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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
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
Pricing is based on the modules being deployed.
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
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
Employee Portal
Financial Wellness
Gamification
Goal Setting / Tracking
Health Coaching
Health Monitoring
Health Risk Assessment
Incentive Management
Program Management