
Apixio
Founded Year
2009Stage
Acq - Fin | AcquiredTotal Raised
$50.36MAbout Apixio
Apixio focuses on healthcare AI solutions within the health plans and providers sector. The company offers services that include risk adjustment, payment integrity, health data management, and AI-as-a-service. Apixio serves health plans, providers, and Accountable Care Organizations (ACOs). It was founded in 2009 and is based in San Mateo, California. It was acquired by Datavant on 13 Jun 2023 and operates as a subsidiary.
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Apixio's Product Videos


Apixio's Products & Differentiators
Risk Adjustment
Apixio’s Retrospective and Prospective & Concurrent Risk Adjustment Solutions are industry leading AI-powered technologies receiving Best in KLAS 2021 for Risk Adjustment & Analytics. The program captures a complete picture disease burden by identifying HCCs (Hierarchical Categorical Categories) across a population, improving value-based clinical, operational, and financial results. The solution increases accuracy by reviewing uncoded HCCs, displaying complete project visibility for chart reviews. It streamlines code review processes to help audit reviewers focus efforts on unsupported codes. This minimizes audit workloads while improving speed and accuracy in audit results. It also offers the ability to look both ways to identify adds and potential deletes of HCCs through Apixio’s industry-leading risk adjustment offering.
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Research containing Apixio
Get data-driven expert analysis from the CB Insights Intelligence Unit.
CB Insights Intelligence Analysts have mentioned Apixio in 1 CB Insights research brief, most recently on Feb 29, 2024.
Expert Collections containing Apixio
Expert Collections are analyst-curated lists that highlight the companies you need to know in the most important technology spaces.
Apixio is included in 4 Expert Collections, including Value-Based Care & Population Health.
Value-Based Care & Population Health
1,086 items
The VBC & Population Health collection includes companies that enable and deliver care models that address the health needs for defining populations along the continuum of care, including in the community setting, through participation, engagement, and targeted interventions.
Conference Exhibitors
5,302 items
Digital Health
11,440 items
The digital health collection includes vendors developing software, platforms, sensor & robotic hardware, health data infrastructure, and tech-enabled services in healthcare. The list excludes pureplay pharma/biopharma, sequencing instruments, gene editing, and assistive tech.
Artificial Intelligence
10,402 items
Apixio Patents
Apixio has filed 43 patents.
The 3 most popular patent topics include:
- health informatics
- electronic health records
- medical terminology

Application Date | Grant Date | Title | Related Topics | Status |
---|---|---|---|---|
12/9/2022 | 2/4/2025 | Health informatics, Electronic health records, Medical terminology, Natural language processing, Data management | Grant |
Application Date | 12/9/2022 |
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Grant Date | 2/4/2025 |
Title | |
Related Topics | Health informatics, Electronic health records, Medical terminology, Natural language processing, Data management |
Status | Grant |
Latest Apixio News
Aug 19, 2025
| SkyQuest Technology Consulting News provided by Share this article Share toX The healthcare analytics market is anticipated to increase due to the global shift from volume-based to value-based care models. Providers are leveraging analytics to improve patient outcomes, reduce costs, and meet regulatory quality metrics. This transformation fuels demand for data-driven insights that support clinical decisions, optimize operations, and enhance patient satisfaction. WESTFORD, Mass., Aug. 19, 2025 /PRNewswire/ -- SkyQuest Technology Consulting published a report, titled, Healthcare Analytics Market - Global Opportunity Analysis and Industry Forecast, 2025-2032", valued at USD 42.19 Billion in 2024. With a projected CAGR of 22.3% from 2025 to 2032, the market is expected to reach USD 211.18 Billion by the end of 2032. The rapid adoption of digital health tools such as electronic health records (EHRs), wearable devices, and telemedicine platforms generates vast data volumes. Healthcare analytics platforms enable the extraction of actionable insights from these datasets, helping providers monitor patient health, predict diseases, and deliver personalized care with greater precision and efficiency. Get a Free Sample Report: https://www.skyquestt.com/sample-request/healthcare-analytics-market Healthcare Analytics Market Key Growth Drivers The healthcare analytic market has experienced significant growth owing to these tools help identify inefficiencies, forecast resource utilization, and prevent