Why Modern Registries are Choosing KACI as the best Onco alternative

In the world of oncology data management, the name Onco (Inspirata) is well-known. They’ve been a staple in the industry for years, often cited for their “end-to-end” approach. However, as the 2026 landscape of cancer reporting becomes increasingly complex, many facilities are finding that legacy-rooted systems—even those that have integrated AI—can feel like a “patchwork” of different tools. NeuralFrame is different. Our platform, KACI, was built for the modern age and continues to be at the leading edge of medical technology.

The Problem with the “Integrated” Legacy Approach

Many older platforms, including Onco, often rely on partnerships or third-party integrations to provide automation. While effective, this can lead to fragmented workflows where data lives in silos, and support issues become a game of “not my department.” When your casefinding is handled by one vendor and your abstraction by another, the seamless flow of data is often interrupted by manual uploads or syncing errors.

The KACI Advantage: Built-in, Not Bolt-on

NeuralFrame’s KACI Platform was designed from the ground up as a modern, cloud-native SaaS solution. Here’s why it’s winning:

  • Integrated Intelligence: Unlike systems that charge extra for separate pathology modules, KACI’s HL7 Pathology Casefinding is a native part of the ecosystem. It doesn’t just “send” a list; it evaluates diagnostic terms and negation phrases in real-time, displaying them within the Medical Records panel within minutes.
  • True Data Ownership: We believe you shouldn’t be charged a premium to access your own data. Our KACI ePath solution is built on the principle of “no data hostages.” You process data on your schedule using the latest HL7 standards, with the flexibility to handle NAACCR XML formatting if your workflow demands it.
  • Zero-Maintenance SaaS: While some competitors still struggle with version control across on-premise or “hosted” servers, KACI updates automatically. This ensures you are never behind on NAACCR, CoC, or SEER changes. Because KACI is a pure SaaS platform, Active Directory and SSO integration come standard, eliminating the hidden costs of user credentialing and server maintenance.

The Verdict: If you’re tired of “bolted-on” automation and want a unified, modern interface that updates at the speed of the industry, it’s time to move beyond Onco.