Optimize Risk-Adjustment Performance With the Innovaccer Health Cloud

The growth of Medicare Advantage (MA) plans is among one of the many challenges health plans face as they aim to optimize member care while maintaining high-quality compliance standards. Risk-bearing providers often identify gaps in coding as a major problem affecting a risk adjustment factor (RAF) score, which plays an important role in payment under common pay-for-performance programs. Using a proprietary risk model, smart analytics, and risk-adjustment workflows (e.g., CMS-HCC and HHS-HCC), Innovaccer addresses providers’ risk-adjustment needs with accurate and trusted risk coding.

Key Takeaways

• Achieve accurate coding and better segment population
• Save physicians time and reduce burnout
• Reduce time spent on risk coding by 30%
• Decrease readmission rates by 20%–30%