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The Benefits of Bringing Risk Adjustment In-House

In Affinite Risk, Risk Adjustment by Marketing

Benefit #1 Improved ROI We’ve recently published a series of blog posts focused on the challenges of bringing risk adjustment in-house. The series is pivoting, and the next few posts will examine the benefits of this effort. One of the most significant benefits of bringing risk adjustment in house is having tighter control over your return on investment (ROI). ROI …

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Tackling the challenges of bringing risk adjustment in-house

In Affinite Risk, Risk Adjustment by Marketing

Challenge #3: Execution This is the third in our multi-part series on how health plans can overcome barriers to and reap the rewards of in-house risk adjustment. Part 1 covered process complexity; Part 2 looked at infrastructure. Health plans often focus a majority of their risk adjustment resources on prospective and retrospective services designed to maximise HCC capture. The foundation …

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Tackling the challenges of bringing risk adjustment in-house

In Affinite Risk, Risk Adjustment by Marketing

Challenge #2: Infrastructure This is the second in our multi-part series on how health plans can overcome barriers to and reap the rewards of in-house risk adjustment. Click here to read Part 1, dealing with process complexity. Performing risk adjustment operations in-house is an infrastructure-heavy proposition. It requires teams of analysts, coders and their managers, and provider outreach staff. Beyond …

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Tackling the challenges of bringing risk adjustment in- house

In Affinite Risk, Risk Adjustment, Thought Leadership by Marketing

Challenge #1: Complexity There’s no doubt about it – risk adjustment is complex. This is true whether the product line is Medicare Advantage, commercial insurance, or Medicaid. The complexity of the risk adjustment models and the challenge of collecting accurate encounter data drives many insurers to hire vendors to conduct risk adjustment work. Outsourcing, however, is an imperfect solution that …

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Vital Data Technology Leverages Data Science Models To Assist Health Plans Serving High-Risk COVID-19 Members

In Affinite Risk, Data Science, Thought Leadership by Marketing

Health plans are actively seeking new ways to keep members healthy amidst the COVID-19 pandemic. Health insurers are looking to Vital Data Technology’s leadership in data science driven care coordination to help them identify at-risk populations and engage them to better handle the current care challenges.    Vital Data Technology’s Data Science Models Used to Combat COVID-19 In collaboration with health …