Improve risk adjustment and quality management

The Innovaccer Health Cloud helps payers collaborate with providers to close coding and quality gaps as well as improve risk adjustment and quality performance metrics for improved health and financial outcomes.

America’s largest healthcare organizations are connecting their care ecosystems on the Innovaccer Health Cloud

The Innovaccer Health Cloud for

Risk and Quality Management

Enhance risk adjustment

Identify coding gaps based on data-driven clinical and claims analytics at the point of care and improve review of outcomes with NLP-facilitated coder chart review workflows.

Identify Dropped or Suspect Codes

Analyze historical claims and clinical data to identify dropped and suspect codes. Analyze risk adjustment to identify diagnosis codes or HCC codes supporting prospective and retrospective reviews.

Digital Chart Retrieval

Leverage digital chart retrieval to easily access clinical data and track risk adjustment performance over time. Enable providers to improve coding accuracy by giving them actionable insights.

Easy data
access

Coding gap
closure

Improve risk
adjustment

Manage care quality

Help providers improve care quality and member experience. Leverage advanced analytics and automation technologies to streamline quality management workflows and reduce administrative costs.

Address Quality Gaps

Track more than 250 quality measures with a sophisticated analytics platform to close gaps at the source and ensure coordinated care across the network.

Point-of-Care Clinical Alerts

Improve performance with accurate and actionable data and empower physicians and medical assistants with insights from EHR-agnostic point-of-care solutions.

Empower Members

Give members information that helps them adhere to their care plans. Improve the member experience with automated, consumer-oriented outreach.

Point-of-care gap
closure

Real-time referral management

Improved quality reporting

Provider engagement hub

Engage providers with multi-channel chats and point-of-care insights as well as member engagement capabilities to drive financial and health improvements.

Provider-360

Access CRM views based on unified, comprehensive provider data and analytics. Track operational and performance metrics through a sophisticated provider dashboard.

Enhance Provider Experience and Performance

Enable provider access to longitudinal member profiles. Close coding and quality gaps and highlight links between actions and incentives to drive impact.