Products

Helps plans optimize risk scores by identifying RAPS and EDS inconsistencies

Compares multiple data sources to provide transparency in risk score differences.

Gets the most out of your EDGE data.

Identifies and prioritizes members who are most likely to have a condition that has not been coded.

Contains the most robust and detailed ACA data available in the industry.

Allows users to interactively explore market metrics.

Helps payers and providers optimize financial performance with a complete package of services and tools.

Allows health plans to compare Medicare Advantage benefits and market information at the national, state, and county level, to evaluate plan design and performance.

Aids the comparison of payment rates across multiple lines of business, categories of service, geographic locations, and providers.

Provides risk adjustment metrics from 35 states and 19 million lives.

Supports pricing, mental health parity compliance, cost and utilization analysis and more.

Provides a transparent, open-code, high-performance risk assessment model.

Includes two major components: The Medicare National Report (MNR) & WRI-MA. Both pinpoint drivers of profitability and compare them to national benchmark data.

Identifies key profitability drivers for the individual and small group markets.