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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IQVIA
Thousands of organizations around the world trust IQVIA to speed drug development, ensure product quality and safety, improve commercial effectiveness, get the right treatments to patients, improve access to and delivery of healthcare, and ultimately drive better health outcomes. Reimagine clinical development by intelligently connecting data, technology, and analytics to optimize your trials. The result? Faster decision making and reduced risk so you can deliver life-changing therapies faster. With a foundation in data, advanced analytics, and expert insight, IQVIA brings specialized capabilities to customers across the healthcare ecosystem. Read and watch the latest from IQVIA data scientists, doctors, researchers, and other subject matter experts on the topics that matter to you. From industry trends to how we are applying our capabilities to help, you can find it here.
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Definitive Healthcare
Access the highest quality data and intelligence on hospitals, physicians, and other healthcare providers - updated daily. We help companies across the healthcare ecosystem grow their businesses and create new paths to commercial success. Here are just a few reasons why we’ve been a leader in healthcare commercial intelligence for 10 years and counting. Fueled by powerful data science and AI, we have intelligence for all your commercial needs. Healthcare commercial intelligence untangles the web of data on delivery systems, physicians, payor, patients, government organizations and more to identify the people, opportunities and organizations that are the best fit for your product. Building and selling a product for the healthcare market is complex. Answers to critical questions are often buried in disparate information systems, making centralized insights hard to come by. Healthcare commercial intelligence (HCI) is a new category of software that untangles the web of data on delivery.
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Context 4 Health Plans Suite
Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform. Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts. Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution. More than 100 healthcare data sets, with professional support to optimize efficiency and compliance. Advanced medical coding software designed to expedite claim submission and minimize denials. Our cloud based Payment Integrity Platform utilizes our proprietary analytics engine to identify coding errors, medical necessity, unbundling, fraud-waste-abuse, audit risks, pricing and other aberrations that can impact your business.
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