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What is Pareto Intelligence?

Pareto Intelligence is a cutting-edge platform focused on healthcare analytics and technology, dedicated to boosting the financial health and compliance of health plans and risk-bearing provider organizations while simultaneously enhancing clinical communication and outcomes within value-based care frameworks. At its core, it features a centralized healthcare data environment that integrates, standardizes, and enriches diverse clinical, claims, and social determinants of health data, offering holistic insights into patients and programs that support sophisticated analytics and reporting. Its suite of tools includes risk adjustment and revenue integrity solutions that uncover undocumented risk gaps, improve risk scores, assist with RADV audit readiness, reconcile premiums, and ensure full and compliant revenue capture. Furthermore, Pareto offers payment integrity solutions that pinpoint both underpaid and overpaid claims, thus improving Section 111 reporting and benefit coordination. By harnessing these advanced capabilities, healthcare organizations are empowered to make data-driven decisions that can lead to enhanced patient outcomes, operational efficiency, and overall quality of care. This innovative approach not only streamlines processes but also fosters a culture of continuous improvement within the healthcare sector.

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

Pareto Intelligence

Company Location

United States

Company Website

paretointel.com

Company Facts

Organization Name

Interpreta

Date Founded

2014

Company Location

United States

Company Website

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

Categories and Features

Categories and Features

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