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

Jul 16, 2019

The 2020 CMS Model: 4 Things You Should Know

In April, when CMS released the 2020 Medicare Advantage Rate Notice and Final Call Letter and confirmed the Alternative Payment Condition Count model for 2020 CY, some changes were included in their original proposals, while others came as a surprise to health plans. As you look to evaluate your technology, analytics, processes, and solutions, here are 4 things you should know.

Jul 10, 2019

Medicare Advantage Enrollment Update – May 2019

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

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