Health Plans are under tremendous consumer, financial, and regulatory demand to deliver on promises regarding improvement in the quality and costs of care. Concurrent with these pressures, healthcare organizations find themselves within an increasingly competitive environment, with rapidly changing regulatory requirements and increasingly complex reimbursement models. Perhaps no better example of the confluence of these pressures exists than in the rapidly expanding Medicare Advantage and Medicaid capitated risk adjustment marketplace.

MedAssurant understands these issues and how disease management solutions play an important role in the overall success for these health plans. In fact, it is with a comprehensive understanding of patient disease-related risk factors and quality of care that MedAssurant has become the nation’s largest provider of risk adjustment solutions and NCQA HEDIS quality measurement services. With a deep centralized and in-market clinical presence that extends from coast to coast, and a truly industry-leading healthcare data analytics prowess, MedAssurant’s CCS Advantage™ delivers an unparalleled appreciation of not only the importance of clinical care and outcomes improvement, but also the vital roles that cost improvement and coordinated risk adjustment play.

Through its unique combination of advanced disease management capabilities, together with deep clinical resources, comprehensive process transparency, modular design, and an integrated risk adjustment solution, CCS Advantage™ provides an extremely powerful option for risk adjustment health plans in today’s Medicare and Medicaid landscape.