Once again, Lumiata is a proud sponsor of the annual RISE Nashville 2018 conference on healthcare risk adjustment. This year we are especially happy to be co-sponsoring with Health Data Vision, a leading medical record services and data management platform company.
Lumiata has entered into an agreement to power predictive analytics for the HDVI technology platform, called MRCS to enable more accurate HCC and provider identification. Lumiata’s predictive analytics uses machine learning and artificial intelligence (AI) to understand the current and future health trajectories of individual members.
Our comprehensive solution, Risk Matrix, produces high-quality stratified chase lists for America’s leading health plans to close gaps in accuracy. Our chase lists are stratified by a variety of criteria including members with the highest need for risk adjustment (HCC suspects) and providers with the highest HCC prevalence. Finally, Lumiata’s analyses are generated more quickly and frequently, and are enhanced with greater information to the plan to ensure RADV mitigation.
In our experience, Lumiata delivers:
Between 75-80% PPV for HCC prediction
Continuous analysis with less than 3 day turnaround for updated chase lists
Over two dozen ranking and provider models to support risk adjustment targeting and prioritization
Lumiata specializes in stratified, risk adjustment chase lists for Commercial/ACA, Medicare Advantage, ACO, and Medicaid populations. Our analyses are offered through a simple, yet flexible, data-as-a-service (DaaS) offering.
Visit Lumiata at RISE Nashville 2018 in the exhibit hall. Our booth is next door to HDVI’s so you can learn more about the full range of services our two companies can offer to improve your risk adjustment performance in the coming months.