Advalent Risk360™ allows payers and risk-bearing providers to identify suspect conditions that are under-documented and that have gone undocumented. In addition, the platform assigns the right interventions for each HCC/RAF gap to address gaps considering their propensity of closure during the required coverage periods.
Advalent Risk360™ Features
GENERATE SUPERIOR ROI FROM YOUR RISK ADJUSTMENT PROGRAMS
Ensure high predictive accuracy by deploying hundreds of clinical algorithms which are converted into analytics by applying various advanced statistical methods.
ENABLE INTEGRATED RISK ADJUSTMENT, QUALITY AND POPULATION HEALTH PROGRAMS
Integrate quality/care gaps and potential adverse events (ER utilization, readmissions, preference sensitive treatments etc.) with RAF/HCC gaps and drive provider engagement to improve plan-level clinical and financial performance.
DRIVE SUSTAINABLE FINANCIAL IMPROVEMENTS
Significantly improve network efficiencies by leveraging top performers and supporting low-performing providers through varied provider collaboration strategies.
DEPLOY PROVIDER INCENTIVES/DISINCENTIVES
Proprietary analytical models enable decision makers to identify suitable value-based reimbursement strategies that improve risk-adjusted revenues.
ENHANCE COMPLETE FINANCIAL AND CLINICAL PERFORMANCE
Enhance provider performance by providing targeted recommendations via performance reports to drive continuous clinical and financial improvements.