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 application of risk adjustment within Medicare Advantage, managed Medicaid, and commercial insurance programs.

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 role 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 combination of HEDIS® assessment and risk adjustment solutions, CCS Advantage™ provides an extremely powerful option for health plans in today’s quality score-conscious and risk score-conscious Medicare Advantage, managed Medicaid, and commercial landscapes.