Pareto Intelligence
Pareto Intelligence is a healthcare analytics and technology platform that helps health plans and risk-bearing provider organizations improve financial performance, compliance, clinical communication, and value-based care outcomes by transforming complex healthcare data into actionable insights and operational workflows. Its core is a centralized healthcare data environment that ingests, normalizes, and enriches disparate clinical, claims, and social determinants of health data to deliver comprehensive patient and program views that drive downstream analytics and reporting. Pareto’s solutions include risk adjustment and revenue integrity tools that identify undocumented risk gaps, improve risk scores, support RADV audit readiness, reconcile premiums, and ensure complete and compliant revenue capture; payment integrity capabilities to detect under- and overpaid claims and improve Section 111 reporting and coordination of benefits.
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Change Healthcare Data & Analytics
Access comprehensive, timely data to help improve patient outcomes, reduce costs, and grow your business. Our solutions unlock the power of your data for comprehensive views of your patients, members, prospects, organization, and community to help you improve quality of care, increase revenue, and meet compliance guidelines. Our solutions use statistically significant, deidentified, targeted data sets to help you understand local, regional, and national trends related to healthcare use, population health, and the impact of social determinants of health. Find and share knowledge, exchange ideas, and collaborate with peers and Change Healthcare experts to drive your solutions to success. Attract and impress patients with a seamless, unified experience that drives engagement, loyalty, and revenue. Empower your patients to shop for services, schedule appointments, complete forms, and pay for care on their own digital devices.
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HealthEC
HealthEC’s best population health management platform, comprising our care management module CareConnect™ and our analytics module 3D Analytics™ - is designed to elevate quality of care and patient experience by overcoming the healthcare industry's toughest data challenges. Conquer system chaos with a universal data warehouse of normalized claims, clinical, and SDoH data, from any source. CMS certified for reuse. Eliminate workflow disruption with integrated, customizable care plans, decision-support tools and robust care management support. Deliver patient-centric care by seamlessly coordinating with community resources and addressing social determinants of health. Inform strategies with actionable insights at the diagnosis, provider, practice, and organizational levels, presented in clear dashboards or at the point of care. Enhanced MCO performance reviews and CMS interoperability rule compliance.
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Medius Health
Unleashing the power of Medius’ multi-cloud artificial intelligence platform to deliver greater than 90% accuracy and coverage on various health intelligence and risk predictions using just a few health variables. Using just a few health data co-ordinates, Medius’ multi-cloud artificial intelligence platform aggregates, and mines massive datasets to create all relevant health risk and underwriting insights within seconds, with over 90% accuracy and coverage that can help providers and payers with their health and life needs assessments, distribution, operations efficiency, and cost optimization needs. Medius’ proprietary UW Studio™ is a complete underwriting platform delivering the AI revolution that has fundamentally altered the insurance landscape whereby multiple science-based underwriting ensemble models are deployed to address the business and technical requirements by reproducing humanistic deductive actuarial reasoning with clinical accuracy.
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