Health Plans
Centauri Health Solutions brings decades of knowledge and experience to health plans. Our solutions enable risk-bearing government plans to capture accurate capitation revenue, improve quality performance, and enhance member outcomes.
Centauri has established deep, trusted relationships across the healthcare ecosystem serving 60+ health plans (including all 10 of the top 10 health plans in the U.S.) , and 60M+ members.
We provide clients the support they need to solve their problems:
Intelligent Risk Adjustment
Centauri provides advanced Risk Adjustment solutions, including digital-first, member-centric medical record retrieval, focused manual retrieval, and coding fueled by Centauri Advance and seamless interoperability.
Care Coordination & Quality Optimization
Centauri empowers Medicare Advantage and Commercial health plans to achieve optimal performance and gain a competitive advantage in their HEDIS® and Star Ratings programs through clinical data access, advanced care coordination, and provider engagement strategies.
Benefit Activation/ Retention
Centauri is the nation’s SSI/SSDI Eligibility and Enrollment leader for Medicaid Managed Care Plans and their members. We optimize revenue for clients and prioritize the correct combination of services for plan members.
HITRUST® Certification
You can trust our team and technology to provide the secure customized solution you need. As proof of our commitment and ability to safeguard your members’ PHI, we have earned HITRUST Certification for our Medicare Advantage and Medicaid plan enrollment programs.