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What is Interpreta Clinical Action?

Interpreta’s Clinical Action is an all-encompassing solution designed for the effective management of quality and risk interventions throughout the year, proudly holding NCQA certification in HEDIS and California IHA AMP since 2015. Utilizing HEDIS, along with state-specific metrics and HCC formulations, Clinical Action provides a robust library of quality and risk measures that are easily accessible through a cloud-based platform, which integrates smoothly with diverse provider groups and health plan networks. The platform optimizes workflows by automating the handling of structured medical, lab, and pharmacy claims data, while also improving the usability of unstructured supplemental data, which supports code capture and collaborates with cutting-edge artificial intelligence and machine learning technologies, including natural language processing. Additionally, Clinical Action offers customizable tools for population management that empower care gap analytics, allowing healthcare providers to assess data across a wide population health spectrum down to individual patients, thereby enhancing physicians' in-office readiness. This versatility ensures that healthcare practitioners can effectively adapt their strategies to address the unique needs of each patient, resulting in better overall care outcomes. The continuous evolution of such platforms highlights the growing importance of integrating technology into healthcare practices.

What is ActiveHealth CareEngine?

The prosperity of your organization is fundamentally tied to the welfare of its employees. By leveraging a wide range of interconnected data—spanning consumer behavior, pharmacy records, clinical metrics, and financial details—we can reveal significant opportunities for both groups and individuals. This is where our CareEngine technology becomes essential. Our methodology consists of translating and scrutinizing this extensive data through evidence-based clinical analytics that have been peer-reviewed, enabling us to pinpoint strategies for improving care quality. We emphasize identifying programs, creating a cohesive digital experience, and offering tangible insights for coaches and clinicians while focusing on health initiatives for members. Furthermore, our connections with provider EMR systems and the utilization of Care ConsiderationSM alerts for healthcare professionals streamline operations effectively. Our specialization is in engaging and supporting at-risk and disengaged members who frequently encounter complicated medical, behavioral, and social issues. Thanks to our distinctive capabilities, we are poised to make significant improvements in health outcomes while minimizing costs. ActiveHealth has been fully accredited by URAC in health utilization management since 1992, reflecting our dedication to excellence in this area. Moreover, our continuous efforts to innovate and adapt to the changing healthcare environment ensure that we maintain our leadership in advocating for improved health for everyone. In addition, our commitment to utilizing cutting-edge technology further enhances our ability to deliver superior healthcare solutions.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Interpreta

Date Founded

2014

Company Location

United States

Company Website

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

Company Facts

Organization Name

ActiveHealth

Company Location

United States

Company Website

www.activehealth.com/solutions/careengine-technology/

Categories and Features

Categories and Features

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