It’s a Matter of Vision
Health plans are making risk adjustment decisions using just 20% to 30% of available medical data which inevitably leads to inaccurate coding and unidentified risk.
Get a 360-Degree View
Provide your risk adjustment team with access to all available information – including previously unavailable clinical data – in a comprehensive workflow for complete risk identification.
Transform Risk Adjustment
With coordinated retrospective and prospective analyses, workflow optimization, and point-of-care integration your team will have the requisite amount of control, transparency, and information required to successfully run your plan’s risk adjustment program.
Traditional risk adjustment as it’s always been done is no longer viable; going forward, organizations must operate with a full 360–Degree View of risk adjustment to project, detect, and capture all commensurate member risk.
One Solution – Multiple Populations
Identify, assess and track the risk of attributed members in MSSP or Next Gen models for performance measurement and benchmarking.
Engage with our risk adjustment experts to develop the optimal strategy for your Medicaid offering.
The Health Fidelity Approach
We use our proven model to understand the key business characteristics of our clients, identify and assess the opportunity for risk optimization, determine network readiness, and finally implement our solution to measure the improvement and delivered ROI.
Discovery & Data Collection
Review current processes
Compilation of all current activities and processes
Search for revenue opportunity
Clinical Data Landscape
Document data availability
Discuss chart retrieval efforts/vendors
Inventory of all data sources
Understand organization readiness
Reflect on internal readiness
Gaps in organizational alignment
Develop your HF360 Blueprint
Identify methods of improvement
Roadmap to improvement