Risk Adjustment
Affinitē Risk Adjustment
A leading, end-to-end risk adjustment solution with advanced analytics and suspect logic that identifies revenue opportunities, ensures an accurate assessment of risk, and gives you the complete financial picture.
Better Provider Collaboration
Unified on one platform, engage providers on risk score gap closure and member chart retrieval.
Submit Encounters
Complete the risk adjustment work cycle by submitting all claims and chart review encounters to the Encounter Data System.
ImproveRisk Scores
Focus on the members and providers with the greatest potential for improvement.
Full Risk Score Visibility
With a single source of truth, see each member’s current and projected risk scores with year over year comparisons.
An Integrated Solution for Improving Risk Scores and Streamlining the Payer Workflow
Risk Adjustment Trends Infographic
Download the latest results from our Risk Adjustment trends survey where we surveyed over 600 professionals on how they’re rethinking their risk adjustment strategy due to COVID-19.
The Most Comprehensive Risk Adjustment Tool with
Real-Time Analytics
No other software combines the power of analytics with chart retrieval, coding, and encounters submissions to move the needle on ROI
Risk Score Analysis
View a breakdown of member risk score components with year over year comparisons.
Suspect Logic
Identify missing and suspected HCCs by member and provider to prioritize prospective interventions.
Risk Score Projections
Gain insight into current and unrealized HCCs to project mid-year and final risk scores.
Chart Retrieval & Coding
Manage retrospective programs and receive real-time feedback on the impact of chart review HCCs to the member risk score.
4 Key Risk Adjustment Trends Health Plans Need to Know in 2022
Health plans should be aware of these four key risk adjustment trends and how to position themselves for success going into 2022.
Affinitē Changes How You
Approach Medical Management
Prescriptive Insightswith True Data Science
With an AI-enabled platform, you get unparalleled access to real-time insights on at-risk populations in need of care.
Seamless Collaborationwith Uniform Data
Align your internal team with members and providers with the same platform, all with the same data.
Smarter Workflows Built on Intelligent Automation
Using Intelligent Automation, mitigate unnecessary friction for your team so they can be more effective.
Persistent Adaptabilityvia Extensible Technology
Leverage composable technology that will grow with your business and enhance your speed to value.