Improve Risk Adjustment in a Compliant Manner
Risk Score Trending
Monitor risk score trends and related metrics, such as percentage of members with HCCs, average risk score, and expected risk score (gaps) at the member and provider level.
Comprehensive view of member and provider data
View all risk-adjusting data for members and providers, including claims, coding results, assessment data, provider diagnosis distribution and more.
Risk Project ROI
Ongoing status updates
Review and evaluate project results within our RISK View™ platform. Examine reporting of analysis results, including projected and final ROI.
Advanced Analytics & Targeting
Access to retrospective and prospective lists
Examine retrospective and prospective targeting lists using demographic data, pharmacy data, self-reported conditions, and care management information. For partners utilizing our chart retrieval and coding services, or member engagement solutions, chase lists and coding results are integrated.
Change Healthcare products are tools for use by health plans, which have ultimate responsibility to ensure diagnosis and encounter data submitted to government risk adjustment programs are accurate and complete. Health plans should consult with their own legal counsel regarding appropriate risk adjustment data collection, validation, and compliance programs. Any financial results and returns on investment described herein are illustrative and not a guarantee of any future performance. Change Healthcare’s fees are not determined based on financial results.
Solutions We Provide
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