Most Health care organizations view risk adjustment as a necessity, but not as a strategic asset. With the right organizational alignment, risk adjustment can be leveraged as a competitive advantage. Accurate risk adjustment not only improves revenue but also provides a snapshot of population health.
Transition from Fee-for-service
to Value-Based care
The transition to value-based care revolves around a recalibration of how healthcare is measured and how payments are reimbursed. The fee-for-service simply assigns reimbursements based on what services a Medicare Advantage (MA) health care organization provides. Value-Based care with its core belief in overall wellness and preventive treatment relies on patient health outcomes.
From Cluttered to the Uncluttered mode of Health Care Delivery
The health care industry needs a major shift!
Value-Based program rewards health providers with incentives to improve the quality of care for the patient
With many transitioning to a Value-Based care health care delivery model, our solutions also support their major cause:
- Better care for individuals
- Better health for populations
Moving from a fee-for-service to a fee-for-value system will take time, and the transition has proved more difficult than expected. However, the transition from fee-for-service to fee-for-value has been embraced as the best method for lowering healthcare costs while increasing quality care and helping people lead healthier lives. The benefits of Value-Based care extend to not only health care payers, and providers but even the patient and society as a whole.
Objectives of a Value-Based Care team
Key Industry challenges
Around the world, every health care system is struggling with rising costs and uneven quality despite hard work. It’s time for a fundamentally new strategy and some smart technology that can be the Game Changer and can mitigate problems like:
Identifying patient care
gaps in diagnosis and risk scores
Prioritizing patients with missing diagnoses and at
Get a comprehensive
patient's health history
Over 80% of Clinical Data Today is Unstructured
It’s an anomaly, today, we have more healthcare data than ever, however, nearly 80 per cent of the data (approximately 1.2 billion) of clinical care documents is unstructured.
Experts state that it is growing by 48 per cent every year. Healthcare organizations often rely entirely on structured data (which comprises just 20% of available data) to guide their critical decisions.
Unstructured Data is the Key to Capture Complete Patient Risk
The ability to access the free-form text in clinical charts enables healthcare organizations to harness insights from unstructured data and understand the chronic conditions of members in a faster and more accurate way.
This gives a holistic view of population health so they can better target care and improve financial outcomes.
Introducing RAAPID: World’s first Personalized AI Assistant for Risk Capture
With RAAPID, unlock the power of artificial intelligence with access to the right data at the right time to the right person. RAAPID offers NLP-Powered, AI-Driven risk adjustment solutions, which eliminates the need of working with multiple vendors, which in turn, reduces overhead expenditure. With RAAPID, our goal is to automate chart review and audit workflow, improve transparency, and boost revenue cycle management for health care.
Every Organization Is Unique & Deserves Personalized Solution
There is no ‘one-size-fits-all’ solution in health care. With an in-depth understanding of your workflows, historical data, and documentation gaps, we have customized our solutions, tweak our algorithms and contrive the end application to deliver truly personalized AI-Powered Risk Adjustment solutions.
RAAPIDly Transform your Data to improve Patient Risk Capture
RAAPID.AI is an NLP-Integrated, AI-Powered disease understanding & extracting solution including the free text, and unstructured content to capture the complete risk adjustment score of the patients. Health care payers and medical coders use RAAPID to identify accurate compliant codes and risk scores, in the ever-changing Value-Based care environment.