Surfacing Complex Conditions

Accurate coding and advanced analytics are the foundation of an effective risk adjustment program, particularly when it comes to managing complex patient populations. Now more than ever, health plans are being asked to do just that—while also expanding access to care, driving patient engagement and retention, and improving health outcomes. Organizations that are able to quickly and efficiently surface diagnoses beyond those that are easily identified, map how they affect patient populations, and pinpoint the most effective interventions can reduce gaps in care, improving financial and clinical outcomes in the process.