Intuitive Digital Risk Adjustment Solutions in Providers’ Workflows
7.15.2016 By AVAILITY
Availity Access gives viewers a glimpse into the people behind our products. It features commentary on challenges facing the healthcare industry and how Availity can help providers and health plans better share patient information. In this first episode, we discuss why the risk adjustment process is difficult for health plans and how digital tools can help streamline it.
Our hosts discuss how a digital risk adjustment solution can reduce paperwork and minimize administrative challenges. They also talk about how it can establish a single repository for patient information, which multiple departments within a health plan can access. Additionally, by deploying a digital solution that is already in providers’ existing workflows, health plans can increase utilization of the tool.
Today, risk adjustment is an important component of value-based care models. The values assigned to today’s risk adjustment models are more precise and include the direct costs of primary care services and management of chronic conditions, as well as the indirect costs of care coordination. The exactness of new risk adjustment models suggests health plans would be wise to enhance their approach to risk adjustment processes.