STARSTrack

Reimagine what care management can do, reduce the cost of care, minimize admissions and readmissions, boost star ratings and HEDIS measurements, and improve health quality and outcomes with a mission-driven data platform powered by AI. As value-based care takes prominence in the healthcare industry, Health EM.AI steps in to reimagine the care management process and improve care delivery through the power of data and AI. We simplify patient data from all points of care and apply AI/ML-based predictive analytics to empower healthcare organizations with actionable insights to improve the quality of care. Measurable impact at a patient level with palliative and chronic care management workflows. Unified patient 360 data across all points of care creates an impact on star ratings, risk adjustment, closing gaps, etc. Localized healthcare models that analyze more than 1,000 clinical and non-clinical features based on geography.

Interpreta’s Clinical Action is the single platform for in-year quality and risk intervention with NCQA certification in HEDIS and California IHA AMP since 2015. Clinical Action uses HEDIS, state-specific, and HCC formulations to provide a large library of quality and risk measures available in a cloud-based platform for direct user access or through easy integration with provider group and health plan ecosystems. Clinical Action automates workflows for structured medical, lab, and pharmacy claims data and provides a robust unstructured supplemental data environment for code capture and integration with artificial intelligence and machine learning (natural language processing) solutions. Clinical Action’s customizable population capability allows for care gap analytics from a full population health view down to the single member for in-office physician preparation.