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features
design
support

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Write a Review

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.

Description

PDHI is a modular, enterprise wellness platform built for health plans, third-party administrators, wellness vendors, and large employers. The PDHI Wellness Platform is white-label wellness software designed to help health plans improve quality ratings, close gaps in care, and deliver scalable wellness programs across all lines of business. Configurable by line of business or group, PDHI supports organizations operating across multiple lines of business, populations, and groups — including Medicare, Medicaid, and Commercial. PDHI has maintained NCQA WHP certification for Health Appraisal and Self-Management Tools since 2008, with current WHP-5 certification. Plans using PDHI's NCQA-certified health assessment and self-management tools receive automatic credit for NCQA PHM 4: Wellness and Prevention elements, streamlining accreditation and reducing compliance burden. As an embeddable solution that integrates into each client's ecosystem, PDHI connects with member portals, care management platforms, and analytics systems to enable seamless, secure data exchange. The platform's incentive management for gaps-in-care closure helps plans reward members for completing preventive actions that align with HEDIS measures and support Stars ratings improvement. PDHI is HITRUST r2 certified and WCAG v2.2 Level AA compliant, ensuring the highest standards of security and accessibility. PDHI's solutions are trusted by health plans nationwide to identify health risks, engage members, and reward healthy behavior — while meeting critical quality measures and reducing administrative complexity.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

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

Pricing is based on the modules being deployed.
Free Trial Yes 
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) No 
Online Support Yes 

Customer Support

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

Types of Training

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

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Vendor Details

Company Name

Interpreta

Founded

2014

Country

United States

Website

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

Vendor Details

Company Name

PDHI

Founded

1997

Country

United States

Website

www.pdhi.com

Product Features

Product Features

Corporate Wellness

Activity Tracking Yes 
Employee Portal Yes 
Financial Wellness Yes 
Gamification Yes 
Goal Setting / Tracking Yes 
Health Coaching Yes 
Health Monitoring No 
Health Risk Assessment Yes 
Incentive Management Yes 
Program Management Yes 

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