Evidence-based member insights delivered in provider workflows reduce provider abrasion and enhance care gap closure
GLENDALE, Calif., Sept. 20, 2023 /PRNewswire/ -- Reveleer, a leading healthcare technology workflow and analytics company committed to advancing value-based care, today announced the extension of its Prospective Risk Adjustment and Quality Improvement solution suites to risk-bearing providers. Reveleer empowers providers with highly reliable suspected diagnoses pre-encounter and at the point of care. Clinician agreement rates exceed 70% for more informed care decisions, accurate reflection of patient risk profiles and closed gaps in care. Designed to ease healthcare providers' administrative burden, the Prospective Risk Adjustment solution delivers timely, evidence-based clinical insights that directly impact member outcomes. Seamless delivery of the patient summary in existing provider processes and systems improves provider adoption and streamlines pre- and post-encounter workflows.
"We give payers and risk-bearing providers a unique 360-degree view of member risk, transforming risk adjustment and quality improvement into a proactive, strategic capability to enhance member care and health," said Jay Ackerman, CEO. "We use proprietary AI to synthesize data from rich claims and clinical sources and quickly deliver accurate, actionable insights directly to clinicians as they care for patients. This represents a significant paradigm shift for value-based care."
Payers and providers face increasing pressure to create complete, clinically substantiated member risk profiles. The volume of requests and lack of information about care gaps at the point of care hinders a holistic and precise view of the patient. The Reveleer platform makes Prospective Risk Adjustment and Quality Improvement viable at scale due to the breadth and depth of its claims and clinical data ingestion capabilities and the speed and accuracy of its AI. Key features include:
Reveleer's Prospective Risk Adjustment and Quality Improvement solution suites are currently deployed across several national providers, delivering measurable ROI and directly enhancing the quality of care for all members and patients. Backed by recent capital investments, Reveleer continues its momentum to expand its Risk Adjustment, Quality Improvement, and Member Management solutions for payers and providers, delivering the market's most comprehensive workflow, data, and analytics offering.
To learn more, visit Reveleer in Booth O for a demo at the NAACOS Fall Conference, September 20-22, in Washington, D.C.
Reveleer is a healthcare-focused, technology-driven workflow, data, and analytics company that uses natural language processing (NLP) and artificial intelligence (AI) to empower health plans and risk-bearing providers with control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform allows plans to independently execute and manage every aspect of enrollment, provider outreach, data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute programs that deliver more value and improved outcomes. To learn more about Reveleer, please visit Reveleer.com.
Amendola Communications (for Reveleer)