Precise Health Risk Compass™ Prospect360
Prospect360, part of the Precise Health Risk Compass™ suite, is a payer-providers collaboration platform designed to help payers and providers align around a common goal: delivering high-quality, cost-effective care for Medicare Advantage and at-risk populations.
By generating a Complete Person Risk Score for every member—and dynamically updating scores—Prospect360 transforms raw health data into actionable, real-time risk insights.
With Prospect360, payers can enable providers to proactively manage risk, improve clinical documentation, close care gaps, and drive superior financial and care outcomes.
Key Features
Medicare Risk Stratification
Identify high-risk members and prioritize outreach and in-home wellness assessments for timely interventions.
Member-Level Risk Insights
Uncover care and documentation gaps. Prioritize high-risk conditions for immediate, targeted interventions.
Population-Level Risk Analytics
Analyze risk insights across the Top 100 ICDs, Top 10 HCCs, and view risk distribution by clinic, specialty, and provider.
Care Gap Population Risk Stratification
Stratify members with the highest cumulative care gap risk scores to ensure timely scheduling of additional visits.
No-Visit Population Risk Stratification
Identifies members without a visit in the current year and prioritizes those with high-value risk for proactive outreach and Annual Wellness Visit scheduling.
Empowering Payer-Provider Collaboration with Real-Time, Member-Level Risks Insights
Precise Health Risk Compass™ Prospect360 powers payer-providers collaboration with real-time, member-level risk insights to empower providers at the point of care.
Key Benefits
Maximize Risk Adjustment Accuracy
Ensure providers focus only on validated, high-risk HCC codes, reducing documentation burden and eliminating non-specific conditions.
Improve Population Health Management
Leverage dynamic risk stratification and population-wide risk analytics to target interventions and allocate resources more efficiently.
Drive Proactive Care Delivery
Identify members most in need of outreach, prioritize Annual Wellness Visits, and close care gaps before they impact care outcomes.
How Prospect360 Works
Turning Data into Actionable Risk Insights.
Step 1
Data Ingestion
Data are continuously fed into the platform
Step 2
Complete Person Risk Scoring
Calculates member’s cumulative risk score
Step 3
Real-Time Updates
Risk score and insights updated, keeping payer and provider teams aligned.
Step 4
Actionable Delivery
Secure web portal delivers prioritized risk insights to providers for proactive action.
Get Started with Precise Health Risk Compass™ Prospect360
Unlock the full potential of your risk adjustment and care coordination strategy with Prospect360. Empower providers with real-time risk insights that drive measurable improvements in care quality and financial outcomes.
