RISK ADJUSTMENT ANALYTICS AND WORKFLOW PLATFORM
Identify HCC opportunities that can be converted and launch RAF campaigns in minutes
Segment your member data for better planning and management of risk adjustment objectives
Monitor calculated risk scores and ROI per program
Manage interventions more efficiently and close HCC gaps faster
Verify the accuracy and integrity of data for your entire population
Automate provider attestation letter generation & collection
Features
STRATIFY POPULATION
01
Stratify members and providers by applying multiple filters that include specific RAF opportunity, eligibility and provider type
RAF DASHBOARD
02
Obtain visibility into current and projected RAF score of your population prior to obtaining detail of HCC gaps
MEMBER INDEX
03
Drill into each member to get detailed information, including demographics, providers, encounters, RAF details, HCCs captured, and their HCC reconciliation
CAMPAIGNS
04
Identify your population, determine the best intervention and launch it. Gain visibility into member and provider level reporting, campaign performance, and ROI
VIEW IT IN ACTION
GET A DEMOBENEFITS
Identify opportunities and launch
Campaigns to obtain better results, faster
Quickly identify opportunities for RAF improvement within your patient population with a clean, simple, robust interface
Easily launch Campaigns to convert opportunities into closed gaps in care
Identify providers with large opportunities, and launch programs to engage them and reduce coverage gaps
Know which programs are contributing a higher ROI with analytics that are easy to understand and share across your organization
Improve reporting and collaboration with a single platform to view and download all relevant member, provider and program information
Fully automated workflows to generate, send, and receive attestations, minimizing management overhead
Simplified attestation tracking functionality with barcodes