Our risk adjustment healthcare analytics solutions help extract risk score trends and opportunities.
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RISK ADJUSTMENT ANALYTICSAND WORKFLOW SOFTWARE
Run risk adjustment analytics to 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 through HCC analytics
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
Risk AdjustmentSoftware Features
STRATIFYPOPULATION
01
Stratify members and providers by applying multiple filters that include specific RAF opportunities, eligibility, and provider type.
RISK ADJUSTMENT FACTOR & HIERARCHICAL CONDITION CATEGORY CODING (HCC)DASHBOARD
02
Obtain visibility into the current and projected risk adjustment factor (RAF) score of your population before obtaining detail of hierarchical condition category (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 with our risk adjustment analytics platform. Gain visibility into member and provider level reporting, campaign performance, and ROI.
INNOVATIONS FOR ALL AUDIENCES
05
- Medicare Advantage (MA) plans
- Medicaid plans
- ACA plans
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CONTACT USBENEFITS
Our risk adjustment analytics software identifies opportunities to support campaigns and obtain better results, faster.
Quickly identify opportunities for RAF improvement within your patient population with a clean, simple, robust HCC dashboard
Easily launch campaigns to convert opportunities into closed gaps in care
Identify providers with large risk adjustment opportunities, and launch programs to engage them and reduce coverage gaps
Know which programs are contributing a higher ROI with HCC analytics that are easy to understand and share across your organization
Improve reporting and collaboration with an HCC dashboard to view and download all relevant member, provider and program information
Fully automate workflows to generate, send, and receive attestations, minimizing management overhead
Simplify attestation tracking functionality with barcodes