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The Health of Your Health Plan: Driving Better Performance with an End-to-End Risk Adjustment Platform

The Health of Your Health Plan: Driving Better Performance with an End-to-End Risk Adjustment Platform
Episource
July 24, 2024

Discover how a health plan serving over 200,000 members transformed its performance with Episource’s Clarity Platform an end-to-end risk adjustment platform. This case study highlights the significant improvements in chart retrieval rates, data analytics, and provider satisfaction achieved through Episource’s end-to-end risk adjustment solution.

In this case study, you’ll learn how Episource Clarity enabled the health plan to:

  • Boost Efficiency: Achieve an 85% chart retrieval rate within just 12 weeks, surpassing previous benchmarks and enhancing overall project outcomes.
  • Enhance Data Analytics: Gain full access to actionable analytics, allowing for precise gap identification, reporting, and campaign execution through Episource Analyst.
  • Reduce Provider Abrasion: Minimize provider complaints by over 99% with thoughtful outreach and transparent processes, improving relationships and reducing frustration.
  • Cut Costs: See how consolidating vendors led to significant cost savings while improving efficiency and accuracy across all solutions.
  • Increase Transparency: Benefit from a flexible, transparent platform that allows data submission in your preferred format, giving you more control over your projects.
  • Proven Success: Generate over 22,000 member chase lists and achieve high provider satisfaction through a unified approach, as highlighted by the client’s Director of Quality Improvement.

Client Testimonial: “By having this one streamlined vendor do all of these projects and solutions for us, we were able to cut costs, be more efficient, and have less provider abrasion. It’s a win-win for everyone.”

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