Improving risk assessment for better care outcomes

Correct threat evaluation improves outcomes for well being plans throughout a mess of areas, together with member care, high quality metrics, and threat adjustment applications. Cotiviti CEO Emad Rizk, M.D. joined Tuning In to the C-Suite, a Managed Healthcare Govt podcast, to debate how payers can enhance their threat evaluation with instruments that allow them to have a unified view of quite a few knowledge sorts, together with claims, medical, pharmacy, lab outcomes, and social determinants of well being (SDoH).

“One of many issues I attempt to emphasize to the business is that we should always at all times give attention to social determinants of well being, we should always give attention to threat, high quality, and value—all of these issues are vital. However what’s much more vital are the interdependencies of all of them. 

Tune in to the podcast as he discusses:

  • How the COVID-19 pandemic illustrated the shortage of interoperability in healthcare
  • How healthcare outcomes are influenced by SDoH
  • How instruments corresponding to Cotiviti’s DxCG Intelligence predict member threat and value

The foundational function of correct threat evaluation has been acknowledged for many years, with threat adjustment and predictive modeling serving as cornerstones of contemporary value-based healthcare. Learn our white paper and be taught concerning the historical past of Cotiviti’s DxCG Intelligence, one of many earliest and most correct threat evaluation and predictive modeling options in healthcare.

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