Providers

Innovative solutions to improve patient health outcomes

RISK ADJUSTMENT

Accurate risk scores & payments

QUALITY

Improve quality & boost ratings

POPULATION HEALTH

Optimize outcomes & reduce utilization

Risk Adjustment

  • Identify high-cost patients to improve outcomes
  • Optimize risk sharing and value-based payments with improved coding
  • No SAS® required CMS-HCC models
  • Integrate CMS-HCC models into existing processes
  • Identify HCC codes using the power of AI
  • Identify and manage prospective gaps in care
  • Prioritize outreach with proven AI and machine learning adherence models
  • Optimize performance for physician, hospital, and other value-based care programs
  • Improve patient experience measure performance (CAHPS/HOS)

Quality

Population Health

  • Identify and prioritize care for at-risk patients
  • Close preventative gaps in care
  • Predict future outcomes to ensure proper care and treatment
  • Engage patients for care coordination and intervention
  • Monitor and evaluate programs to determine success and opportunities for improvement

Provider Offerings

Improve your provider risk, quality, and population health performance