Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
SCORE+™ is an adaptable solution that enables the development and execution of a strong, scalable HEDIS strategy by offering extensive reporting, workflow automation, and NLP-driven insights. This platform is crafted to provide health plans with the detailed visibility and transparency necessary to enhance their operational pace, ultimately expediting their progress toward quality enhancement. By pinpointing the most suitable providers for engagement and closing significant gaps, it minimizes provider friction while boosting collaboration. Additionally, it offers a range of self-service features, such as Rule authoring and Audit 360, which contribute to time efficiency and facilitate swift decision-making. The BI-Clinical powered Measure Engine is designed for flexibility, allowing it to operate in alignment with business needs, delivering measure outputs that come with thorough audit capabilities and are available in multiple formats to foster effective collaboration and drive quality advancements. By leveraging these innovative tools, health plans can significantly enhance their overall performance.
Description
Interpreta’s Clinical Action serves as a comprehensive platform for managing quality and risk interventions throughout the year, boasting NCQA certification in HEDIS and California IHA AMP since 2015. By leveraging HEDIS, state-specific metrics, and HCC formulations, Clinical Action offers an extensive library of quality and risk measures, all accessible via a cloud-based platform that seamlessly integrates with various provider groups and health plan ecosystems. The platform streamlines workflows by automating the processing of structured medical, lab, and pharmacy claims data, while also enhancing the environment for unstructured supplemental data, which aids in code capture and integrates with advanced artificial intelligence and machine learning capabilities, including natural language processing. Moreover, Clinical Action features customizable population management tools that facilitate care gap analytics, enabling healthcare providers to analyze data from a broad population health perspective down to individual members, thereby improving in-office preparation for physicians. This flexibility ensures that healthcare professionals can tailor their approach to meet the specific needs of their patients effectively.
API Access
Has API
Yes
API Access
Has API
No
Integrations
Lyniate Corepoint
No
Rhapsody
No
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
Yes
Live Rep (24/7)
Yes
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
No
Webinars
No
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
CitiusTech
Founded
2005
Country
United States
Website
www.citiustech.com/platforms/score
Vendor Details
Company Name
Interpreta
Founded
2014
Country
United States
Website
www.interpreta.com/products/clinical-action/
Product Features
Population Health Management (PHM)
Analytics
Yes
Cost-of-Care Analysis
Yes
Data Storage
No
EMR/EHR Integration
Yes
Patient Engagement
Yes
Patient Identification
Yes
Patient Risk Stratification
Yes
Patient-Reported Outcomes
Yes
Payment Bundling
Yes
Predictive Alerts
Yes
Test & Treatment Reminders
Yes
Utilization Tracking
Yes