Centauri Health Solutions to Present AI-Driven Clinical Intelligence at RISE National and AHIP 2026
The healthcare landscape is hitting a critical inflection point in 2026. With Medicare Advantage margins tightening, medical cost trends accelerating, and Medicaid redeterminations driving record membership churn, health plans are under immense pressure to do more with less.
This week, Centauri Health Solutions is attending RISE National and the AHIP 2026 Medicare, Medicaid, Duals & Commercial Markets Forum to unveil a unified clinical data ecosystem designed to solve these exact challenges.
Solving the "Risk Adjustment Collapse"
One of the most significant shifts facing plans this year is the requirement that all risk-adjusted charts must be linked to a claim to demonstrate that care is being provided. Centauri is arriving at these conferences with a direct solution: Intelligent Risk Adjustment (IRA).
Unlike traditional vendors that charge for every individual encounter, Centauri’s platform can link manual and electronic retrievals to "collapse and code" at the member level. This results in a single, comprehensive chart delivered at a flat fee and at a fraction of the cost of most competitors.
Bridging the Gap with Connected Intelligence
Centauri’s presence at RISE and AHIP focuses on the debut of their full clinical data ecosystem as a single, connected platform. Key highlights include:
- Clarion – The Foundation: A proprietary AI engine that enriches "seas" of clinical information into actionable insights to solve quality and risk challenges.
- Best in KLAS 2026: Centauri is celebrating, SES Notify as the #1-ranked solution for ADT Notifications in the 2026 Best in KLAS Software & Services Report. The Notify platform delivers real-time clinical event alerts directly into provider workflows, reducing avoidable utilization.
- National Connectivity: Highlighting expanded capabilities via QHIN/TEFCA-ready data exchange and the Care Enabled Network, providing a single point of entry to CareQuality, Commonwell, and eHealth Exchange.
Real-World Impact on the Dual-Eligible Population
For plans managing high-acuity Dual-eligible members, Centauri's integrated approach is delivering measurable results:
- Member Retention: Achieved a 96.6% benefit retention rate in 2025, compared to an industry baseline of ~31% churn.
- Revenue Uplift: Driven $2K–$13K in annual revenue improvement per member through enrollment and retention workflows.
- Clinical Outcomes: Realized a ~50% reduction in hospital readmissions through Centauri’s Care Coordination Quality Optimization solution.
Join Us at RISE and AHIP
Centauri is actively partnering with national and regional health plans to operationalize the AHIP Prior Authorization (PA) Coordination of Care (CoC) pledge and comply with CMS-0057 using Direct Secure Messaging to reduce provider friction.
Visit us at RISE National, Booth #516, or the AHIP 2026 Forum Booth #200, and see how we are bridging the gaps in interoperability and care coordination to turn fragmented data into actionable intelligence.