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

Feb 18, 2020

ONC, CMS Interoperability Rules: A Review

Recently, the Office of the National Coordinator for Health Information Technology (ONC) released a draft of their Strategic IT Health Proposal for 2020-2025. This proposal addresses the deliverables included in the 21st Century Cures Act, which focuses on making health data accessible to patients and care providers, increasing choice, encouraging competition, and fostering innovation.

Feb 6, 2020

9 Things To Know About The 21st Century Cures Act & 2020 APCC Model

Since the 21st Century Cures Act (CCA) was passed in 2016, there have been several changes to the existing risk adjustment model. Over the next few years, and until the Alternative Payment Condition Count (APCC) is fully implemented in Payment Year (PY) 2023, we expect to see even more.

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