Make Risk Adjustment More Accurate and Efficient with Tailored Data
The stakes for accurate risk adjustment are high: It is the basis for securing appropriate reimbursements and resources for high-needs seniors, children, and other members in Medicare, Medicaid, and commercial Affordable Care Act health plans. Reimbursement from risk-adjusted plans account for up to one-third of a payer’s annual revenues.
But the hurdles for getting risk adjustment right are also high — and getting higher every day as data skyrockets and the process grows increasingly complicated.
Get the Right Data for Your Members
The Risk Adjustment Solution
Intraoperability
Interoperability
Data Exchange
Compliance
Reporting
Scale
Improved Performance
Gain Control of Your Risk Adjustment Data Program
A foundation of integrated, validated, and constantly updated data from multiple payers, providers, and other sources powers our targeted Risk Adjustment Solution, enabling payers to drive effectiveness, efficiency, and innovation toward improving clinical outcomes.
This solution draws from our unique platform, the only cloud-based data transformation platform built specifically for health plans. Our HITRUST r2-certified and SOC 2-certified platform excels at making high-quality data available at optimal latency to accelerate business value for both analytical and operational use.
Learn more about all the Abacus Insights Data Solutions for payers.
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