Risk Adjustment & HCC CodingEnterprise
Episource
The vendor provides risk adjustment, quality improvement, and member engagement solutions primarily for health plans and health systems. Their technology utilizes artificial intelligence and advanced analytics to support prospective and retrospective risk programs, including Medicaid and Medicare Advantage. Additionally, they help healthcare organizations close care gaps, manage HEDIS performance, and improve Star Ratings in value-based care arrangements.
National reach
CAPABILITIES
Risk AdjustmentQuality ImprovementMember EngagementHEDIS ManagementStar Ratings OptimizationProspective AnalyticsRetrospective AnalyticsCare Gap ClosureClinical DocumentationPoint-of-Care InsightsValue-Based Care Analytics
TARGET CUSTOMERS
- Health System
- Payer
- Medicaid Plan
- Medicare Advantage Plan
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