Risk adjustment is a process used by health insurance plans to adjust the premiums they charge based on the expected health risks of their enrollees. Risk adjustment platforms are software tools that help health plans manage the risk adjustment process by analyzing data and identifying potential risk factors. Here are 10 risk adjustment platforms commonly used in the healthcare industry:
- HealthDataInsights: HealthDataInsights is a risk adjustment platform that offers a range of services, including data analytics, coding, and clinical documentation improvement.
- Optum: Optum is a healthcare technology company that offers a risk adjustment platform called OptumRisk. The platform includes tools for data analysis, clinical documentation improvement, and medical record review.
- HealthEdge: HealthEdge is a healthcare technology company that offers a risk adjustment platform called HealthEdge RiskAdjust. The platform includes tools for data analysis, clinical documentation improvement, and medical record review.
- Health Care Quality Strategies: Health Care Quality Strategies is a risk adjustment platform that offers a range of services, including data analytics, coding, and clinical documentation improvement.
- CareJourney: CareJourney is a risk adjustment platform that offers a range of services, including data analytics, coding, and clinical documentation improvement.
- Risk Management Services: Risk Management Services is a risk adjustment platform that offers a range of services, including data analytics, coding, and clinical documentation improvement.
- HealthEC: HealthEC is a risk adjustment platform that offers a range of services, including data analytics, coding, and clinical documentation improvement.
- PointClear Solutions: PointClear Solutions is a risk adjustment platform that offers a range of services, including data analytics, coding, and clinical documentation improvement.
- TriZetto: TriZetto is a healthcare technology company that offers a risk adjustment platform called TriZetto RiskAdjust. The platform includes tools for data analysis, clinical documentation improvement, and medical record review.
- Navigant: Navigant is a healthcare consulting firm that offers a risk adjustment platform called Navigant RiskAdjust. The platform includes tools for data analysis, clinical documentation improvement, and medical record review.
In conclusion, risk adjustment is a process used by health insurance plans to adjust the premiums they charge based on the expected health risks of their enrollees. Risk adjustment platforms are software tools that help health plans manage the risk adjustment process by analyzing data and identifying potential risk factors. There are many risk adjustment platforms available in the healthcare industry, including HealthDataInsights, Optum, HealthEdge, Health Care Quality Strategies, CareJourney, Risk Management Services, HealthEC, PointClear Solutions, TriZetto, and Navigant. These platforms offer a range of services, including data analytics, coding, and clinical documentation improvement, to help health plans manage the risk adjustment process.
