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QUALITY AND RISK ADJUSTMENT ANALYTICS

Use best-in-class analytics and reporting to help improve care quality, meet compliance guidelines, and achieve your revenue goals.

Ensure satisfactory patient care with actionable insights

Satisfy the requirements of HEDIS®*, Star, and state-level programs by measuring the quality of member care across your provider networks.

Our solutions give you the complete reporting and analytics capabilities you need for effective quality management.

*HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Help achieve better outcomes with prospective risk adjustment

Support greater risk capture with smart, collaborative engagement strategies.

Our solutions help you predict patient-specific needs and diagnoses, so you can drive targeted interventions for the right members at the right time.

Fix diagnosis capture errors with retrospective risk adjustment

Optimize reimbursement accuracy by identifying, pursuing, and validating risk diagnoses that were on the medical chart but weren’t properly captured before adjudication.

Our solutions use electronic data capture and NLP-enabled coding to help you continuously improve the accuracy of your submissions. 

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