When health plans manage thousands of lives across fragmented data systems, coding gaps become revenue leaks and care quality suffers. A leading Texas health plan, partnering with over 1,000 senior living facilities, faced this challenge daily until it discovered a smarter approach to risk adjustment.
With the implementation of Innovaccer's InNote solution, this health organization changed its risk adjustment strategy and brought precision back to where it matters most: accurate RAF scoring and proactive patient care.
This study provides a roadmap for health plans struggling with disparate data sources and missed HCC opportunities. It demonstrates how it is possible for health plans to improve financial performance and enhance care coordination by adopting a systematic approach that includes:
