What is population health risk assessment?

Population health risk assessment is a provider-focused analytics approach that helps healthcare organizations identify lost reimbursement opportunities, forecast revenue potential, and prioritize high-impact interventions for improved risk capture and patient outcomes in Medicare Advantage populations.

How does RAO help with revenue capture?

RAO identifies documentation gaps and HCC opportunities across your patient population to recover revenue left on the table. It reveals the top 20 HCCs driving up to 50% of your risk adjustment reimbursement, enabling focused training and documentation improvement.

What results can organizations expect from RAO?

Organizations using RAO typically achieve 60-70% of risk adjustment revenue optimization goals within the first year of implementation through targeted provider interventions and strategic documentation improvement programs.

How does RAO stratify Medicare populations?

RAO provides multiple stratification methods including risk score distribution analysis, HCC count segmentation, customizable risk score buckets, and HCC complexity classification. This enables tailored care management and documentation strategies for different patient cohorts.

Can RAO integrate with existing provider workflows?

Yes, RAO is designed to integrate seamlessly with existing clinical workflows. It delivers CDI insights at the point of care, provides pre-visit planning tools, and offers real-time dashboards that fit into provider documentation processes without disrupting established routines.

What is the Precise Health Risk Compass?

The Precise Health Risk Compass is VBC Risk Analytics' comprehensive platform that powers the RAO module. It delivers complete analytics solutions for uncovering hidden risk, prioritizing clinical resources, and building tailored risk adjustment strategies that improve care quality while capturing missed revenue.

Population Health Risk Assessment

Provider-Focused Solution

Transform Provider Risk Performance with Precision Analytics

Precise Health Risk Compass™ for RAO delivers a complete population health risk assessment solution that helps you uncover hidden risk, prioritize clinical resources, and build tailored risk adjustment strategies that improve care quality while capturing missed revenue.

RAO delivers provider-level analytics that identify lost reimbursement opportunities hiding in your documentation. Leverage population health risk stratification to segment high-risk populations, forecast reimbursement potential, and pinpoint which providers, specialties, and diagnostic conditions offer the greatest revenue impact.

Our platform reveals the top 20 HCCs driving up to 50% of your risk adjustment reimbursement, enabling you to focus training and documentation improvement where it matters most. Optimize provider risk adjustment workflows to capture 60-70% of revenue outcomes in the first year. Track progress with precise RAF score analytics across your entire population.

Pinpoint High-Risk Populations

Leverage advanced stratification tools to identify patients most likely to drive cost or experience complications for early intervention

Recover Missed Reimbursements

Identify gaps in your current coding and documentation strategy by highlighting under-coded or overlooked HCC opportunities

Map Risk Hotspots

Understand where clinical and financial risk is concentrated across specialties, provider groups, or diagnosis categories

Key Capabilities

What You Can Achieve with the Risk Compass

Risk adjustment doesn't need to be reactive. With the Precise Health Risk Compass™, you gain a proactive system designed to optimize every aspect of your risk adjustment workflow.

Forecast Future Reimbursement

Estimate revenue based on risk scores and HCC patterns to build financial models and prepare for audits.

Prioritize Providers and Services

Identify which providers or specialties are contributing to—or hindering—your risk adjustment performance.

Spot Coding Gaps

Pinpoint missing or under-coded HCCs impacting your Total Cost of Care.

Streamline Coding Reviews

Filter irrelevant codes and focus only on high-value, audit-proof diagnoses.

Train Providers with CDI Insights

Deliver targeted CDI training based on high-value HCCs to improve documentation accuracy.

Risk Adjustment Analytics for Providers

Comprehensive risk adjustment analytics for providers that drive measurable outcomes across your organization.

Risk Adjustment Strategy

Stratify Medicare Populations for Effective Interventions

Understanding and segmenting high-risk Medicare patients is essential. The Risk Compass provides multiple levels of insight to help you stratify with clarity.

Identify High-Risk Individuals

Use advanced analytics to select high-risk patients based on risk scores for prospective review or Annual Wellness Visit scheduling.

Segment Patients by HCC Count

Classify population based on HCC count, age, and gender to select patients for targeted risk adjustment programs.

Customize Risk Score Buckets

Set your own thresholds for low, medium, and high-risk patients. This allows tailored care management efforts based on actionable insight.

Stratify by HCC Complexity

Classify population with specific condition groups (e.g., AMI, COPD) based on risk for tailored care management and documentation strategies.

Proven Results

Measurable Revenue Optimization in Year One

Healthcare organizations using Precise Health Risk Compass™ RAO achieve substantial improvements in risk capture accuracy and compliant revenue realization.

60-70%

Risk Adjustment Outcomes

Achieve majority of revenue optimization goals within the first year of implementation

Top 20

HCCs Drive 50% Reimbursement

Focus on the highest-impact conditions to maximize revenue capture with targeted interventions

100%

Provider-Specific Intelligence

Drill down to individual clinician performance for precise training and documentation improvement

360°

Complete Population View

Comprehensive risk stratification across demographics, conditions, and provider patterns

Ready to Build a High-Performing Risk Adjustment Strategy?

Schedule a personalized demo to see how Precise Health Risk Compass™ RAO can transform your provider risk analytics and revenue capture.

Schedule Your RAO Demo