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Risk adjustment and utilization measurement tools
to support policy decision-making and the
implementation of healthcare reform initiatives.
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We provide the critical insight to inform fair and balanced risk pool distribution, promote competition among payers and integrate beneficiary program enrollment. We combine clinical, financial and predictive analytics with innovative technologies and expert services to build solutions that enable government agencies to meet the requirements of healthcare reform and manage the challenges of implementing insurance exchanges.
Massachusetts was the first state to implement a health insurance exchange, successfully reducing the numbers of uninsured without dramatically impacting the budget. A significant success factor was the use of DxCG Intelligence to better align payments to population acuity and allow competitive bidding among a greater number of participating plans.
Analyze and predict risk for Commercial, Medicare, and Medicaid populations with this comprehensive collection of...
