Health Fidelity and UPMC to Present Strategies to Optimize Risk Adjustment through NLP-Enabled Payer and Provider Collaboration at the RISE West Summit

As Both Health Plan and Provider, UPMC’s Experience Adopting Comprehensive Technology to Transform Risk Adjustment Outcomes Offers Attendees a Unique Opportunity

SAN MATEO, Calif.—Health Fidelity Inc., a company that provides innovative technologies for the value-based care era, today announced it will showcase UPMC’s adoption of the HF360 risk adjustment suite, a payer/provider collaboration solution that leverages NLP and machine learning to drive risk adjustment improvements by coordinating health plan and health system actions, during a presentation on Thursday, September 13 at the annual RISE West Summit at 1:05 PM local time.

The session, “Optimize Risk Adjustment Through Technology-Enabled Payer/Provider Collaboration,” will be led by UPMC Enterprise’s Director of Risk Adjustment,  Adele L. Towers, MD MPH FACP, and supported by Anand Shroff, Founder and Chief Development Officer at Health Fidelity.

“The documentation and coding requirements for providers in the era of shared risk are significantly different than under fee-for-service models,” Towers said. “Many physicians are not aware of the impact that risk adjustment can have on their performance, and if they are, they don’t have an efficient and easy workflow in place. At UPMC, we turned to NLP and machine learning technologies to help standardize risk capture and obtain an accurate portrayal of our disease burden without negatively impacting our physicians.”

Dr. Towers will discuss UPMC’s experience in leveraging the EHR-integrated solution to automate documentation and coding tasks for their physicians and practice staff, which resulted in more complete and accurate risk adjustment performance. She will also speak to UPMC’s risk adjustment transformation journey, which began in 2013 with a health plan focus and has since matured to include physicians utilizing a patient-centered workflow to make risk adjustment more efficient and complete.

In addition to being a RISE Platinum Sponsor, Health Fidelity will also offer live demonstrations of its comprehensive risk adjustment solution at Booth 29 throughout the two-day event. Health Fidelity offers the industry’s leading NLP-powered risk adjustment and compliance solutions to help risk-bearing organizations improve operational, clinical, and financial outcomes through more insightful and accurate risk identification and management.

To learn more follow @healthfidelity and @RISEAssociation on Twitter for live updates during the event.


 About Health Fidelity

Health Fidelity delivers comprehensive, scalable risk adjustment solutions for risk-bearing entities that participate in Medicare Advantage, ACA, Medicaid and Medicare ACO programs. With a combination of machine learning and natural language processing (NLP) technology, Health Fidelity’s modern prospective and retrospective risk adjustment approaches extract valuable insights from medical charts, changing the way risk is identified, quantified and managed for enhanced operational, clinical and financial outcomes.

Health Fidelity is a registered trademark of Health Fidelity, Inc.

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.


Andrea Serra
(650) 727-3300