Simplifying healthcare

We are reinventing the way healthcare organizations manage
their member populations

SIMPLIFIED WORKFLOWS FOR HEALTHCARE PAYERS AND PROVIDER ORGANIZATIONS

RISK
ADJUSTMENT

Implementation, operations, and management of Risk Adjustment programs for Medicare, Commercial and Medicaid health plans and risk adjusting organizations

Learn about our Risk Adjustment process

QUALITY ANALYTICS
& REPORTING

Measure performance, identify gaps and launch targeted campaigns to meet your HEDIS and STARS goals

Discover how our Quality Solutions can help you

HEALTH RISK
ASSESSMENTS

We assess the health of your members in any setting, closing documentation gaps for Risk Adjustment and Quality programs

Read more about our Clinical Services

Identify HCC gaps, stratify members, and follow simple workflows to close gaps faster than ever before. Share reporting and insights within minutes, or download reports at the member and provider level

Act on new insights with Epi Analyst

Get detailed reports on financial impact of your RAPS/EDPS data, resolve errors, reconcile, and submit — without complexity and in one single tool

Track your financial results with Epi Encounter

SEE OUR LATEST POSTS

Jan 15, 2020

Advance Notice 2021 – Goodbye, RAPS. We Barely Knew You

CMS’ Advance Notice part 1 came as no surprise to the industry. Since the 2019 final notice, CMS has advised on the implementation of the 21st Century Cures Act, which requires that any changes made be phased in within 3 years. The phase in period began last year in Payment Year (PY) 2020 and is proposed to be completed by PY 2022.

Dec 18, 2019

5 Ways to Maximize Medical Chart Retrieval in Q4

Despite the challenges health plans are now facing, there are several ways to maximize medical chart retrieval, streamline the process from analytics to submissions, and optimize risk adjustment performance before the January deadline. Here are 5 tips to consider.

GET STARTED TODAY

We simplify the management of member programs by making it radically more efficient, and increasing value to healthcare organizations and their members

EXPERIENCE IT