A successful risk adjustment program means focusing on the best opportunities for revenue improvement. Our analytics system identifies:
The most important members to target for premium accuracy
The most effective outreach method
Opportunities for care gap closure
The most cooperative providers
ArroImpact, our risk adjustment analytic engine and ArroInsight, our quality engine apply thousands of clinically-driven algorithms to compile a complete risk adjustment data set, and identify actionable gaps in care, documentation, quality, and assessment to improve risk score accuracy.
Intelligently targeting risk adjustment opportunities to yield greatest financial impact.
Many risk adjustment vendors use analytics simply to drive volume; ArroHealth uses analytics to drive performance and impact. Our proprietary algorithms go beyond typical suspect identification. They evaluate all current members’ disease states, historical trends and behavior patterns to zero in on those who represent the highest potential for financial and clinical return.
We turn insight into the right action.
Our analytics system stratifies your population according to who has the highest probability of incomplete, missing or inaccurate codes. We then deliver a strategic intervention plan. Our algorithms determine the best outreach method for each member through medical record retrieval and review. We also calculate the likelihood of success for each member and demonstrate the potential financial impact and ROI.
An intelligent data aggregation strategy begins with the analytics of AggregationIQ.
AggregationIQ leverages ArroHealth’s analytics and our superior provider insight applications and provider relationships, which span across the U.S. Our proprietary provider selection algorithms identify providers with a high number of successful patient interventions along with a comprehensive coding and documentation history to reduce provider abrasion and costs for clients. Our extensive provider engine offers insight into the best methods of capturing risk adjustment and quality data for both prospective and retrospective activities. The engine identifies the most cooperative providers and those with minimal add-on fees, which creates the smartest way to launch any risk adjustment initiative. This intelligence achieves the most efficient chart retrieval results and prospective assessments for impact to health plans and provider groups.
By RaeAnn Grossman Is it too hard? Can’t find a vendor? Confused by how it would work? Unsure of acceptance? Unsure of the impact? We are creating a business case to walk you through outbound telemedicine for the commercial health plan population. Join us for a webinar or contact us today about how to successfully […]
By RaeAnn Grossman If you only touch one thing in March, review and refresh your analytics for Medicare Advantage before you run your retrospective chart suspect list or list for members with gaps in care. So much has changed, the codes, the coding patterns, the regulations, the demands towards EDS. Make certain you have revised […]