ReasonHub provides the FHIR-native infrastructure for your clients asking for next-generation use cases like knowledge-based quality measurement, prior authorization, and care management. Focus on differentiation, not plumbing.
As payers and providers transition from proprietary data models to FHIR-based interoperability, the competitive landscape for healthcare software is shifting to who can deliver high-value, knowledge-based use cases.
FHIR has revolutionized healthtech by standardizing interoperability, but it doesn't solve the "last mile" problems of managing the computable clinical knowledge that powers quality measurement, prior authorization, care management, and clinical decision support. Every vendor building these capabilities faces the same infrastructure questions: How do we author, validate, version, and distribute clinical logic? How do we manage terminology? How do we keep content in sync with evolving standards?
Most vendors respond by building custom infrastructure, investing engineering resources in problems that don't differentiate their solutions. This slows time-to-market, creates maintenance debt, and diverts talent from core features that customers actually pay for.
ReasonHub provides a different path: a FHIR-native knowledge management *platform that handles the infrastructure layer, letting you focus on the *clinical, analytical, or workflow features that make your services valuable to *clients.
| Your Product Category | What You Build | What ReasonHub Provides | How You Integrate |
|---|---|---|---|
| Quality Measurement & Analytics | Member/provider dashboards, gap closure workflows, benchmark analytics | Measure authoring, CQL validation, terminology services, versioned measure packages | FHIR Package Registry, Bulk Export, $expand/$validate-code APIs |
| Prior Authorization Platforms | Workflow engine, provider portal, claim adjudication integration | PlanDefinition/Questionnaire authoring, rules validation, policy versioning, Da Vinci CRD/DTR artifacts | CRMI Operations ($package), CQL Execution APIs, Subscription Feeds |
| Care Management & Population Health | Risk stratification, member outreach, care plan tracking | PlanDefinition/ActivityDefinition authoring, guideline packages, evidence linking | FHIR Bundles, API-driven authoring workflow, Role-based multi-tenant access |
| Clinical Decision Support | EHR integrations (SMART, CDS Hooks), alert delivery, evidence presentation | CDS logic authoring, FHIR resource validation, knowledge distribution | Content distribution via Registry, Runtime CRMI Operations, Subscription Feeds |
| SDOH & Patient Engagement | Screening workflows, referral networks, community resource directories | Questionnaire authoring (Gravity-aligned), response validation, Z-code ValueSets | Embedded authoring UI, Terminology APIs, Bulk Export of assessment packages |
| Data Integration & Interoperability | ETL pipelines, FHIR transformation, data quality monitoring | Terminology operations, ConceptMap authoring, StructureDefinition management | REST terminology services ($translate, $validate-code), Vector embeddings for semantic matching |
| Risk Adjustment & Analytics | HCC capture, suspecting algorithms, actuarial reporting | Condition/diagnosis ValueSets, Library (CQL) for suspecting rules, ConceptMaps for code harmonization | CQL Execution APIs, Terminology operations, FHIR Package distribution |
| Specialty-Specific Clinical Tools | Disease-specific registries, treatment planning, clinical trial matching | Specialty terminology (oncology, cardiology, etc.), evidence-based PlanDefinitions | MCP integration for AI agents, Semantic search over clinical content, Custom authoring UIs |
| Payer Technology Platforms | Claims processing, utilization management, provider network management | Medical policy encoding, formulary ValueSets, network directory terminology | Multi-tenant governance, API-driven policy management, Bulk Export for adjudication engines |
| Public Health & Surveillance Systems | Case reporting, outbreak detection, jurisdictional dashboards | eCR trigger code ValueSets, case definition Library (CQL), jurisdictional profiles | Subscription Feeds for updates, FHIR Package Registry, Terminology validation APIs |
For healthcare software companies, the choice is clear:
Build In-House:
Integrate ReasonHub:
Your customers are asking for prior authorization automation, digital quality measures, and computable care management. Building knowledge infrastructure in-house will cost you 6-12 months and ongoing maintenance overhead. ReasonHub delivers production-ready FHIR knowledge management in weeks, letting you compete on features that differentiate your product instead of the plumbing beneath it.
Standards provide the framework. ReasonHub provides the infrastructure. Your *product provides the value.
Let's show you how ReasonHub helps you implement FHIR-based solutions with confidence and speed