Helping improve operational efficiency for health plans/hospitals, Provider Engagement calculates and predicts risk score for Affordable Care Act's (ACA) permanent risk adjustment program populations. This dynamic tool uses federally certified risk adjustment methodology or alternative certified risk adjustment model chosen by state health insurance exchange and Medicare Advantage. Functionality delivers insight into claims life cycle, risk scores, and management of value-based contracts.
This story is related to the following:Heath Care Finance Administration (HCFA) Software | Medical & Health Care Software