Align disease burden with revenue
One solution for disease burden and revenue alignment for all risk adjustable populations
Move beyond regulatory requirements and enhance member care outcomes
PayerOne Highlights
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PayerOne Risk Highlights
OIG Best Practices
Align revenue accuracy with disease burden, while improving managed care through comprehensive patient views to improve coordinated care
All Populations, One Tool
Consolidate diagnosis gap in care delivery with one solution for all risk adjustable populations, including ACA and Medicaid lines of business
Claims and Clinical Together
Unlock suspect accuracy using claims and clinical data for complete and accurate data capture and documentation
Point-of-Care Integration
Bring HCC insights to the point-of-care to drive accurate coding, documentation and deliver more complete clinical information beyond the provider's EHR
Population Health Analytics
Integrate risk adjustment, clinical quality and cost for more effective population health strategies and network-level campaigns
V28 Transition Support
Simplify the transition to the CMS 2024 Payment Model (V28) using advanced ML suspect model with layered clinical rules to support the CMS model change
Powered by Cozeva, a secure cloud-platform designed to drive provider engagement and organizational performance
Unified Experience
Exchange bi-directional data and merge views across tenancies to establish a unified experience across your POs, practices, providers and care teams
Artificial Intelligence
Analyze billions of data points using AI to predict member engagement, identify complex patients, stratify risk, prevent high-cost events, measure ROI and more
Advanced Analytics
Leverage AI and predictive analytics to deep dive into cost, utilization, quality and risk performance, and disparities across 200+ preconfigured analytic workbooks
EHR Integration
Seamlessly integrate with desktop and web-based EHRs to surface care gaps in provider workflows for closure, accurate coding and collection of clinical data
360 Patient View
Gain insights into member needs, preferences and behaviors by bringing together data from multiple sources – claims, EHRs, SDoH, engagement and more
Population Health
Identify opportunities, drive end-to-end performance improvement workflows and coordinate care with an intuitive and flexible interface designed for diverse teams
Real-time Gap Closure
Take action, mark gaps as pending, enter supplemental data and confirm or disconfirm HCCs within clinical workflows to drive provider engagement and build trust
Care Team Well-Being
Leverage AI, automation and pre-built tools and templates to up-level your teams, reduce admin burden, and improve provider and care team well-being
And more
While these are our more commonly talked about features, there's more to explore — experience the full potential of our platform by scheduling a demo!
