JSON twin: https://www.healthaidb.com/software/abacus-insights.json
Abacus Insights
https://abacusinsights.com/solutions-platform/
Cloud-native data transformation and management platform that standardizes, curates and distributes healthcare data for health plans to support analytics, CMS interoperability, risk adjustment, quality (HEDIS/Stars) and value-based care.
Abacus Insights provides a managed, HITRUST- and SOC2-aligned data transformation platform and payer-focused data solutions that ingest claims, clinical, pharmacy and other healthcare data, apply standardization and enrichment, enable CMS interoperability, and deliver curated data products and connectors to accelerate analytics, risk adjustment, quality reporting and cost-of-care initiatives for health plans.
yes
2017
US-hosted (AWS regions); contact vendor for region-specific options
P0017
2025-09-07
commercial / proprietary
No public pricing; contact vendor for custom subscription/managed service quotes and implementation details. Trial/pilot available upon request (contact vendor).
enterprise_quote
2017
Cloud-hosted (AWS) and Snowflake supported; fully managed SaaS — no customer OS/DB requirements listed
product
1.0
{
"company_name": "Abacus Insights",
"company_url": "https://abacusinsights.com",
"company_offices": [
"United States"
],
"company_founding": "2017",
"product_url": "https://abacusinsights.com/solutions-platform/",
"categories": [
"health data platform",
"data management",
"interoperability",
"analytics",
"risk adjustment",
"clinical data",
"cost of care management"
],
"market_segment": [
"enterprise",
"payers"
],
"links": [
"https://abacusinsights.com/",
"https://abacusinsights.com/solutions-platform/",
"https://abacusinsights.com/solutions/",
"https://abacusinsights.com/trust-and-security/",
"https://abacusinsights.com/contact/",
"https://abacusinsights.com/resources/",
"https://abacusinsights.com/solutions/risk-adjustment-solution/",
"https://abacusinsights.com/solutions/clinical-data-solution/",
"https://aws.amazon.com/marketplace/pp/prodview-dc2krurcwq7jk",
"https://www.snowflake.com/en/why-snowflake/partners/all-partners/abacus-insights/"
],
"summary": "Cloud-native data transformation and management platform that standardizes, curates and distributes healthcare data for health plans to support analytics, CMS interoperability, risk adjustment, quality (HEDIS/Stars) and value-based care.",
"description": "Abacus Insights provides a managed, HITRUST- and SOC2-aligned data transformation platform and payer-focused data solutions that ingest claims, clinical, pharmacy and other healthcare data, apply standardization and enrichment, enable CMS interoperability, and deliver curated data products and connectors to accelerate analytics, risk adjustment, quality reporting and cost-of-care initiatives for health plans.",
"target_users": [
"health plan executives",
"payers",
"data engineers",
"data analysts",
"population health teams",
"care management teams",
"quality and HEDIS teams",
"risk adjustment teams",
"IT/analytics admins"
],
"specialties": [
"health plan / payer data management",
"claims data processing",
"risk adjustment",
"HEDIS and Stars quality reporting",
"CMS interoperability",
"clinical data integration",
"value-based care analytics",
"cost-of-care management",
"member data matching / MDM"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "No public pricing; contact vendor for custom subscription/managed service quotes and implementation details. Trial/pilot available upon request (contact vendor).",
"license": "commercial / proprietary",
"deployment_model": [
"SaaS",
"managed cloud"
],
"os_platforms": [
"Web"
],
"features": [
"Unified data hub / data foundation",
"Ingest any healthcare data (batch, API, CDC)",
"FHIR-based API delivery",
"HL7 ingestion and normalization",
"Data standardization and curation",
"Enterprise data distribution (multiple consumption methods)",
"Analytics enablement / data marts / data lakes",
"Operational data stores and EDW acceleration",
"Data quality improvement and enrichment",
"Data operations / pipeline orchestration",
"Rapid implementation and concierge data management",
"CMS Interoperability / 21st Century Cures support",
"Risk adjustment data processing",
"Clinical data solution capabilities",
"Cost-of-care and stars performance data solutions"
],
"optional_modules": [
"CMS Interoperability Data Solution",
"Risk Adjustment Solution",
"Clinical Data Solution",
"Cost of Care Management Solution",
"Stars Performance Data Solution"
],
"integrations": [
"AWS",
"Snowflake"
],
"data_standards": [
"FHIR",
"HL7 v2"
],
"api_available": "yes",
"system_requirements": "Cloud-hosted (AWS) and Snowflake supported; fully managed SaaS — no customer OS/DB requirements listed",
"compliance": [
"HIPAA",
"SOC 2 (Type II)",
"HITRUST",
"NIST"
],
"certifications": [
"SOC 2 Type II",
"HITRUST",
"CMS Qualified Entity"
],
"security_features": [
"Encryption (in transit and at rest)",
"Role-based access control (RBAC)",
"SSO/SAML",
"Audit logging"
],
"privacy_features": [
"Business Associate Agreement (BAA) availability",
"De-identification / anonymization capabilities",
"Data minimization and consent-aware handling"
],
"data_residency": "US-hosted (AWS regions); contact vendor for region-specific options",
"customers": [
"Cambia Health Solutions",
"A Blues payer (unnamed)",
"MultiPlan",
"Health plans (general)"
],
"user_reviews": [
"I have seen a 'scam' warning for Abacus Insights, LLC (Reddit comment)"
],
"ratings": [
"G2: not enough reviews to provide a rating"
],
"support_channels": [],
"training_options": [
"documentation",
"webinars"
],
"release_year": "2017",
"integration_partners": [
"Amazon Web Services (AWS)",
"Snowflake",
"Onyx Technology"
],
"id": "P0017",
"slug": "abacus-insights",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/abacus-insights.json"
}
}