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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.
Description
Comprehensive recommendations are provided throughout the entire patient journey, ensuring every phase of care is addressed effectively. There is a strong call-to-action that facilitates the monitoring and evaluation of both commercial and clinical outcomes. Disease-specific risk algorithms have been established for conditions such as diabetes, cardiovascular issues, kidney health, and liver health, among other therapeutic areas. A Complete Wellness Score is utilized to evaluate the likelihood of requiring inpatient care. Additionally, proprietary data and established protocols are complemented by user-friendly clinical content tailored for patients. This content is not only ready for immediate use but can also be customized for various purposes and formats. Intelligent decision support is available, leveraging both established protocols and machine learning to analyze prescribers' patterns in medication prescriptions. Furthermore, the most advanced customer feedback system has been custom-designed specifically for healthcare organizations. The system operates on a multi-parameter engine that considers factors such as expenditure, compliance in a timely manner, preventive health checkups, improvements in clinical parameters and outcomes, as well as demographic information, providing a holistic view of patient care and intervention needs. Overall, this approach aims to enhance patient outcomes while streamlining the healthcare process.
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
Pareto Intelligence
Country
United States
Website
paretointel.com
Vendor Details
Company Name
THB
Founded
2015
Country
India
Website
www.thb.co.in/