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Risk Adjustment Analytics

Use best-in-class analytics to help improve care quality, meet compliance guidelines, and achieve your revenue goals.

All Risk Adjustment and Quality Solutions

Ensure satisfactory patient care with actionable insights

Satisfy the requirements of HEDIS®, Star, and state-level programs by measuring the quality of member care across your provider networks. 

Our solutions give you the complete reporting and risk adjustment analytics capabilities you need for effective quality management.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

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Help achieve better outcomes with prospective risk adjustment solutions

Support greater risk capture with smart, collaborative engagement strategies.

Our solutions help you predict patient-specific needs and diagnoses, so you can drive targeted interventions for the right members at the right time.

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Fix diagnosis capture errors with retrospective risk adjustment solutions

Optimize reimbursement accuracy by identifying, pursuing, and validating risk diagnoses that were on the medical chart but weren’t properly captured before adjudication.

Our solutions use electronic data capture and NLP-enabled coding to help you continuously improve the accuracy of your submissions. 

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We’re here to help you find out how our solutions could benefit your organization. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how these solutions can help achieve your goals

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Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.

Our outcomes

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