Risk View is the risk adjustment software platform used by healthcare insurers to understand risk score trends and opportunities, help drive financial results, and optimize targets for appropriate risk-adjusted reimbursement.
Drive financial results by understanding financial and operating goals and requirements.
Optimize reimbursements through the most effective and efficient targets.
Increase provider engagement to help achieve quality and financial goals.
Track and predict CMS payments by source data analysis and forecasting.
Increase accuracy of provider documentation, coding, and billing.
Ensure score and payment accuracy by managing the RAPS to EDS transition and compliance analytics.
targeting analytics ROI for Medicaid Advantage plans
risk score increase for ACA plans
supported insurers in covering nearly 2 million enrollees
Risk Adjustment FAQ
Healthcare utilization varies widely among enrollees in individual markets for health insurance.