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Description

CORE unites various sectors of the industry to speed up automation and enhance business processes that simplify healthcare for patients, providers, and health plans alike. By leveraging the most reliable source of provider and member information, CAQH empowers healthcare organizations to cut expenses, enhance payment accuracy, and revolutionize their business operations. In the rapidly changing healthcare environment, ongoing advancements in payment and claims processing are crucial. Healthcare providers and health plans nationwide rely on CAQH to gather and oversee professional data, verify primary sources, and keep track of sanctions. Consequently, this leads to more efficient administration, improved regulatory compliance, and superior management of provider information. Ultimately, the collaboration fosters innovation and ensures that all stakeholders benefit from a more effective healthcare system.

Description

HealthEC offers a premier population health management platform, featuring the CareConnect™ care management module and the 3D Analytics™ module, aimed at improving the quality of care and enhancing patient experiences by tackling the most significant data challenges in healthcare. By utilizing a universal data warehouse, it effectively integrates normalized claims, clinical, and social determinants of health (SDoH) data from various sources, ensuring CMS certification for reuse. The platform minimizes workflow interruptions through customizable care plans and decision-support tools, providing comprehensive care management assistance. It fosters patient-centered care by promoting seamless coordination with community resources while addressing SDoH. With clear dashboards and point-of-care access, it empowers healthcare professionals with actionable insights at the diagnosis, provider, practice, and organizational levels. Additionally, it enhances managed care organization (MCO) performance reviews and ensures compliance with CMS interoperability rules, thereby supporting healthcare providers in delivering superior outcomes. The integration of these features leads to a transformative approach to population health management.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Salesforce Data 360 Yes 

Integrations

Salesforce Data 360 No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) No 
In Person Yes 

Vendor Details

Company Name

CAQH

Founded

2000

Country

United States

Website

www.caqh.org

Vendor Details

Company Name

HealthEC

Country

United States

Website

www.healthec.com

Product Features

Credentialing

Appointment Management No 
Certification Tracking No 
Committee Management No 
Document Management No 
Expiration Management No 
License Verification No 
Online Applications No 
Privileging No 

Product Features

Population Health Management (PHM)

Analytics No 
Cost-of-Care Analysis No 
Data Storage No 
EMR/EHR Integration No 
Patient Engagement No 
Patient Identification No 
Patient Risk Stratification No 
Patient-Reported Outcomes No 
Payment Bundling No 
Predictive Alerts No 
Test & Treatment Reminders No 
Utilization Tracking No 

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