Population Health

What happens between visits
changes everything

Do you know where to focus?
Are you prepared to act on that knowledge?



WellStack’s award-winning* Navigate population health management suite enables care delivery organizations to manage financial risk, improve quality outcomes and enhance patient engagement. Now more than ever, care management teams need a central place to manage their patients across the enterprise from wellness, preventive care, utilization and complex case management to population health, discharge and medication management. Navigate delivers such functionality and seamlessly integrates into EMRs and decision support systems at the point of care. It provides actionable steps at the encounter, and interventions between visits including discharge and post-acute care management.

Navigate is the only all-in-one population health management suite that provides everything organizations need to:

Aggregate disparate data sources, both clinical and claims data, into a unified source of truth

Identify at-risk populations and close gaps in care

Engage patients in their health goals and activate them to be effective self-managers

Reduce or prevent avoidable hospitalizations, readmissions and ER visits

Reconcile medication lists quickly and share useful medication data across the continuum of care

Report on quality measures and outcomes

Navigate care across the enterprise

Role-based tasks assigned and performed by care teams.

Centralized care coordination, and task management.

Specialty care physicians access CCD, share evidence-based care.

Payers have transparent P4P or reimbursement system, access to evidence-based guidelines, and CCD.

Hospital has complete access to CCD records and utilization guidelines.

Care teams follow up on post-discharge tasks to keep readmissions low.

Pharmacists reconcile meds and follow up on drug compliance.

Care teams foster lifestyle and behavior modification with onsite visits, telephone, telemedicine, or e-mail-based engagements.

Navigate the entire population health life cycle

Population Identification & Stratification

Aggregate data from payer, encounter, ADT lab and device-capture into one source of truth

Manage population definitions based on demographics, conditions, procedures, utilization, vitals, psycho-social assessments and more

Pinpoint at-risk patients for care management using a variety of risk models, including ACGs or LACE

Assign Patient Assessments from industry standards (e.g. PHQ-9, Morisky-8, PROMIS) or by configuring custom assessments

Role-Based Care Planning

Configure and apply evidence-based care plans to specific patient populations

Customize care plans based on individual patient assessments and performance

Display patient-centric, historic and up-to-the-minute views of longitudinal records in graphical or report formats

Link discharge and post-acute care tasks to a patient care plan

Comprehensive med review with medication reconciliation, and bi-directional sharing of med lists across the continuum of care

Reporting & Analytics

Assess clinical and financial outcomes with standard reporting scorecards

Discover new data insights about populations, teams and processes to improve quality and outcomes

Make the right decisions up front – allocating your clinical and financial resources for greatest impact

Quality reports – ACO, Outcome, PQRI and performance dashboards

Coordination & Engagement

Organize and automate your care management workflow with tasks, reminders and alerts

Coordinate care within and across care teams

Engage and activate patients

Use educational and behaviorally supportive interventions

Integrate with the EMRs for proper coordination across the care continuum


The Navigate Platform works in conjunction with other solutions to (1) securely engage patients in their care plan goals, tasks and reminders; (2) conduct virtual check-ins, screenings and surveys; (3) automatically deliver educational materials and reminders; and (4) facilitate secure correspondence directly between patients and their clinical support team. These automated communication tools help providers effectively manage low, medium, high and rising-risk populations with fewer nurse navigators and care managers.

Navigate’s Key Functions

Quality Reports &

Ready to see what Navigate can do?

Featured Case Study

Improving the quality, affordability, safety and efficiency of healthcare for 4.2 million lives statewide

In 2019, WellStack went to work for a large APCD, which allowed the customer to unlock significant value from its members’ data. Among the results were reduced data loading times, automated loading processes, improved data quality, improved patient-provider matching, as well as the roll-out of self-service report capabilities.


* – Navigate Recognized by Frost & Sullivan in 2016 with the Patient Engagement Enabling Technology Leadership Award