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Tag: Analytics

Analytics derived from clinical AND administrative data help to accurately identify risk capture opportunities to ensure maximum ROI.

Read more about risk adjustment analytics in our blog.

  • June 26, 2020

    Flattening the Other Curve: Using Risk Adjustment to Manage Rebounding Patient Volumes

    By Abby Bilyeu

    As care patterns continue to shift, and we see new utilization patterns, the stability of capitation and the revenue insulation provided by thorough, effective risk adjustment are key to thriving during uncertain times.

    Read More ...

  • April 23, 2020

    Identifying Risk Adjustable Telehealth Patients in a Post COVID-19 World

    By Adam Gronsky

    Health Fidelity looked for a way to harness our expertise to assist our payer and provider partners provide continuity of care to their chronically ill patients. We decided to help providers identify and prioritize those patients who would be best served by telemedicine via a simple and quick suspecting report.

    Read More ...

  • January 9, 2018

    A Look at 2018 Healthcare Trends: Leveraging Technology to Scale and Succeed

    By Steve Whitehurst

    Here are the top 4 healthcare trends we see for 2018. Find out how the CVS and Aetna merger will impact the way healthcare entities operate moving forward, and why AI and machine learning will continue to be a hot topic.

    Read More ...

  • June 20, 2016

    Why Clinical Data is a Critical Aspect of Risk Adjustment

    By Adam Gronsky

    With the right technology, the analytical value and insights gained from incorporating clinical data into risk adjustment operations is worth the effort.

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  • March 15, 2016

    Modernize Your Risk Adjustment Program

    By Steve Whitehurst

    With the industry shifting toward value-based care models, there is an increasing need for health plans to continually improve their risk adjustment programs.

    Read More ...

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Health Fidelity simplifies risk adjustment, offering risk-bearing organizations clear visibility into and control over the process. Through our NLP-powered solutions and expert advisory services, we uncover insights that enable better care plans and more complete revenue capture. The Lumanent® suite gives our partners the confidence to pursue and ability to succeed in risk-sharing arrangements across MA, ACA, Medicaid, and ACO programs.

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