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Description

The well-being of your organization is intrinsically linked to the health of its workforce. By harnessing the strengths of integrated data—ranging from consumer behavior and pharmacy information to clinical insights and financial metrics—we can identify both population-level and individual opportunities for enhancement. This is the essence of CareEngine technology. Our approach involves translating and analyzing this wealth of information through evidence-based clinical analytics that have been peer-reviewed, enabling us to pinpoint areas for care improvement. We focus on identifying programs, creating a cohesive digital experience, and providing actionable insights for both coaches and clinicians, ensuring that members receive prioritized health interventions. Our ability to integrate with provider EMR systems and offer Care ConsiderationSM alerts empowers healthcare providers. We have a particular expertise in reaching out to and supporting disengaged and vulnerable members who face a multitude of medical, behavioral, and social challenges. This positions us uniquely to make a significant impact on both health outcomes and healthcare costs. Furthermore, ActiveHealth has maintained full accreditation from URAC in health utilization management since 1992, underscoring our commitment to excellence in this field. Our dedication to innovation and quality care continues to drive us forward.

Description

Pareto Intelligence is an innovative platform specializing in healthcare analytics and technology aimed at enhancing the financial performance and compliance of health plans and risk-bearing provider organizations while also improving clinical communication and outcomes in value-based care. At its foundation lies a centralized healthcare data environment that assimilates, normalizes, and enriches a variety of clinical, claims, and social determinants of health data, enabling comprehensive views of patients and programs that facilitate advanced analytics and reporting. Among its offerings are tools for risk adjustment and revenue integrity that reveal undocumented risk gaps, enhance risk scores, aid in RADV audit preparedness, reconcile premiums, and guarantee complete and compliant revenue capture. Additionally, Pareto provides payment integrity solutions designed to identify both under- and overpaid claims, thereby enhancing Section 111 reporting and the coordination of benefits. By leveraging these capabilities, healthcare organizations can make informed decisions that lead to improved patient outcomes and operational efficiency.

API Access

Has API No 

API Access

Has API No 

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Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

ActiveHealth

Country

United States

Website

www.activehealth.com/solutions/careengine-technology/

Vendor Details

Company Name

Pareto Intelligence

Country

United States

Website

paretointel.com

Product Features

Product Features

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