Precise Health Risk Compass™ for RAO
Assess your Population Risk and Build a Tailored Risk Adjustment Strategy for Value-Based Care.
Key Features
Build Effective Risk Adjustment Strategy
Precise Health Risk Compass™ for RAO provides risk insights to enable a proactive approach to value-based care to support identifying high-risk codes, specialties, providers and patient populations and developing risk adjustment strategy.
Risk Adjustment Strategy:
A successful risk adjustment strategy requires a detailed understanding of your population’s risk profiles. With the Precise Health Risk Compass™ for RAO, you can:
Forecast Reimbursement Potential
Forecast potential risk adjustment reimbursement for your patient population.
Focus on Key Providers and Specialties
Determine the providers, specialties, and facilities to prioritize or exclude from risk adjustment program.
Provider Level High-Value Opportunity
Recognize diagnoses or HCCs contributing to risk score and Total Cost of Care (TCOC).
Streamlined Review of ICD10s
Identify valuable codes for HCC, remove irrelevant and overlapping conditions.
Empower Providers with Proactive CDI Training
Identify and train clinicians on high-value ICD10 and HCCs to optimize care and reimbursement.
Medicare Patient Risk Stratification:
A successful Risk Adjustment Strategy starts with analyzing high-risk patients nearing costly healthcare events. The Precise Health Risk Compass™ for RAO helps you:
Identify High-Risk Populations
Use advanced risk insights to pinpoint patients for risk adjustment based on their risk scores.
Stratify Patients Based on HCCs
Classify patients by the number of HCCs codes associated with them.
Custom Risk Scoring
Define your own risk score ranges to stratify patients into low, medium, and high-risk for interventions.
Age and Gender Stratification
Segment populations based on demographic data to improve focus on specific groups.
By integrating VBC Risk Analytics solutions into your risk adjustment strategies, the Precise Health Risk Compass™ for RAO helps organizations optimize reimbursements and ensure high-quality, efficient care delivery.
Financial Impact and Performance
Key data-driven insights enable significant financial performance and improved high quality care outcomes.
- The riskiest 50% of the population drives nearly two-thirds of risk adjustment reimbursements.
- Up to 70% of risk adjustment reimbursement comes from the top 100 highest-risk ICDs.
- The top 10 HCCs by risk in your population drive up to 50% risk adjustment reimbursement.
Implementing our Precise Health Risk Compass™ for RAO platform can lead to up to 60-70% of risk adjustment outcome being achieved in the first year, ensuring significant return on investment for healthcare organizations.
