Optimize. Understand. Secure.
To deliver better outcomes for patients or members, you need data. But up to 97% of data collected by hospitals and health systems goes unused—and 80% of it is buried in unstructured text. Our AI-powered Risk Adjustment solution helps health plans and providers unearth that data and put it to more effective use. By leveraging our Natural Language Processing (NLP) engine, plans and providers can combine claims information and unstructured medical data to create a single clinical source of truth about their covered population’s disease burden. Unifying that data helps plans and providers gain a better understanding of risk across lines of business and patient populations to optimize care planning and ensure complete and accurate government-sponsored program payments. Our prospective-to-submissions integrated approach improves efficiency, reduces expenses, and eliminates organizational silos, empowering healthcare organizations to streamline and scale their risk adjustment operation—with just a single toolset.
Risk Adjustment Applications
End multi-vendor management woes and optimize your risk adjustment programs.
Risk Adjustment Resources
