RiskWell
Increase your revenue by driving more members to visit providers for risk assessments to capture appropriate HCCs.
Solution
RiskWell gives the payer a tool to drive their members to provider visits in appropriate settings, either in office, at home, or by televideo. Providers receive HCC tools as part of the automated referral process, driving proper coding and reimbursement rates for the member care.
The value each of additional HCC coding is upwards of $1,500 per member for the plan.
RiskWell Benefits
Increased Revenue for the Plan
Plans need to get and maintain appropriate coding for all members. RiskWell increases the revenue yield by getting more members assessed in each plan period.
Appropriate Care for the Member
In addition to improving the coding of members’ conditions, plans need to show that those “riskier” members are getting the appropriate level of care. RiskWell documents that behavior for the plan.
More Visits to Appropriate Providers
Members are 60+% more likely to visit when booked at the point of care via RiskWell, generating more opportunities to match coding appropriately to the member’s condition.
More Care Coordination
Specialists close the loop at a rate double the national average using RiskWell, allowing PCPs to ensure new conditions are captured appropriately in the risk scoring.
More Visibility
The plan can be notified immediately of high-cost or complex cases, ensuring both that they’re coded appropriately but also ensuring that proper care is provided.