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Description

Harnessing the capabilities of Medius’ multi-cloud AI platform enables an impressive accuracy and coverage rate exceeding 90% in health intelligence and risk predictions, utilizing only a handful of health variables. By analyzing a limited set of health data points, Medius’ platform efficiently aggregates and mines extensive datasets to produce vital health risk and underwriting insights in mere seconds, achieving remarkable accuracy and coverage that supports providers and payers in their assessments, operational efficiency, and cost-saving strategies. Furthermore, Medius’ proprietary UW Studio™ serves as a comprehensive underwriting platform that revolutionizes the insurance industry, employing various science-driven underwriting ensemble models to meet both business and technical needs, while emulating human-like actuarial reasoning with clinical precision. This innovative approach not only streamlines decision-making processes but also enhances the overall effectiveness of health insurance operations.

Description

Pareto Intelligence is an innovative platform specializing in healthcare analytics and technology aimed at enhancing the financial performance and compliance of health plans and risk-bearing provider organizations while also improving clinical communication and outcomes in value-based care. At its foundation lies a centralized healthcare data environment that assimilates, normalizes, and enriches a variety of clinical, claims, and social determinants of health data, enabling comprehensive views of patients and programs that facilitate advanced analytics and reporting. Among its offerings are tools for risk adjustment and revenue integrity that reveal undocumented risk gaps, enhance risk scores, aid in RADV audit preparedness, reconcile premiums, and guarantee complete and compliant revenue capture. Additionally, Pareto provides payment integrity solutions designed to identify both under- and overpaid claims, thereby enhancing Section 111 reporting and the coordination of benefits. By leveraging these capabilities, healthcare organizations can make informed decisions that lead to improved patient outcomes and operational efficiency.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

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

Types of Training

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

Vendor Details

Company Name

Medius Health

Founded

2017

Country

Australia

Website

www.mediushealth.org

Vendor Details

Company Name

Pareto Intelligence

Country

United States

Website

paretointel.com

Product Features

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