Risk adjustment

Discover how Datavant's AI technology helps Medicare Advantage plans efficiently manage risk adjustment compliance amidst increasing regulatory scrutiny and audit pressures.

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Discover why forward-looking prospective risk adjustment approaches are replacing traditional retrospective methods, and how Datavant's technology enables this critical transition.

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Learn how Datavant's AI-powered solutions help healthcare organizations minimize human error in risk adjustment coding, improving accuracy and reducing compliance risks.

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The U.S. healthcare system has a major problem—but it’s not what you might think. What People Think Is A Challenge In Healthcare When most people talk about how healthcare is broken, they focus on the outrageous cost of prescription drugs and medical devices. They talk about a lack of access to affordable healthcare and good doctors. They rant about rapidly rising insurance premiums and long wait times.

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NLP enhances healthcare risk adjustment coding. Payers validate unmatched codes efficiently, boosting accuracy. Implement an NLP-enabled Second Level Review.

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Without risk adjustment payments being conducted, the instability of the market will continue, and drastic rate increases for the future are imminent. See more.

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2018 HEDIS changes included new measures, early deadlines, and successful Ciox support. Looking ahead to 2019, Ciox aids in year-round quality data collection for smoother processes.

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Learn how risk adjustment ensures equitable healthcare resource distribution and how Datavant's technology streamlines this critical process for payers and providers.

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