and national frameworks, enabling seamless, equitable data exchange regardless of technical capacity or geography.
- Real-Time Care Coordination via ADT Alerts care_coordination_via_adt_alertsEnables timely care coordination through real-time admission, discharge, and transfer (ADT) alerts, allowing providers to intervene early and manage patient transitions effectively.
- Real-Time Care Coordination via ADT Alerts and Longitudinal Records care_coordination_via_adt_alertsEnables timely care coordination through real-time admission, discharge, and transfer (ADT) alerts and by providing comprehensive longitudinal health records across providers and settings, reducing delays and preventing redundant testing.
- Regulatory Compliance Enablement for Health Plans regulatory_compliance_supportSupports Medi-Cal managed care plans in meeting state-mandated data sharing requirements by enabling integration with a qualified health information organization, ensuring compliance and operational efficiency.
- Stakeholder-Driven Design and Governance stakeholder_advisory_modelUses an advisory committee and participatory user forum model to align technology products, services, and policies with the needs of participants and industry best practices, ensuring usability and relevance.
- Stakeholder-Driven Product and Policy Development stakeholder_advisory_modelUses an advisory committee and participatory user forum model to align data exchange products, services, and policies with the needs of participants and industry best practices, ensuring usability and relevance.
- Stakeholder-Driven Product and Service Development stakeholder_advisory_modelThe organization utilizes an advisory committee model and user engagement forums to align its products, services, and policies with participant needs, industry best practices, and user feedback. This ensures that development is informed and shaped by the community it serves.
- Support for Population Health and Regulatory Compliance population_health_managementAdvances population health management by providing comprehensive data for high-cost, high-need populations and supports regulatory compliance—particularly for Medi-Cal managed care plans—through integration with qualified health information exchange infrastructure.
- Support for Whole-Person and Population Health whole_person_careAdvances whole-person care and population health by providing comprehensive longitudinal health records and actionable data to support early intervention, reduce redundant testing, and improve outcomes for high-cost, high-need populations.
named programs · 9
what they call their work
CalFresh Outreach
Helps eligible individuals apply for CalFresh EBT benefits
Enhanced Data Services
NCQA-validated supplemental data services to streamline HEDIS reporting and improve data quality for health plans
Food Pak Distribution
Delivers culturally appropriate meal paks containing up to 48 meals through local church partners
MX Access
Secure access to longitudinal patient records and clinical data for care management, risk adjustment, and quality reporting
MX Analyze
Data analytics and population health reporting tools to support quality improvement, health equity, and care gap identification
MX Notify
Real-time admission, discharge, and transfer (ADT) notifications to enable timely care coordination for health plan members
NCQA Validated Data
Provides standard supplemental data for HEDIS® reporting, reducing the need for primary source verification.
Poverty Encounter
Immersive 2-hour educational experience at Sylmar, CA facility simulating conditions in developing countries
School Pantry Program
Operates food pantries on school campuses to serve children and families in low-income communities
relationships · 39
who they work with
- Advanced Management USA, LLC Partner — Manages ACOs that use MX Notify alerts to reduce readmissions and improve patient care.
- Adventist Health Partner — Adventist Health is represented by its President and CEO on the Manifest MedEx Board of Directors
- Aledade Network — Organization whose leadership or staff have experience at Aledade, indicating a professional affiliation or collaboration.
- Anthem Blue Cross Partner — Partnership to improve care coordination, streamline in-patient utilization management review, and provide a seamless member experience.
- Blue Shield CA Partner — Blue Shield California is represented by its Senior Vice President on the Manifest MedEx Board of Directors
- CalHHS Government — Designated as a Qualified Health Information Organization (QHIO) under the CalHHS Data Exchange Framework (DxF).
- CalHHS Government — Designated as a Qualified Health Information Organization within the CalHHS Data Exchange Framework.
- California Department of Public Health Government — Partnering to enable statewide electronic lab reporting infrastructure
- California Primary Care Association Partner — CPCA is represented by its President and CEO on the Manifest MedEx Board of Directors
- CareConnectMD Partner — Value-based care provider for medically complex patients that partners with MX to deliver wrap-around care.
- Castlight Network — Organization whose leadership or staff have experience at Castlight, indicating a professional affiliation or collaboration.
- Central Neighborhood Health Foundation Partner — Partnered to improve post-discharge follow-up and care for underserved communities using real-time data exchange.
- Cerner Network — Organization whose leadership or staff have experience at Cerner, indicating a professional affiliation or collaboration.
- Charter Healthcare Partner — Home health provider that uses MX data to improve care for vulnerable patients.
- Choice Medical Group Partner — Leverages longitudinal patient records from Manifest MedEx to succeed under a full-risk value-based care model
- Choice Medical Group Partner — Medical group that leverages longitudinal patient records from Manifest MedEx for value-based care.
- Community Medical Centers Partner — Partnered to improve care transitions through access to longitudinal patient records and hospital notifications.
- DaVita Network — Organization whose leadership or staff have experience at DaVita, indicating a professional affiliation or collaboration.
- Dr. Mike's Walk-In Clinics Partner — Partnered to improve clinical workflows and care delivery using longitudinal patient records.
- Elevance Health Partner — Elevance Health is represented by its Vice President on the Manifest MedEx Board of Directors
- Garden Pediatrics Partner — Partnered to reduce chart chasing and streamline post-discharge follow-up and vaccine distribution.
- Health Plan of San Joaquin Partner — Collaborates to create comprehensive reports for member outreach and improve care coordination using HIE data.
- Health Plan of San Joaquin Partner — Uses Manifest MedEx data to support HEDIS® reporting and quality improvement efforts
- Healthagen Network — Organization whose leadership or staff have experience at Healthagen, indicating a professional affiliation or collaboration.
- Inland Empire Foundation for Medical Care Partner — IPA that uses MX alerts to improve patient care and reduce healthcare costs.
- Inland Empire Health Information Organization Partner — HIO representative serving on the MX Advisory Committee
- Inland Empire Health Plan Partner — IEHP is represented by its CEO on the Manifest MedEx Board of Directors
- Inland Empire Health Plan Partner — Uses Manifest MedEx data to improve quality and care for members through enhanced data sharing and population health insights.
- Inter Valley Health Plan Partner — Uses Manifest MedEx to access longitudinal patient records and streamline concurrent review processes.
- Invitae Partner — Invitae is represented through its lead for Data Stewardship and Data Sharing on the Manifest MedEx Board of Directors
+ 9 more