case-study

How can MA Plans Transform Risk Adjustment and Star Ratings Performance with FHIR-enabled Data Activation Platform

A renowned healthcare services vendor assists payers, specifically Medicare Advantage health plans with complete and compliant documentation to improve Medicare Advantage member risk score accuracy and Star Ratings.

To improve efficiency in transmitting CDI alerts and identifying coding and quality gaps, the healthcare services vendor wanted a digital solution that integrated with provider electronic medical record (EMR) systems to provide an option to manual data collection and coordination process.

With Innovaccer’s FHIR-enabled Data Activation Platform, the healthcare services vendor was able to provide CDI alerts and insights on closing data gaps at the point of care. Additionally, they were able to:

  • Close 80% gaps by 95% of providers
  • Flag 100+ gaps at the point of care
  • Reported 400+ ICD/CPT/HCPC codes for supplemental data
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