Understand Your Patients
Like Never Before

Our analytics technology allows you to prioritize interventions for the patients that need it the most.

About the Solution

Episource Analyst is an essential tool for Medicare Advantage and Medicaid provider organizations in risk-based agreements. Its advanced analytics and recommendations can be used to accurately assess the health risks of your patient population.

More importantly, this information can also be used to execute earlier interventions for your patients. Find all the analytics you need quickly and efficiently.

Features

Risk Adjustment Suspecting

Leverage risk adjustment suspecting and gap analytics based on historical data with simple workflows to manage prospective, concurrent, and retrospective campaigns.

Chase Lists

Generate chase lists by prioritizing high-risk members for more immediate care.

Member & Provider Stratification

Stratify patients and providers by numerous data points and attributes, including risk scores, disease gaps, prevalence, eligibility, provider types, and more for direct, targeted impact at campaign or program levels.

Streamlined UI

Customize your member- and provider-level reports and easily view campaign performance metrics, such as total eligible members and top five suspected and captured HCCs with our intuitive UI.

Benefits

Drive primary and specialty care by analyzing gaps

Support case management for high-risk members

Strengthen your prospective care strategy

Drive primary and specialty care

Make data-driven decisions with robust reporting features

Drastically reduce workflow inefficiencies

Testimonials

Episource Client

When you establish a new relationship, you set some expectations, and some are lacking, some just meet expectations, and then you have that one or two who will exceed expectations — and that is Episource for us.

Episource Client

You guys have put thought into things and understand risk. It’s not just risk scores, it is so much more.

Episource Client

They’ve added in features where we can actually see the campaigns in real time and watch it progress through the dashboards and get all kinds of great reporting.

V28 Model With Episource Analyst

Seamlessly Transition to the V28 Model with Episource Analyst

In early 2023, the Centers for Medicare & Medicaid Services (CMS) announced the transition to Version 28 of the CMS-HCC model. The V28 model is expected to decrease Medicare Advantage risk scores by an average of 3.56% in 2024. Episource Analyst can help you plan ahead with:

Impact Analysis

Our analytics technology ingests your member data to estimate the potential decrease in risk scores and RAF opportunities for your risk adjustment program.

Member Risk Assessments

We’ll provide you with a more accurate risk assessment of your member population based on the changes to unique HCCs and HCC mapping.

Strategic Recommendations

Our experts will share strategies for counteracting a decline in risk scores, such as developing prospective care programs and improving member engagement.