Particle Health for Payers
Proactively identify clinically complex patients
Particle delivers the comprehensive clinical insights you need to get a clear understanding of risk.
Optimize patient and provider engagement.
Empower providers to optimize transitions of care
ADT feeds lack the coverage and context care teams need to act quickly at critical moments in the patient journey. Particle Signal delivers nationwide alerts that help to reduce hospital readmissions, length-of-stay and unnecessary post-acute care.
Spot gaps in preventative care.
Unaddressed medical issues result in sicker patients, higher costs, and increased utilization. With Particle, payers and providers can clearly see when patients are due for wellness screenings and take action to optimize care, prevent disease progression, and keep costs under control.
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Boost quality measures and increase reimbursements.
HEDIS. MIPS. Star ratings. Whatever quality system you use, clinical insights from Particle provide you with a more accurate picture of your patient's health so you’ll be better equipped to optimize care and ensure accurate reporting.
Built for your most pressing use cases
Readmission Reduction
Care Gap Closure
Acuity Tiering
Referral Management
Transitions of Care
Particle solutions for payers
Trade lower-coverage ADT feeds for nationwide Signal alerts that offer the context care teams need to optimize transitions of care.
Tap into the most relevant details from a patient’s clinical history, surfaced via AI-powered summarization.
Med Rec
Easily use clinical medication records to create innovative digital health solutions that improve patient care.
Particle solutions for payers
Instantly tap into the most relevant details from a patient’s clinical history, surfaced via AI-powered summarization.
Real-time alerts about patient health events provide the context providers need to optimize followup care.
Med Rec
Easily use clinical medication records to create innovative digital health solutions that improve patient care.
Learn more about solutions for payers
[Transitions of Care: From Vulnerabilities to Value Drivers
Learn about the high stakes of hospital admission, discharge and transfer events — both for patients and providers.
Sarah Krissoff, NP
Oct 9, 2025
Read more](/content/blog/transitions-of-care-from-vulnerabilities-to-value-drivers/index.html)
[Transitions of Care: ADT Pitfalls
See where hospital admission, discharge and transfer (ADT) data feeds fall short in helping care teams optimize transitions of care.
Sarah Krissoff, NP
Oct 9, 2025
Read more](/content/blog/particle-health-transitions-of-care-adt-pitfalls/index.html)
[Transitions of Care: Power Care Transitions with Signal Alerts
See how nationwide, context-rich Signal alerts fuel timely, impactful interventions that improve care and reduce costs during transitions of care.
Sarah Krissoff, NP
Oct 9, 2025
Read more](/content/blog/power-care-transitions-with-signal-alerts/index.html)
Payer Solutions FAQ
What is Particle Signal?
Particle Health’s Signal offering is an intelligent alerting solution that delivers timely, actionable insights into critical patient events.
Signal alerts enable organizations to shift from reactive to proactive care, surfacing the right information at the right time to improve transitions of care, enhance patient outcomes, and reduce costs.
How does Signal work?
First, customers enroll their patient populations with Particle Health. Signal then continuously monitors national health information networks as well as participating state and regional health information exchanges (HIEs) for significant acute or post-acute events (such as hospital admissions, discharges or transfers) that occur within those populations.
When triggering events occur, Signal pushes targeted, context-rich alerts to care teams. These alerts empower swift, informed intervention and help care teams meaningfully engage patients and caregivers during vulnerable moments across healthcare settings.
Signal insights also surface other clinical moments along a patient's journey — including new prescriptions, changes in medication adherence, lab results and new diagnoses — equipping care teams with the alert that an event has happened as well as the context they need to provide timely, comprehensive care.
How does Signal compare to traditional ADT solutions?
In comparison to traditional admission, discharge, and transfer (ADT) feeds, Signal delivers broader coverage and richer context for stronger actionability.
Broader coverage: Instead of piecing together fragmented ADT feeds for partial coverage, you can rely on Signal to provide alerts through a single, comprehensive solution, built on national networks, HIEs and pharmacy alerts.
Signal provides nationwide coverage across 90% of Centers for Medicare & Medicaid Services (CMS) certified hospitals and extensive post acute facilities.
- In a direct comparison for a VBC provider using 6+ ADT feeds — including an aggregator and multiple state HIEs — Signal identified nearly 25% more inpatient and emergency events than standard ADTs.
Richer context: In addition to capturing events that standard ADTs may miss, Signal alerts also provide contextual information most don't include at all. ADTs confirm something happened, but Signal provides the full story.
Stronger actionability: Signal ensures the right clinical information is delivered for the right patient at the moment it can impact care. And with 75% of discharges identified within 48 hours, Signal empowers care teams to intervene faster and optimize critical transitions of care.
How comprehensive is coverage with Signal?
Signal monitors major national health information networks including Carequality, CommonWell Health Alliance and eHealth Exchange, as well as State and regional Health Information Exchanges (HIEs), and pharmacy alerts.
These networks connect to approximately 90% of U.S. EHRs, and Particle has seen data from 90% of active CMS hospitals, demonstrating extensive coverage across healthcare organizations. As a result of this breadth, Signal is especially powerful for organizations treating national populations.
What additional clinical context does Signal provide?
Signal goes beyond basic ADT alerts, providing near real-time access to structured clinical details that explain what actually happened including:
- Discharge summaries
- Procedures
- Lab results
- Medication changes
- Recommended follow ups
- Readmission risk flags
- And other key info to help optimize transitions of care
With Signal, teams get a more complete view of the patient’s clinical status in acute and post-acute settings, empowering them to effectively identify follow-up needs, reconcile medications, develop comprehensive post-discharge care plans and more.
What metrics can organizations optimize with Signal?
With Signal, organizations can optimize transitions of care to improve patient health while lowering total cost of care and improving performance on key quality measures. Signal achieves these goals by enabling care teams to reduce readmissions, shorten length of stay, optimize site of care, and close gaps in care.
How does Signal help care teams improve patient outcomes?
Signal improves patient outcomes by surfacing critical events. Each alert is delivered with the clinical context that care teams need to take timely action for informed follow-up and streamlined care coordination.
Signal can also be leveraged at moments of acute or post-acute care for enrollment in programs to manage or prevent chronic conditions. Centered on the patient, Signal empowers more proactive patient and caregiver engagement, anticipatory guidance, and support during vulnerable moments that matter.
How does Signal integrate with existing workflows?
Signal alerts are designed to fit into your workflows through a single API. The output has been designed for straightforward integration into care coordination platforms and downstream processes. This ensures care teams have the information they need without disrupting existing clinical workflows.