Analytics for health plans & medical groups

The whole picture of your population — and what to do next.

Virtu Analytica unifies your claims, pharmacy, lab, and hospital data into real-time intelligence — with ARIA, your built-in AI assistant — so your team can manage cost, close risk gaps, and stay ahead of membership shifts.

The Virtu Analytica web portal with the ARIA AI assistant answering a question about capacity
Claims · Rx · Lab · Hospital
Unified data sources
Real-time membership
Eligibility & volatility
Mobile-first
Decisions in hand
HIPAA + SOC 2
Security-first architecture
The problem

Your data already exists. It just isn't working for you.

Claims, pharmacy, lab, and hospital data sit in separate systems, arrive weeks late, and take an analyst to turn into an answer. By the time a cost driver shows up in a report, the quarter is already over.

Virtu Analytica pulls those sources into one live view your team reads at a glance — on the desktop or on a phone. No SQL, no data pull, no waiting on a report.

The result is simple: you see what's happening to your population while you can still do something about it.

The payoff

Every view answers one question — where is cost going, and what do we do about it?

Inside the platform

Built for the decisions people actually make.

Membership, utilization, cost, and risk — surfaced as clear, at-a-glance views on any device. These are real screens from the product.

Membership dashboard with health-plan, managed-care, volatility and growth charts
01 — Membership intelligence

Every member, every plan, at a glance.

Track total membership and month-over-month movement, break enrollment down by health plan and by managed-care organization, and watch gains against losses so churn never surprises you. A rolling 13-month view shows where the book is heading.

By health planBy MC (Top 10)Membership volatility13-month growth
Utilization statistics with per-1k metrics and year-to-date trend
02 — Utilization & cost

See cost drivers before they compound.

Utilization per 1,000, rolling trends, top patient utilizers, and hospitalization detail — live census, insurance census, discharges, and ER activity — so plans and provider groups can find the cost drivers and act while it still matters.

Utilization per 1kYTD trendTop utilizersER & census
Drill-down from a health-plan chart to individual patient records
03 — From population to patient

Drill from the chart to the person.

Every chart is a doorway. Tap a health plan, filter by the fields that matter, and move straight from a population-level pattern to the individual members behind it — without leaving the view.

Interactive chartsFilter & searchPatient records
Module menu including Action Center, Business Insights, Data Craft, Patient Discovery, Billing and Coding, Power BI
04 — One workspace

A full analytics workspace, organized around the work.

Action Center, Business Insights, Patient Discovery, Complex Cases, Billing & Coding, and a Power BI bridge — grouped by clinical, financial, and analysis workflows, with favorites for the views each user returns to most.

Action CenterBusiness InsightsPatient DiscoveryBilling & CodingPower BI
Meet ARIA In preview

Ask your data. Get an answer.

ARIA is the AI assistant built into Virtu Analytica. Ask about your clinical and operational metrics in plain English — a member, a facility, a plan, a cost trend — and ARIA analyzes your own data and answers instantly, right inside the platform.

ARIA works only with the data you’ve loaded into Analytica — it doesn’t diagnose or recommend.
The ARIA assistant panel greeting the user by name, with starting points to ask a question, build a dashboard, or export a report
Ask

Plain-English answers

Ask about a member, a facility, a plan, or a cost trend — ARIA reads your data and answers in seconds.

Build

Dashboards on command

Describe what you need and ARIA assembles the dashboard or report — ready to download or export.

Workspace

One place to work

Quick actions you set — plus one click through to Pulse 360 and Data Craft.

Chat is live in preview today. Data Craft (projects & reports) and Pulse 360 (your role-based daily dashboard) are rolling out next.

What's inside

Everything a plan needs to see itself clearly.

Membership & eligibility

Live enrollment by plan and group, processed vs. missing, and members outside the service area — the census that everything else depends on.

Utilization & cost

Per-1k utilization, rolling trends, and hospitalization detail that turn raw activity into the story of where spend is going.

Risk & MRA

Surface risk-adjustment gaps and unseen patients so care and documentation reach the members who need them most.

Claims & coding

Claims volume and Billing & Coding workflows in the same place as the population data they describe.

Patient discovery

Find the members behind any pattern — by name, plan, or risk — and move from cohort to individual in a tap.

Business insights

An Action Center and insight views that turn the numbers into a short list of what to do next — with a Power BI bridge for deeper analysis.

How it works

From your data to a decision, fast.

We connect to the feeds you already have and turn them into views your team uses the same day — no new data warehouse, no long build.

STEP 01

Connect your feeds

We integrate the claims, eligibility, pharmacy, lab, and hospital data you already generate — using the standards and formats you already run.

STEP 02

Unified & kept current

Everything lands in one governed model that stays up to date automatically — so membership, utilization, and cost are never a manual pull.

STEP 03

Your team acts

Leadership, analysts, care teams, and the groups you delegate to all work from the same live picture — on the desktop or in hand.

Who it's for

Built for the organizations that carry the risk.

Payers

Health plans & TPAs

See your whole covered population in real time and act on cost, utilization, and risk as they move.

Groups

Medical groups & MSOs

Manage delegated and at-risk populations against one live source of truth instead of monthly reports.

Networks

IPAs & at-risk providers

Track utilization, referrals, and risk capture across your network — and find the patients who need attention.

Funds

Self-funded & Taft-Hartley funds

Give plan administrators a clear, current view of spend, utilization, and membership without waiting on a carrier.

Security & compliance

Health data, handled the way it should be.

Virtu Analytica is engineered for the trust a payer relationship demands — aligned to HIPAA, built on US-based infrastructure, and governed by contract.

HIPAA-aligned

Built to HIPAA & HITECH

PHI processed on behalf of covered entities under Business Associate Agreements, with the safeguards those obligations require.

SOC 2 Type II

Independent assurance

A SOC 2 Type II program is underway for the analytics platform — security controls first, audited by an independent third party.

Access control

Role-based & audited

Authenticated sessions, role-based access, and audit logging — with no third-party advertising trackers, ever.

US-based

US infrastructure

PHI stored and processed within US-based, HIPAA-compliant cloud infrastructure — not moved offshore without written authorization.

Interoperable

Works with your feeds

Standards-based integration with the claims, eligibility, and clinical data you already run — no rip-and-replace.

Governed

Contract-governed use

Data is used only as directed by the covered-entity client, with retention and destruction handled to policy and regulation.

Full detail in our Privacy Policy.

Get in touch

See your population the way the data sees it.

Whether you run a health plan, a fund, a delegated group, or a provider network — we'll walk you through the platform on your own numbers. Reach out and we'll arrange a briefing.

Request a demo contact@virtumedical.com