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Risk Management

Risk Management

Risk Management

Overview


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Avia Summary

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Risk Management is a solution provided by Innovaccer which was founded in 2014. It belongs to multiple categories of digital health solutions including Risk Identification & Stratification, Coordinated Community Networks, and Coding & Documentation.
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It has 29 verified clients.
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Risk Management integrates with major EMRs such as Allscripts, Allscripts/Eclipsys, and athena.
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Some other resource(s) that may be helpful in learning about Risk Management include: Burned out physicians: AI is here to help and Advancing pediatric value-based care: The challenges ahead
DESCRIPTION

The solution helps health systems to take a step-by-step approach to manage risk from population- to patient-level with easy to use dashboards powered by clinical and claims data. First, it helps understand the current state of risk management in the network with historical comparison to previous years risk scores. Second, it can answer “where to focus” by identifying the cohorts with the least risk recapture rates or maximum dropped/suspect codes, chronic disease distribution, month on month risk capture trend and more. Third, it helps prioritize patients with the largest number of coding gaps and get patient-level risk information to redirect resources strategically that reduces overall risk for the population.

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AWARDS
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EHR integration

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Other
Recommended, but not required
Allscripts, Allscripts/Eclipsys, athena, Athenahealth, Cerner, eClinicalWorks, Epic, GE, Healthland, McKesson, Meditech, NextGen, Other
Desktop, Mobile / Tablet (web optimized), Other
Use cases and differentiators

The solution is designed to help providers with a consolidated view of the patient, rather than having to search across multiple disparate patient records.

  • Precise patient insights - care gaps, coding gaps (dropped codes), risk scores (SVI, CMS HCC, HHS HCC & CDPS), acute visits, specialty visits
  • Pre-visit Summary - printing relevant VBC patient insights with a click
  • Patient Search with one-click access to Patient 360

1. Coordinate care with community resources including schools, day-cares, community centers to address condition-specific issues reflecting the needs of the community served
2. Manage diseases prevalent in childhood such as pneumonia, asthma, mood disorders, appendicitis, and infections

Care Managers, Care Coordinators, Nurse Practitioners, Health Coaches, Care Management Leadership

Innovaccer's coder assistant identifies missing codes based on claims data and suggested clinical markers, helping avoid improper data submission and related consequences such as lengthy audits and repayments to CMS. The solution enables physicians and coders to save time by identifying information that could not be directly found in the patient's clinical or claims data. Failing audits, repayments to CMS, and legal ramifications are some of the unfortunate outcomes of improper data submission. Automation helps overcome these challenges by detecting suspect and dropped codes while reducing administrative burden.

Innovaccer’s risk management solutions support these efforts to help healthcare providers achieve their risk goals. The AI-powered coder assistant helps providers address coding challenges by analyzing dropped codes and reviewing claims data over multiple years to identify prospective coding opportunities and surface suspect codes based on evidence. This enables them to receive appropriate reimbursements by providing high-quality care to patients

Company information

Founded in 2014

379.1M total equity funding

Media


Images

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Iteration 3.0.png
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Videos

No videos provided

Downloads

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Risk AI.pdf
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Suspect Coder with EMR writeback
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Advanced Risk Adjustment Solution By Innovaccer
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https://www.healthcareitnews.com/news/baptist-health-taps-3-vendors-build-pop-health-system-works

Reviews


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Overall Score
5.0

2 reviews


5.0

Features

5.0

Ease of use

5.0

Customer Support

5.0

EHR Integrations

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Reviewer’s Role
  • End user
  • Project manager
  • IT / Technical support
  • Executive sponsor
  • Internal consultant
  • Other

Reviewer’s Org Size
  • XL ($5B+ NPR)
  • L ($3-5B NPR)
  • M ($1-3B NPR)
  • S ($0.2-1B NPR)
  • XS (< $0.2B NPR)

Reviewer’s Org EMR compatibility

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

August 15, 2024

verified
new review

August 15, 2024

Customer Focused Team

They're (Innovaccer) customer-focused. I really like that. They have, you know, teams that are dedicated to us. They will, you know, do what they can to answer all your questions, make sure that you have what you want.

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Theresa Ransome

Director of Network Development, Director of network development, orlando health working with Risk Management at Orlando Health
Helpful(0)

August 15, 2024

verified
new review

August 15, 2024

Scaling Pediatric Population Health

We understand the value of data analytics, risk adjustment, quality gap closure, and empowering pediatric clinicians to improve outcomes. As our organization continues to grow, it’s imperative for us to scale our PHM capabilities. The Innovaccer platform enhances our understanding of patient populations and helps us make accurate diagnoses, establish and automate TCM protocols, and bridge care gaps. This holistic approach helps us to deliver a seamless, comprehensive healthcare experience for our patients and families.

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Dr. Amanda Furr

VP of Population Health, Vp of population health at pediatrics associates working with Risk Management at Pediatric Associates
Helpful(0)

Clients


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