Mount Sinai Health Partners Chooses Health Fidelity’s Risk Adjustment Solution to Support Value-Based Care Efforts

Premier Clinically Integrated Network Selects Health Fidelity’s HF360 Risk Adjustment to Enable Complete and Accurate Risk Capture

Health Fidelity, a company that develops innovative technologies for the value-based care era, today announced its partnership with Mount Sinai Health Partners (MSHP), a clinically integrated network formed by Mount Sinai Health System. Health Fidelity will provide HF360 Risk Adjustment, an NLP-powered risk adjustment solution, for MSHP to support their ongoing execution and expansion of risk-sharing programs in the greater New York market.

With over 300,000 members enrolled in various risk-sharing programs across multiple payer partners, MSHP was seeking to develop a comprehensive risk adjustment program in order to maximize the performance of their existing risk arrangements, as well as expand their participation in value-based care programs.

“We needed to develop a holistic risk adjustment strategy supported with the right tools as we continue our growth in this market,” said Michael Berger, PE, CPHIMS, VP, Population Health Informatics and Data Science, Mount Sinai Health Partners. “One of the areas that Health Fidelity has been tremendously valuable is in helping us understand and quantify opportunities for success in our risk adjustment program, including how we can leverage technology to gain further improvements.”

MSHP wanted to leverage Natural Language Processing (NLP) technology to optimize the accuracy and completeness of their risk capture. Health Fidelity initially conducted an HF360 Blueprint assessment to identify and quantify the risk adjustment optimization opportunity, which helped MSHP recognize the full potential of a successful risk capture strategy. As a result, MSHP entered into a multi-year arrangement with Health Fidelity to help set up a comprehensive program.

“Mount Sinai is a visionary organization that’s embracing the transition to value-based care, and they understand the importance of optimizing risk adjustment to succeed in these arrangements,” said Steve Whitehurst, CEO of Health Fidelity. “We are excited to work with such thought leaders and assist them in developing a comprehensive risk adjustment program that can scale with their growth.”


To learn more, visit HF360 Risk Adjustment.


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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 big data analytics 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