Enhance Value-Based Care
Risk-based payment models allow providers to showcase their considerable patient and quality expertise but frequently present challenges that can be difficult and time consuming to resolve. Our HF360 Blueprint methodology takes a customized approach to each provider’s needs to create a personalized roadmap for success in value-based arrangements.
Understand Population Risk
Obtaining a complete and accurate picture of your patient population’s acuity is critical to performance, yet many risk-bearing providers lack the infrastructure and tools to do so. Whether you are participating in public or private risk-sharing arrangements, we take a patient-centric approach to understanding the risk underlying all covered populations by setting up a comprehensive risk adjustment program.
HF360 Risk Adjustment
for Risk-Bearing Providers
Our flexible suite of services and technologies can be tailored to meet any risk-bearing entity’s needs, regardless of size or risk-sharing maturity. HF360 Risk Adjustment can be adopted in a phased approach in order to capitalize on available resources and organizational readiness.
- Analytics based on administative and NLP-clinical data
- Targeted patient outreach and scheduling
- Physician and staff education on coding and documentation guidelines
- Delivery of verified gaps in care and documentation
- Gap closure at the point-of-care
- Accurate and complete encounter documentation
- NLP-enabled coding review for completeness and compliance
- Accurate diagnoses on outbound claims
- Analytics updates allow for tracking additional gaps as needed
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