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​Welcome to EvaluCare
At EvaluCare, we deliver expert medical care review for customers in multiple industries, healthcare, insurance and legal. We provide the most thorough hospital-level reviews of the quality of care using advance review algorithms. We deliver enhanced accessibility via a Software as a Service called Eva, to fit seamlessly into existing workflows. Reviews are fast, transparent, and
tailored to user selected needs. Whether it is a quality review, mortality review, peer review, utilization review, the Software allows users to select the purpose and queue the review focus. 

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How We Do It
EvaluCare presents Eva, a first-of-its-kind, Pay-As-You-Go (PAYG) Software-as-a-Service (SaaS) designed for in-depth medical care evaluation using advanced AI machine learning algorithms and agentic framework structured on hospital level quality review best practices. From your desktop, Eva gives you:

  • Fast real time medical care reviews with quality-expert trained and validated AI algorithms.

  • The flexibility to conduct both concurrent (during care) and retrospective (after the fact) reviews.

  • Comprehensive clinical reviews in all care settings, considering applicable current regulatory standards and care guidelines.

  • Customer specific use cases with flexible workflow integration, producing exceptional return on investment, across industries.

  • Tailored support regardless of role/purpose/industry.

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Medical Care Reviews for Hospitals, Health Systems Spanning the Continuum of Care​

  • Full spectrum of near real time quality care review to enhance quality assurance programing, producing millions in ROI for a average sized health system.

  • Complete AI medical reviews of 100% of inpatient discharges for hospitals and health systems with providing clinicians with feedback on care quality to take meaningful actions.

    • Our stand alone SaaS can be integrated with Electronic Health Records or be utilized as a stand alone software.​

  • We automate and customize review algorithms for quality reviews, mortality reviews, peer reviews, Morbidity & Mortality (M&M) Conferences, Utilization Reviews, clinical abstraction using trained AI Agents, and more.  
     

Medical Care Reviews to Action - Full Spectrum Support​

Performing medical care reviews on 100% of inpatient discharges provides unsurpassed insights into care. To manage that the information, we also provide dashboard and scorecard resources to meaningfully communicate information back to clinicians for corrective actions and performance improvement. For health systems with multiple hospitals, we have Quality Improvement facilitators who manage performance improvement learning collaboratives. This ensures reviews turn into meaningful annual returns in the millions. Performance improvement services include:

  • Provide dashboarding and scorecard resources to hospitals and health systems to organize reviews into curated communication tools aligned to health care services..

  • Provide facilitating learning collaboratives to support targeted performance improvement actions across hospitals.
     

Medical Care Reviews for Patients & Families, Attorneys & Insurers
We tackle a full spectrum of medical care reviews for medical-legal issues, including:

  • Medical malpractice: wrongful death, birth injury, personal injury (plaintiff & defense).

  • EMTALA and informed consent disputes.

  • Mental/behavioral health claims.

  • Nursing home or elder abuse cases.

  • And more complex or hybrid situations that cross clinical, legal, and regulatory boundaries.

  • Concierge services for patients needing medical care reviewed to identify care failures and opportunities for improvement

(Note we do not provide reviews for care delivered in hospitals or health systems who are also our customers, unless for defense and approved by the hospital/health system in advance.)

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Why EvaluCare

  • Dedicated Quality & Clinical Leadership: Our review team is led by seasoned healthcare experts.

  • Agentic Intelligence-Powered SaaS: Our platform evolves alongside medical practice and regulatory standards to bring you current and actionable insights that are always up-to-date.

  • Insightful, System-Focused Analyses: We go beyond identifying what went wrong, we examine the systems, protocols, and care teams that contribute to outcomes.

  • Personalized Support: For patients and families seeking settlement guidance or clarity, we offer concierge-style service to navigate legal and medical complexity.
     

Our Promise
We strive to make healthcare safer by helping our customer understand exactly what happened and why. With EvaluCare, you gain access to rigorous, compassionate, and expert review. At every step, our mission is to deliver insights, clarity, reliability and accountability.

 

EvaluCare,  your trusted partner in medical care review.

Our Customers
Healthcare Quality Assurance 
Hospitals & Health Systems

The EvaluCare team integrates the Eva SaaS existing quality reviewers to provide a AI SaaS platform to perform clinical quality reviews on all inpatient discharges that decreases Length of Stay, Readmissions, Hospital Acquired Conditions, Healthcare Associated Infections, Mortality and other adverse care events. Return on Investment for a hospital or health system ranging from 25,000 to 45,000 a year ranges $61M to $137M in annual benefits. 

 

Reviews provide clinicians with feedback to improve clinical care, by tracking and trending organizational data to identify areas of opportunity. Our data transforms hospitals to a quality assurance approach, instead of a quality improvement approach, by deploying high reliability, learning organization concepts.

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Ask about our scorecards and dashboard tools!

Primary Care/Medical Practice Groups 

Medical care reviews provide insights across the continuum of care. However the Eva SaaS also provides focused ambulatory reviews to prevent hospital admissions through evaluation of care to evidence based care guidelines. Healthcare organizations also use the convenient peer review service through the convenience of their desktop to support Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE).

Patients & Families
Attorneys & Law Firms
Insurance Companies

Patients and families often are left without knowing if care delivered met practice guidelines and acceptable standards of care. We support you in getting answers. We review care against thousands of standards to provide the most robust evaluation of care in the United States. Our concierge services help support you in finding answers and guiding direct settlements with or without an attorney. 

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For attorneys and law firms, we offer a first-of-its-kind Software as a Service (SaaS) called Eva that takes the hassle out of medical care review while streamlining internal workflows to improve case management efficiency by 20-35%.

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Our reviews are done 14 times faster, 20+ times higher quality and 77% less expensive.

For medical professional liability insurance companies, we offer a Software as a Service (SaaS) called Eva that curtails all reviews toward defending medical malpractice. It anticipates discovery and prepares defense, decreases case management activities that would otherwise go toward legal fees. Our team of experts are healthcare insiders. Eva SaaS provides in office convenience and hospital level quality review for all of your medical care review needs. 

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Our reviews are done 14 times faster, 20+ times higher quality and 77% less expensive.

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Let's discuss how we can help.

Questions

Contact us to ask any questions on how we can serve you.

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Material on this website does not constitute legal advice. Any views, opinions and information set out in this website are provided for information purposes only, and do not purport to be legal or a definitive interpretation of any law. Anyone contemplating action in respect of matters set out in this website should obtain advice from a suitably qualified professional attorney  based on their unique requirements.

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