Risk is a funny thing. The closer you look at it, the more it tends to multiply. At Health Fidelity, we’ve developed a way for seeing things the rest of the industry tends to miss. In fact, ours is the most comprehensive, scalable solution in the business for perfecting the risk adjustment cycle.

Our cutting edge technology combines big data analytics and natural language processing (NLP). Health Fidelity solutions enhance retrospective and prospective data analyses with an intuitive workflow. We integrate separate, disparate tasks into more streamlined, collaborative processes to increase efficiencies. And it doesn’t stop there – continuous analysis maximizes value by providing ongoing improvement of the risk adjustment cycle.

What does Health Fidelity mean for you

Risk Adjustment for Medicare Advantage

Ensure the accuracy and integrity of your risk adjustment process.

Risk Adjustment for Medicare Advantage

  • Dashboards to measure and assess risk
  • Capture retrospective and prospective risk factors
  • Superior regulatory compliance
  • Enhanced operational efficiency due to intuitive workflow

Risk Adjustment for Health Insurance Exchange

Define, manage and justify risk adjustment.

Risk Adjustment for Health Insurance Exchange

  • Maintain program integrity and reduce audit risk
  • Protect against high unplanned financial risk
  • Drive financial decision-making

Risk Adjustment for Medicare Shared Savings Plans

Assist ACOs in the risk adjustment process.

Risk Adjustment for Medicare Shared Savings Plans

  • Utilize HCC prospective risk adjustment methodology
  • Provide greater accuracy in measuring ACO’s performance targets
  • Leverage data to support ACO performance
  • Analyze and drive better financial outcomes

You Can’t See The Whole Picture Unless You See All The Risks.


Legacy systems use only 20% – 30% of all available data to identify risk


Health Fidelity uses all available data, including unstructured clinical data that comprises 70% – 80%

Up to 80% of all clinical data in electronic health records is unstructured

In order to perfect the risk adjustment cycle, it is necessary to understand patient charts and the risk factors documented within the clinical data in the patient charts. Up to 80% of all clinical data in electronic health records is unstructured. Most of this data remains unusable in retrospective or prospective analysis because it is unstructured, meaning that is it in a format that cannot be easily searched or accessed electronically. Current efforts to extract meaning from this wealth of data require manual processes, which are expensive, limiting and error-prone. Health Fidelity’s NLP technology provides an automated method to analyze these vast data resources and transform population health management outcomes.

Not seeing the whole picture? We do.

Try Us

We take the risk out of risk assessment.

Health Fidelity is starting their next round of opportunity assessments.

For a limited time, Health Fidelity is offering a comprehensive opportunity assessment for up to ten health plans. Apply Now.


210 S. B St., San Mateo, CA 94401
Phone: (650) 727-3300
General: info@healthfidelity.com
Media: media@healthfidelity.com

Health Fidelity delivers innovative solutions for the value-based care era. Using groundbreaking NLP and analytics technology, Health Fidelity’s risk adjustment solution is changing the way risk is identified, quantified and managed for organizations that participate in Medicare Advantage, Health Insurance Exchange and Medicare ACO programs.