The growth of Medicare Advantage (MA) plans is among one of the many challenges health plans face as they aim to optimize member care while maintaining high-quality compliance standards.

Risk-bearing providers often identify gaps in coding as a major problem affecting a risk adjustment factor (RAF) score, which plays an important role in payment under common pay-for-performance programs.

Using a proprietary risk model, smart analytics, and risk-adjustment workflows (e.g., CMS-HCC and HHS-HCC), Innovaccer addresses providers’ risk-adjustment needs with accurate and trusted risk coding.