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features
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support

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Description

Envision a transformative approach to care management that lowers healthcare expenses, reduces both admissions and readmissions, enhances star ratings and HEDIS metrics, and elevates health quality and outcomes through a mission-focused data platform driven by artificial intelligence. As the healthcare sector increasingly embraces value-based care, Health EM.AI emerges as a pioneer, redefining care management and enhancing care delivery through innovative data utilization and AI technology. By streamlining patient information from various care settings and leveraging AI/ML-driven predictive analytics, we equip healthcare organizations with actionable insights that significantly enhance care quality. Our approach ensures measurable improvements at the individual patient level, particularly within palliative and chronic care management workflows. The integration of unified patient 360 data across all care settings leads to meaningful advancements in star ratings, risk adjustment, and the effective closing of care gaps. Additionally, our localized healthcare models examine over 1,000 clinical and non-clinical variables based on geographical context, further refining the effectiveness of care. This comprehensive strategy not only fosters better patient outcomes but also encourages a more efficient healthcare ecosystem.

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

API Access

Has API

Screenshots View All

Screenshots View All

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

HealthEM.AI

Country

United States

Website

www.healthem.ai/

Vendor Details

Company Name

Interpreta

Founded

2014

Country

United States

Website

www.interpreta.com/products/clinical-action/

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Product Features

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