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Talk to an ExpertHealth Plans
Featured Case Study
Risk Adjustment case study
How a regional plan recaptured $4.2M in earned revenue with Atlas-powered risk capture.
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Product Sheet
Clinical Connect for health plans brings risk adjustment, quality, and care management solutions together so health plans get the right information, connect with the right stakeholders, and keep member care on track, without adding work to already stretched teams.
Product Sheet
Clinical Connect helps provider organizations stay connected in real time to what happens between encounters, referrals, and care transitions, bringing timely information into existing workflows so teams can coordinate without adding unnecessary friction.
Product Sheet
Using predictive analytics, Centauri identifies members with a high probability of eligibility for Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) and supports them through the complex process, from screening and application through appeals and ongoing eligibility.
Product Sheet
Using probabilistic modeling, Centauri helps health plans identify members who may qualify for Full Dual, Partial Dual, or LIS benefits and continuously monitors for signals that existing eligibility or coverage may be at risk.
Case Study
Discover how FETCH Automated Retrieval was used to capture documentation and provide value to our client in this blind case study.
Webinar
The recent passage of the OBBBA has introduced sweeping changes to Medicaid and healthcare funding. This webinar explores how health plans and providers can harness interoperable data systems to turn regulatory pressure into strategic advantage with data-driven, member-centric solutions.
Webinar
Discusses natural language processing applications in retrospective coding processes.
Product Sheet
Best Benefits, PremiumAssist, Risk Adjustment, Quality
Case Study
Using Real-Time Care Alerts to Improve PCP Visibility of Inpatient Data