Comprehensive Software and Services for Government Sponsored Healthcare

Risk Adjustment

Retrospective Offering

Centauri AdvanceSM delivers a comprehensive suite of software and services to manage your Risk Adjustment campaign. The Advance suite core is a purpose-built software platform, combining robust data integration capabilities with workflow software designed from a decade of risk adjustment experience. Centauri Advance can flex to meet specific client needs, from the specific to the comprehensive.

The Centauri Advance platform provides immediate access to your risk adjustment program. With our hosted software solution, our clients receive access to executive dashboards, provider scheduling calendars, issue logs & reporting, member charts and results, and outcome reporting.

Prospective Offering

The Centauri Intelligent AssessmentSM process provides software, services, and highly qualified providers for the purpose of assessing the current health status of Medicare, Medicaid, and Health Insurance Exchange beneficiaries. Centauri Intelligent Assessments are delivered in member homes or alternative convenient locations, and provide an integrated view of a beneficiary’s health status.

The Centauri Intelligent Assessment delivers your members’ information into our providers’ hands for a meaningful and fully informed discussion of your members’ health conditions.

Built on the same workflow platform as the Centauri Advance suite, Centauri Intelligent Assessment process provides immediate access to executive dashboards, scheduling and execution progress, discrete member results, and outcome reporting.

Submissions

The Centauri submissions platform is a custom, rules-driven submission engine, built specifically for Medicare Advantage, ensuring your risk adjustment data is submitted successfully and accurately.

The Centauri submissions suite includes the people and processes necessary to ensure accurate submissions, identify fallout or rejections, and manage resubmissions. We understand what is required to successfully execute RAPS and EDPS submissions, and will manage the process to completion.

Analytics

The Centauri InsightsSM suite is comprised of a powerful analytics engine leveraging data insight methods to stratify member conditions, risk adjustment and quality gaps – allowing plans to allocate the right intervention resources to the right members at the right time. Centauri Insights can be configured to specific client needs, and combines rules-based targeting with machine-learning algorithms designed specifically for healthcare.

Exceptional analytics combines historical, rules-driven descriptive analytics with predictive modeling for a comprehensive view of your members. At Centauri, we believe in utilizing the entire analytics tool set, with client-specific tuning for a complete analytical solution.