Care management
OVERVIEW
Compliant, tailored programs designed to meet your goals and reduce risk
Strong Risk Adjustment drives success for health plans, but developing a consistent, end-to-end program is a challenge. Plans miss opportunities to improve care and outcomes and drive risk score accuracy when they don’t employ a strategic approach for data submissions, provider engagement, member engagement and regulatory and compliance requirements. Improve your plan’s Risk Adjustment results by harnessing the power of data with flexible retrospective and prospective Risk Adjustment solutions
SOLUTION ENABLERS
Put our technology and expertise to work for Risk Adjustment improvement
Eliminate manual and outdated processes to drive member outcomes, improve provider engagement, strengthen compliance, and boost accuracy. Our solutions bring together extensive industry expertise, advanced technology including AI, NLP, and an integrated data pipeline
Platforms
Advanced technology for coding, gap and chase, submissions, and provider engagement deliver actionable data
Services
Suite of solutions backed by our leading-edge technology, configured for your plan and implemented by experienced teams
SOLUTION ENABLERS
Featured Risk Adjustment solutions
FROM LEADERSHIP
“You have to have your eye on analytics constantly – and on the changes in measures and requirements. I’m excited about what new technologies are doing to help us automate, analyze and execute with more precision”
Elaine Taverna
SVP, Risk Adjustment and Quality Consulting
Why choose us
Comprehensive Risk Adjustment management that creates value
Let us help unburden your plan today
Reach out to discover how our innovative solutions can help unburden your plan and streamline operations. Together, we’ll elevate your business to new heights
CAPABILITIES
Explore our other capabilities
HEDIS®
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)