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Description
CareJourney is an advanced healthcare analytics platform hosted in the cloud, providing extensive and clinically relevant insights derived from one of the largest longitudinal claims datasets in the United States, encompassing hundreds of millions of beneficiaries from Medicare, Medicaid, Medicare Advantage, and commercial sectors, while also profiling over 2 million healthcare providers. This platform enables organizations to evaluate markets and patient groups to discover opportunities for cost efficiency and improved health outcomes, facilitate the development and enhancement of high-performing networks, make informed contracting choices, identify referral trends and service leakage, and compare provider performance with that of their peers. Moreover, it aids in managing at-risk populations by utilizing segmentation models that allow organizations to gain valuable insights into the prevalence of chronic conditions, patterns of care utilization, and the factors driving costs. The comprehensive data analysis provided by CareJourney ultimately supports organizations in achieving their healthcare goals more effectively.
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
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Arcadia
Founded
2014
Country
United States
Website
carejourney.com
Vendor Details
Company Name
Pareto Intelligence
Country
United States
Website
paretointel.com