Did You Know?

20% of members in a given population aren’t accurately risk adjusted? Additionally, payers miss approximately 30% of their reimbursement value.

Out of over 400,000 members across various plan types, we found that between 7% and 14% of members had no date of service in a particular year. Further, HCC recapture rates were sometimes as low as 41%—pointing to significant performance improvement opportunities.

Download the case study to learn how you can improve your risk adjustment program performance to optimize financial and clinical outcomes today.


Unlock VBC Solutions at the APG Conference