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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.

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America’s largest healthcare organizations are connecting their care ecosystems on the Innovaccer Health Cloud
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The Innovaccer Health Cloud for
Risk and Quality Management
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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.
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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.
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Easy data
access
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Coding gap
closure
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Improve risk
adjustment

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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.
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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.
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Point-of-care gap
closure
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Real-time referral management
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Improved quality reporting

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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.
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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.
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Automate workflows
and outreach
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Enhance prior authorization
and claims management
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Improve provider
performance and adoption

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USEFUL RESOURCES

What's new in healthcare

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Case-study
How can MA Plans Transform Risk Adjustment and Star Ratings...
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Blog
How Payers Can Improve Risk Adjustment using a FHIR-enabled Data Activation...
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Whitepaper
The Impact of Increased Weightage of Patient Experience in Star Ratings

Activate your vision for a healthier world

Join other healthcare leaders in building the future of
health on the Innovaccer Health Cloud.