RISK ADJUSTMENT

Accurate risk scores & payments

QUALITY

Improve quality & boost ratings

POPULATION HEALTH

Optimize outcomes & reduce utilization

Risk Adjustment

Ensure complete and accurate risk scores
Use AI to identify HCC opportunities and diagnosis deletes
Modernize and bring your risk adjustment analytics in-house
Run your CMS-HCC without the need for SAS®
Identify opportunities for improvement with and without medical record review

Identify and manage prospective gaps in care
Prioritize outreach with proven AI and machine learning adherence models
Medicare Advantage Star Ratings, ACA Quality Ratings System, and other quality measurement systems
Improve patient experience measure performance (CAHPS / HOS)

Quality

Population Health

Identify and stratify by member cohort and risk
Predict future outcomes, utilization, and costs
Engage members for care coordination and intervention
Analyze physician practice to improve quality and reduce costs
Monitor and evaluate programs to determine success, learn, and improve

Health Plan Offerings

Improve your health plan risk, quality, and population health performance