The industry standard of risk adjustment and prediction engines

Sightlines DxCG Risk Solutions offers clients the best-in-class risk adjustment and prediction engines, used to analyze and quantify both financial and clinical risk.

Based on DxCG science, a transparent, validated set of models with academic roots, Sightlines DxCG Risk Solutions can be used as a stand-alone tool. It can also be embedded in our Sightlines Enterprise Analytics or Medical Intelligence platforms, and/or your 3rd-party applications.

The risk assessment tool of choice for US and international agencies

Sightlines DxCG Risk Solutions has been selected by the Centers for Medicare and Medicaid Services (CMS) and many European healthcare systems to strategically allocate healthcare funding, and is highly valued by both the financial (actuary, underwriter) and clinical (care manager) communities.

Built using powerful, validated, medical and pharmacy classification systems, as well as proven predictive modeling methodologies, Sightlines DxCG Risk Solutions can be utilized for commercial, pharmacy, Medicaid, Medicare and medical management applications.

Features and capabilities

Sightlines DxCG Risk Solutions capabilities include:

  • Validated, best-in-class predictive modeling technology
  • Advanced analytics to manage risk, improve health outcomes, and contain costs
  • Transparent models founded on straight-forward and easy-to-understand clinical principles
  • Designed to integrate with 3rd party systems, including home-grown financial and actuarial methodologies

Use it to:

  • Assess the illness burden of individuals, groups and populations
  • Identify cost drivers
  • Renew rating and underwriting
  • Develop risk-based provider payment structures
  • Measure and demonstrate the impact of care management programs
  • Use predicted costs to set underwriting rates
  • Develop risk-based provider payment systems
  • Allocate healthcare resource budgets

Solutions for your specific needs

Available versions include:

  • Commercial Risk Solutions
  • Pharmacy Risk Solutions
  • Medicaid Risk Solutions
  • Medicare Risk Solutions
  • Medical Management Risk Solutions
  • Primary Care Payment Solutions
  • Performance Assessment Solutions
  • Sightlines™ Actuarial Advisor

For additional information or to schedule a product demonstration, contact us.