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Understand your population. Manage high-risk members.
Improve performance.
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We enable payers and providers to collaborate in risk contract initiatives by delivering tools that objectively and transparently quantify clinical and financial risk to improve performance. Our solutions deliver accurate cost-of-care predictions for your population, supporting providers with budgeting and planning efforts, and payers with the distribution of risk-adjusted payments. Our solutions focus on driving network, medical and population health management activities at the point of care, to help you thrive in risk-based contracts.
The BCBMAS AQC program is a global payment system in which participating providers assume responsibility for service spending and agree to a budget that is used to cover the entire continuum of care. The budget associated with each provider group is risk-adjusted using Verisk Health’s DxCG science to account for the illness burden of each population. Source: New England Journal of Medicine
Analyze and predict risk for Commercial, Medicare, and Medicaid populations with this comprehensive collection of...
Identify and stratify populations at the group or individual levels with this highly scalable, easy to use,...
Reveal opportunities for optimizing clinical value, improving the quality of care and reducing medical costs.
