Risk optimization is all about accuracy, quality and a prospective view of risk and opportunity – rather than a retrospective one.
Our approach enables you to build high value data assets, insights that are tuned to your unique needs, and advanced algorithms you own and can use to dramatically improve your risk adjustment performance.
Our Risk Optimization Solution Framework can be used to support improvement in a wide variety of related business and member strategies, including value based care, care management and quality programs. Any technology platform, any set of vendor relationships, any proprietary insights... our framework brings the pieces together to help you accelerate your path to better performance.
As risk programs evolve towards deeper integration with care quality and population health platforms – and as increased automation and integration with internal and vendor systems causes additional complexity – a well- defined and tightly managed strategy becomes even more imperative to success.
In addition to supporting our clients in mission-critical risk adjustment capability development, our practice can also support your organization in establishing and nurturing a comprehensive risk adjustment program, across a wide variety of strategic and technical needs. Our seasoned healthcare and technical practitioners can work with you to deliver successful: