

How do we support health plans
Health plan operations have become increasingly complex under different payment models and performance programs that require a nuanced understanding of patient health and clinical treatment. Apixio’s risk adjustment, quality measurement, clinical guidance, and interoperability solutions help your plan reduce administrative overhead while gleaning deeper, more meaningful insights from administrative and clinical datasets.
Why should health plans partner with Apixio?
Operate More Efficiently
Help your team streamline workflows and speed up manual processes.
Increase Accuracy and Visibility
Get richer, more reliable insights out of your clinical and administrative data.
Streamline Data Acquisition
Minimize high-friction chart retrieval with seamless data integrations.
Proactively Assess Population Health
Identify and address patient conditions upstream with superior intelligence.
Our health plan solutions
Solutions
RISK
ADJUSTMENT
Accurate, efficient risk adjustment coding and audit reviews for MA and ACA programs.
Solutions
INTEROPERABILITY
Automated, secure data acquisition from provider partner EHRs to power member insights.
Solutions
CLINICAL
GUIDANCE
Timely, reliable intelligence to streamline prospective diagnosis gap closure and recapture at the point of care.
Solutions
QUALITY
INSIGHTS
Real-time Quality Reporting Solution and AI-Powered Chart Abstraction.
Solutions
Utilization Management
Deliver AI-powered prior authorization decisions in seconds.