unnecessary procedures. By enabling data-driven financial decisions, healthcare analytics supports cost control while maintaining or improving care quality across hospitals, clinics, and insurance networks. Another key factor driving the market growth is the governments worldwide are promoting healthcare IT adoption through policies and incentives, while also mandating compliance with regulations like HIPAA and GDPR. Analytics solutions aid in ensuring regulatory compliance, monitoring data security, and reporting outcomes. Recent Developments in Healthcare Analytics Market In May 2024, Health Catalyst, Inc. launched Health Catalyst Ignite. The new data and analytics ecosystem is equipped with latest technologies and specially designed for the healthcare industry use. In March 2024, RXNT announced the launch of new reporting analytics tools. The renowned healthcare software technology company integrated these new tools with the company's Clinical and Practice Management software systems. In March 2024, Apixio Health Data Nexus™ was launched by Apixio, a leading name in the healthcare data space. The new solution was intended to change the way data was handled, analyzed, and integrated in the healthcare industry. The solution also addressed the current challenges of data access and fragmentation that are prevalent across the industry. Speak to our Analyst: https://www.skyquestt.com/speak-with-analyst/healthcare-analytics-market Major Challenges in Healthcare Analytics Industry Concerns over data privacy and security significantly restrain the adoption of healthcare analytics. With sensitive patient data at risk, organizations face challenges in complying with strict regulations like HIPAA and GDPR. Fear of breaches and misuse of data often slows down the implementation of analytics platforms across healthcare systems. Implementing healthcare analytics solutions requires significant investment in infrastructure, skilled personnel, and system integration. Smaller healthcare providers often find it financially burdensome. Additionally, integrating analytics tools with legacy systems can be complex and resource-intensive, limiting widespread adoption, especially in developing regions with limited healthcare IT budgets. Competitive Landscape The global healthcare analytics market is highly competitive, with key international players like IBM, Oracle, Microsoft, Optum (UnitedHealth Group), and SAS Institute. Companies focus on AI integration, cloud-based analytics, and strategic partnerships. For instance, Microsoft enhances its Cloud for Healthcare with AI tools, while Optum expands its data analytics through acquisitions and payer-provider collaboration platforms, strengthening their positions in delivering predictive and value-based healthcare solutions. The major players in the healthcare analytics industry include, Optum, Inc. Healthcare Analytics Market Segmental Analysis The healthcare analytics market is segmented on the basis of component, type, application, and region. By component, the market is bifurcated into services and software. By type, the market is segmented into descriptive analytics, predictive analytics, prescriptive analytics, and diagnostic analytics. By application, the market is grouped into financial analytics, clinical analytics, operational & administrative analytics, population health analytics, and others. By component, the software component currently dominates the global healthcare analytics market. This dominance is driven by the widespread deployment of advanced analytics platforms, electronic health record (EHR) systems, population health management tools, and AI-powered diagnostic software. Software solutions offer scalability, data visualization, predictive modeling, and real-time decision support, making them central to healthcare digital transformation. By type, descriptive analytics is currently the dominant segment in the global healthcare analytics market. It provides historical insights by summarizing raw data into understandable formats, helping healthcare providers monitor patient records, hospital readmission rates, and treatment outcomes. Its wide adoption across hospitals, insurance firms, and public health agencies for operational reporting and compliance makes it the foundation of healthcare analytics initiatives. By application, financial analytics currently dominates the market due to its broad utility in cost control, revenue cycle management, fraud detection, and financial forecasting. Healthcare providers and payers heavily rely on financial analytics to improve billing accuracy, reduce claim denials, and enhance reimbursement processes. Its strong return on investment (ROI) and measurable impact on margins make it the most adopted application across healthcare systems worldwide. Want to Explore More, Secure Your Full Report: https://www.skyquestt.com/buy-now/healthcare-analytics-market