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Average Ratings 0 Ratings
Description
SCORE+™ is an adaptable solution that enables the development and execution of a strong, scalable HEDIS strategy by offering extensive reporting, workflow automation, and NLP-driven insights. This platform is crafted to provide health plans with the detailed visibility and transparency necessary to enhance their operational pace, ultimately expediting their progress toward quality enhancement. By pinpointing the most suitable providers for engagement and closing significant gaps, it minimizes provider friction while boosting collaboration. Additionally, it offers a range of self-service features, such as Rule authoring and Audit 360, which contribute to time efficiency and facilitate swift decision-making. The BI-Clinical powered Measure Engine is designed for flexibility, allowing it to operate in alignment with business needs, delivering measure outputs that come with thorough audit capabilities and are available in multiple formats to foster effective collaboration and drive quality advancements. By leveraging these innovative tools, health plans can significantly enhance their overall performance.
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.
API Access
Has API
API Access
Has API
Integrations
Lyniate Corepoint
Rhapsody
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
CitiusTech
Founded
2005
Country
United States
Website
www.citiustech.com/platforms/score
Vendor Details
Company Name
Interpreta
Founded
2014
Country
United States
Website
www.interpreta.com/products/clinical-action/
Product Features
Population Health Management (PHM)
Analytics
Cost-of-Care Analysis
Data Storage
EMR/EHR Integration
Patient Engagement
Patient Identification
Patient Risk Stratification
Patient-Reported Outcomes
Payment Bundling
Predictive Alerts
Test & Treatment Reminders
Utilization Tracking