Risk Adjustment Program Assessment
Maximize Your Risk Adjustment Program’s Performance
Gain valuable insights into what’s working and what’s not.
Have you checked the health of your health plan’s risk adjustment program lately? If not, it may be time for a Risk Adjustment Program Assessment. Our team of risk adjustment experts use our proprietary technology to analyze your program, identify specific areas for improvement, and provide actionable recommendations to optimize your program. Compatible with Medicare Advantage, Medicaid, and ACA plans, the Risk Adjustment Program Assessment is like a check-up for your risk adjustment program.
Key Features
Disease Prevalence Insight
Our analytics team provides insights into top suspected diseases in your patient population.
Patient and Provider Segmentation
We identify complex-chronic patients who need immediate care, and patients that require outreach for visit completion. We also identify clinicians that have a higher or lower than average patient engagement rate, as well as those that have a higher or lower than average percentage of high-risk patients.
Comprehensive Data View
Our analysis incorporates data from three sources: client-provided data, services-generated data, and CMS data.
Comprehensive Benchmarking
We perform CMS benchmarking, as well as year-over-year benchmarking of your systems.
- Visibility into plan performance
Episource succinctly lays out how your plan is performing, where you have opportunities for improvement in both member and provider populations, and how to act on this information. - Defined strategic priorities
Understanding current performance relative to past performance and benchmarks enables you to make strategic decisions in a focused and timely manner that supports the overall objectives of your program. - Overarching data view
Analysis incorporates data provided by you, CMS, and services. - Optimized program performance
Drive clinical and financial metrics. - Data-driven interventions
Recommended interventions are evaluated based on addressable opportunities, project timing, and alternative solutions.
Additional Resources
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