Regional Outlook North America dominates the global healthcare analytics market, driven by advanced healthcare infrastructure, widespread adoption of electronic health records (EHRs), and strong regulatory frameworks. The region benefits from significant investments in AI, big data, and precision medicine. The presence of major industry players, rising healthcare costs, and a strong focus on value-based care further fuel market growth. The U.S. leads regional adoption, supported by government initiatives promoting data-driven decision-making and healthcare system optimization. The Asia Pacific healthcare analytics market is experiencing rapid growth, fueled by increasing healthcare digitization, government initiatives, and expanding healthcare infrastructure. Countries like China, India, and Japan are investing heavily in big data, AI, and cloud technologies to improve patient outcomes and operational efficiency. Rising chronic disease prevalence and the need for cost-effective care drive demand for analytics solutions. Additionally, growing awareness and adoption of electronic health records (EHRs) support the region's expanding analytics capabilities. Europe is witnessing steady growth in the healthcare analytics market, driven by an aging population, rising chronic diseases, and strong government support for digital health initiatives. The region benefits from widespread electronic health record (EHR) adoption and increasing investments in AI and data-driven healthcare solutions. Countries like Germany, the UK, and France are leading advancements, while EU-wide regulations such as the European Health Data Space promote data interoperability, research collaboration, and patient-centric analytics innovations. The Middle East and Africa healthcare analytics market is gradually expanding, driven by increasing investments in healthcare infrastructure and digital transformation initiatives. Gulf countries like the UAE and Saudi Arabia are leading adoption through smart healthcare projects and national digitization strategies. The demand for efficient resource management, improved patient care, and cost control is fueling interest in analytics solutions. However, limited data integration capabilities and uneven technology access across regions pose challenges to widespread market growth. The Latin American healthcare analytics market is growing steadily, supported by increasing adoption of electronic health records (EHRs), telemedicine, and government-led digital health initiatives. Countries like Brazil, Mexico, and Chile are investing in data-driven healthcare to improve system efficiency and patient outcomes. Rising chronic disease burden and the need for cost-effective care are accelerating analytics adoption. However, challenges such as limited IT infrastructure and data privacy concerns continue to hinder full-scale implementation across the region. Explore Extensive ongoing Coverage on Healthcare Sector: Forensic Technologies Market - Global Opportunity Analysis and Industry Forecast – 2032 About SkyQuest Technology Consulting SkyQuest Technology Consulting is a leading Strategy Consulting and Market Research firm, provides syndicated as well as customized research reports and growth consulting services, trusted by CXOs from Fortune 500 Companies, Start-ups, and MSMEs. The company comprises a team of expert research analysts and consultants, adding more than 1200 market research reports in our database each year. These reports offer in-depth analysis on 40+ industries & sub industries across 25 major countries worldwide, serving global clients across diverse industries. The company specializes in delivering customized intelligence, data-driven insights, and strategic advisory services that enable businesses to stay competitive and make informed decisions in rapidly evolving industries. Contact Us
Apixio Frequently Asked Questions (FAQ)
When was Apixio founded?
Apixio was founded in 2009.
Where is Apixio's headquarters?
Apixio's headquarters is located at 1850 Gateway Drive, San Mateo.
What is Apixio's latest funding round?
Apixio's latest funding round is Acq - Fin.
How much did Apixio raise?
Apixio raised a total of $50.36M.
Who are the investors of Apixio?
Investors of Apixio include New Mountain Capital, Centene, Bain Capital Ventures, SSM Partners, Candou Ventures and 3 more.
Who are Apixio's competitors?
Competitors of Apixio include Kaid Health, Arcadia, Carta Healthcare, Navina, Edifecs and 7 more.
What products does Apixio offer?
Apixio's products include Risk Adjustment and 3 more.
Who are Apixio's customers?
Customers of Apixio include Providence St. Joseph Health , HCSC , Aledade , Blue Cross Blue Shield North Carolina and Blue Cross Blue Shield Tennessee.
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Compare Apixio to Competitors

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