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
Risk Adjustment Risk Adjustment

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
Quality Quality

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
Health Risk Assessments Health Risk Assessments

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

May 6, 2019

Announcement of Calendar Year (CY) 2020 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter

On April 1, 2019 CMS released the 2020 Medicare Advantage (MA) and Part D Rate Announcement and Final Call Letter. In this document there were substantive changes that will impact the 2020 and 2021 Star Rating programs.

READ MORE
Apr 29, 2019

Show Me the HCCs — Final Notice by the Numbers

After payment model changes are applied, risk scores are likely to decline without supplement. We review the changes to see precisely what the new HCCs and updated normalization factor will do to RAF.

READ MORE
SEE 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