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

Apr 12, 2019

CMS 2020 Final Notice review – Medicare Advantage, Mastery of Mixed Model Arts

It’s time to limber up so you don’t get lost in the upcoming HCC model melee. On April 1st, CMS released the 2020 final call letter, confirming what models will be used moving forward and deciding the direction of MA for the immediate future. Read how to best prepare for the changes.

Apr 10, 2019

New NCQA Changes For HEDIS Reporting Will Affect All Health Plans

NCQA issued important changes in order to increase the consistency and reliability of HEDIS data submissions. The new requirements will change HEDIS reporting for all health plans, but could be significantly more time consuming and costly for some. Here's what you need to know.

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