Advantmed

Advanced risk adjustment analytics.

Market-leading performance that maximizes the reach, impact, and return of your risk adjustment and quality programs.

Advantmed’s Elevate^ Risk Adjustment Analytics solution uses CMS HCC risk models, HHS HCC risk models, and internally developed analytics to identify suspected opportunities and documentation gaps within a population. Through our analytics engine, our clients can identify opportunities to optimize risk adjustment scores and improve quality at the member and plan level.

Comprehensive analytics that let you manage the risk adjustment scores and opportunity of your entire member population.

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.

Clinical 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 adding to client-facing reports.

Probability Trend Analysis

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

Coding Gap Intervention

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

Reliable and accurate analytics.

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

See our advanced risk adjustment analytics in action.