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What is Medius Health?

Leveraging the power of Medius’ multi-cloud AI platform results in a striking accuracy and coverage rate that surpasses 90% in health intelligence and risk forecasts, derived from just a small selection of health variables. By scrutinizing a concise array of health data, Medius’ system adeptly compiles and analyzes vast datasets to deliver essential health risk and underwriting insights in a matter of seconds, achieving an outstanding level of accuracy and comprehensive coverage that aids both providers and payers in their evaluations, operational effectiveness, and cost-reduction initiatives. Additionally, Medius’ unique UW Studio™ functions as an all-encompassing underwriting platform that transforms the insurance sector, utilizing multiple science-based underwriting ensemble models to fulfill diverse business and technical requirements while mimicking human-like actuarial judgment with remarkable clinical accuracy. This forward-thinking methodology not only simplifies the decision-making process but also significantly boosts the overall efficiency of health insurance operations, ultimately leading to improved patient care and financial outcomes. In this way, Medius stands at the forefront of innovation, driving meaningful advancements in the health insurance landscape.

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.

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

Medius Health

Date Founded

2017

Company Location

Australia

Company Website

www.mediushealth.org

Company Facts

Organization Name

Interpreta

Date Founded

2014

Company Location

United States

Company Website

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

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