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Description
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Clients
Use cases
EHR integrations
Client types
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Risk Management
Risk Management

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Categories

Solutions

Description

Product Description:
The VDT Affinitē Risk Adjustment module includes: • Multi-user access to the stand-alone Risk Adjustment Module of the Affinitē platform for CMS HCC Risk Adjustment. With Affinitē Risk, HEALTH PLAN NAME will receive the following: o Implementation o Data Integration and Analytics, Warehousing and Daily Processing o Dashboard high-level insights including the status of HCC capture, the performance of providers and provider groups, and HCC opportunities o Reporting o Estimated RAF scores at the member, provider, and provider group level based on claims data o Estimated member level RAF score build-up incorporating demographics, acute and chronic HCCs, disease interactions, and HCC payment count o Identification of HCCs obtained from claims data and chart review o Visibility into detailed claim data, highlighting HCCs that impact the RAF score o Visibility into detailed pharmacy data including refill status and ordering provider o Comparison of estimated RAF scores for current and prior year(s) o Identification of Missing HCCs (year-over-year gaps) for all open years at the member level o Member level identification of possible suspect HCCs based on claims and supplemental data for all open years. o Preparation of RAPS claim submission files in CMS required format o Preparation of RAPS supplemental submission files from chart review in CMS required format o Ability to monitor providers and provider group related to HCC capture, HCC gaps and average RAF score o Train-the-trainer training and support on the VDT Affinitē solution
About Vital Data Technology, LLC:

Vital Data Technology empowers health plans to continuously improve outcomes, accelerate compliance and control costs. Vital Data’s Affinitē™ platform unifies formerly siloed data and leverages artificial intelligence and machine learning to drive actionable interventions. The platform’s modules include: Affinitē™ PlanLink™ for real-time CareFlow™ automation and case management for stakeholders throughout the care continuum; Affinitē™ ProviderLink™ for prioritized, actionable patient interventions; MyVitalData™ for mobile app member engagement; Affinitē™ Quality for optimization of quality management and HEDIS® performance, and Affinitē™ Risk for Hierarchical Condition Category (HCC) risk adjustment.

Vital Data Technology is trusted by health plans nationwide across Medicare Advantage, Medicare, Medicaid, commercial and self-funded adult and pediatric populations and has received NCQA HEDIS® Certification for five consecutive years. For more information visit: www.VitalDataTech.com or call (866) 482-8399.

Product 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.

About Innovaccer:

Innovaccer is a healthcare technology company that aims to revolutionize the way healthcare organizations collect, analyze, and leverage data to transform value-based, patient-centered, equitable care. Our mission is to connect and curate the world’s healthcare information to make it accessible and useful. The company provides a comprehensive suite of solutions that empower healthcare providers, payers, and life sciences companies to deliver efficient care and drive innovation in the industry. The Innovaccer platform unifies patient data across systems and care settings, empowering your organization to provide higher quality care to patients and populations, while reducing costs, improving experiences, and strengthening financial and operational performance. Innovaccer’s EHR-agnostic solutions have been deployed across more than 1,600 hospitals and clinics in the US, enabling care delivery transformation for more than 96,000 clinicians, and helping providers work collaboratively with payers and life sciences companies. Innovaccer has helped its customers unify health records for more than 54 million people and generate over $1 billion in cumulative cost savings.

Compatibility level

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Clients

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Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

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

Pediatric use cases:

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

Users:

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

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

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

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Allscripts, Allscripts/Eclipsys, athena, Athenahealth, Cerner, eClinicalWorks, Epic, GE, Healthland, McKesson, Meditech, NextGen, Other

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Other

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
InCare, Innovaccer's efficient and end-to-end care management solution, is built on top of the Data Activation Platform, which aims at streamlining the care management process for care teams and providers, enabling them to deliver patient-centric care. It encompasses a wide range of capabilities intended to improve the quality of patient care by simplifying redundant and time-consuming tasks and enhancing patient engagement through adherence monitoring of care plans.
Differentiators vs Competitors:
InCare assists the care teams in attaining better outcomes with multiple functions including— strategically assigning tasks and prioritizing patients based on their risk-scores, ensuring consistency by creating a single source of truth, analyzing team productivity, and many more.

Keywords

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Videos

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Downloads

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Alternatives

Company Details

Founded in 2014

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