Improve risk adjustment scoring and care gap closure through powerful analytics spanning all managed care lines of business.
Edifecs Risk Adjustment delivers a comprehensive risk adjustment analytics platform designed to handle the complexity of differing risk adjustment models across managed care programs. Real-time intelligence ensures up-to-date insight into population risk factors while actionable program analytics seek to reduce coding and care gaps. Dynamic intervention planning prevents wasteful expenditures on ineffective interventions.
Integrate with Edifecs Encounter Management for enhanced member insight and submission accuracy.
Enhance the financial impact and intervention effectiveness of your risk adjustment analytics.
Analyze traditional claims data, along with real-time data and patient-reported data, to make predictions about what individual members will require.