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Improve risk score accuracy and boost operational efficiency and value

Learn exactly where your risk adjustment program can improve

Curious how you can seamlessly integrate top-of-the-line risk software to improve risk score accuracy and operational efficiency?

Activate endless data possibilities with highly configurable and adaptive risk software to reduce strain on internal resources.

Benefits

Reduce the complexity of your siloed risk reporting with the transparency and configuration of our suspecting algorithms, informed by the industry’s largest primary source dataset.

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MORE BENEFITS

Close More Risk Gaps

Easier access to insights allows more risk gaps to be addressed per intervention. With Converged Risk, an average of three additional gaps are addressed per intervention.1

Plus, risk gaps are informed by expert analytics and have confidence levels to enable control of intervention thresholds. Configure and run analytics based on custom population subsets to gain full transparency into member-level clinical evidence.

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Expedited Installation

Harness the risk software made to seamlessly integrate with your existing quality software. With HCSC already leveraging the power of Converged Quality, installation of Converged Risk can happen in 20% of the time.

Getting up and running quickly allows HCSC to start seeing the impact of a Converged Quality and Risk approach rapidly.

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Close more risk gaps

Easier access to insights allows more risk gaps to be addressed per intervention. With Converged Risk, an average of three additional gaps are addressed per intervention.1

Plus, risk gaps are informed by expert analytics and have confidence levels to enable control of intervention thresholds. Configure and run analytics based on custom population subsets to gain full transparency into member-level clinical evidence.

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Maximize profit potential

By targeting risk gaps with confidence, HCSC can gain over $1,600 in additional financial impact per targeted member. 2

Achieve program goals with specific Risk Models for evidence-based clinical and predictive modeling across State Medicaid, Commercial ACA, and Medicare programs.

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Infographic

Learn exactly where your risk adjustment program is lacking and how Converged Risk incorporates these strategies for a strong risk adjustment program.

4 STRATEGIC INFOGRAPHICS
QUALITY AND RISK, EMPOWERED

Webinar

Did you know that combining HCSC’s quality measurement and risk adjustment efforts in a single analytics-based platform can transform your operations, performance, and overall costs?

QUALITY AND RISK, EMPOWERED

1Based on Inovalon’s analysis of gap closure improvements driven by a combination of Converged Risk, Converged Quality, and Converged Outreach.

2 Based on Inovalon’s analysis of gap closure improvements driven by a combination of Converged Risk, Converged Quality, and Converged Outreach.

Ready to see the software in action?