Advantmed

Advanced risk adjustment analytics.

End-to-end analytics for top-to-bottom performance improvements.

Combining CMS Hierarchical Condition Categories (HCC) risk models, HHS HCC risk models, and internally developed models powered by our Elevate^ platform, our advanced end-to-end analytics drive the efficiency, effectiveness, and accuracy of your risk adjustment programs — leading to better financial and clinical performance.

All the analytics you need to optimize your risk adjustment program.

Improve RAF Scores

Access and leverage a wealth of analytics to identify opportunities across your membership to improve the accuracy of your Risk Adjustment Factor (RAF) scores.

Superior Suspecting

Reduce false positives during suspecting with clinical mapping that clearly differentiates between acute and chronic conditions at the ICD-10 level.

Multiple Data Sources

With robust data captured from multiple sources, you’ll be able to identify chronic conditions and implement lower-cost interventions.

Intelligent Targeting

Use our sophisticated and agile targeting to analyze risk scores based on specific HCCs. Our powerful analytics engine cleans, maps, and validates data before importing it into our warehouse.

Probability Trend Analysis

Identify members with disease and care gaps based on projected RAF scores or suspected morbidities.

Coding Gap Intervention

See how your coding progress is impacting your financial performance in real time, and identify care and documentation gaps.

No data left uncaptured.

We capture data from multiple sources for the industry’s most comprehensive, reliable, and accurate analytics.

See our advanced risk adjustment analytics in action.