Leading healthcare risk-adjustment technology firm expands platform with advisory service that leverages advanced analytics and deep subject matter expertise to drive program performance.
Los Angeles, Calif., August 10, 2021 – Episource, one of the largest services and technology companies for risk adjustment and quality, today announces the launch of its Risk Adjustment Analytics Service, which brings together the power of its SaaS platform, epiAnalyst, with deep subject matter expertise to help Medicare Advantage, Medicaid, and ACA health plans and provider groups unlock the true potential of their programs.
Health plans and provider groups nationwide are facing a powerful combination of forces, including increasing regulatory complexity, the accelerated shift to value-based care, and the need for population health management to combat public health emergencies like COVID-19. With 30% of the world’s data now generated by the healthcare sector, data analytics have the potential to solve some of the industry’s biggest challenges, but this can be a difficult task.
“At Episource, we recognize that analytics hold the potential to drive value and improve program success. To unlock these opportunities, organizations must be able to aggregate data from multiple sources, analyze it to determine the interventions that best serve their overall and individual segment needs, and execute them. However, many organizations lack the analytics infrastructure needed to do this,” said Episource Co-CEO, Harsith Ramesh.
Episource is now providing such an infrastructure with its Risk Adjustment Analytics Service, which combines the power of its cloud-based risk adjustment platform, epiAnalyst, with the deep expertise of its advisory team to aggregate and analyze enterprise-wide data. With this foundation, it provides a 360-degree view of customers’ risk adjustment programs, identifying areas of success and opportunity. Episource experts then meet with clients 1×1 to present the assessment, share insights, discuss recommendations, and educate them on available solutions that solve for the root cause of each issue and drive program performance.
“As your strategic partner, Episource provides the people and the platform to significantly reduce the time and resources required to manage and analyze data—especially for those organizations that do not have an in-house analytics team experienced in risk adjustment. The combined power of our full-cycle tech platform and our data experts has helped improve recapture rates, supercharge RAF lift, and close critical HCC gaps for some of the most complex and iconic health systems. The expansion of this service marks one more step forward in helping our clients improve financial and clinical outcomes,” said Co-CEO, Sishir Reddy.
Beyond delivering a program analysis, Episource has the ability to carry out many of the recommendations it makes, from coding, to retrieval, health risk assessments, and more. The Risk Adjustment Analytics Service offering joins Episource’s full suite of products, which also includes: epiAnalyst, its risk adjustment analytics and workflow platform, epiEncounter, its encounter submissions, error management, and financial analytics platform, and NLP-powered coding tool, epiCoder.
Episource reinvents risk adjustment program management across healthcare organizations with an integrated platform. We empower the most recognizable names in healthcare with end-to-end risk adjustment solutions. From risk adjustment analytics, retrospective chart reviews, in-home assessments, encounter submissions and quality reporting, Episource simplifies healthcare with elegance and innovation.