How We Support Health Plans
Health plan operations have become increasingly complex under different value-based payment models and performance programs that require a nuanced understanding of patient health and clinical treatment. AI-powered Risk Adjustment, Payment Integrity, Health Data Management, and AI-as-a-Service solutions help your plan reduce operational overhead while surfacing meaningful insights from administrative and clinical datasets.
Distill Timely, Relevant Insights From Health Data
Improve Value-Based Program Performance
Accelerate Administrative Program Operations
Benefits for Health Plans
Operate More Efficiently
Help your team streamline workflows, quickly share data, and spend more time on high-value tasks.
Increase Accuracy and Transparency
Extract deep, trustworthy insights out of your clinical and administrative data.
Streamline Data Acquisition and Management
Reduce friction with providers and IT with centralized data acquisition, storage, and analytics.
Proactively Assess Population Health
Identify and address patient conditions early and often with reliable, AI-powered intelligence.
Solutions for Health Plans
Health Data Management
Centralized data acquisition, chart storage, and analytics solutions that promote internal data reuse and simplify data sharing with external partners.
Risk Adjustment
Proven AI technology and centralized review workflows for prospective, concurrent, and retrospective risk adjustment programs.
Payment Integrity
Intelligent, data-driven solutions and services that increase efficiency, accuracy, and transparency for Itemized Bill Review and Clinical Chart Review validation programs.
AI-as-a-Service
Actionable AI-powered insights, tailored to your member populations and delivered within your existing systems and workflows
The Impact
4X
Faster
4X faster coding time
96%
Accuracy
96% coding decision accuracy
3-5%
Net-New
3-5% incremental net-new HCCs per project
Streamline Health Plan Operations with Time-Saving Solutions
My team can review at least twice the number of charts on a daily basis to uncover more supported HCCs, surpassing expectations while minimizing coder burnout.
Risk Adjustment Leader,
Regional Health Plan
Regional Health Plan
Featured Resources
Give Your Health Plan a Competitive Advantage with Apixio
Explore how Apixio can support your health plan’s unique administrative and care delivery program needs.