Risk adjustment and stratification are essential components of successful value-based care.
Accurately predicting healthcare costs and categorizing patients based on risk allows organizations to allocate resources effectively, improve patient outcomes, and ensure financial viability.
Risk adjustment, focused on accurate coding and reimbursement, is crucial for capturing the full cost of care for complex patients. Risk stratification, on the other hand, enables targeted interventions for high-risk populations. By combining these strategies and leveraging advanced analytics, healthcare organizations can optimize performance in value-based care models.
Azara's platform empowers organizations to excel in both risk adjustment and stratification, providing the data, tools, and insights needed to drive positive outcomes.
With Azara you can
Increase Revenue
Risk adjustment identifies patients who qualify for additional reimbursement but haven't been coded correctly. By capturing these missed diagnoses and procedures, providers can recover lost revenue and improve their financial performance.
Target Interventions
Risk stratification allows providers to identify individuals at higher risk for specific health problems, enabling focused interventions and preventive measures tailored to those most likely to benefit, maximizing the impact of population health programs.
Optimize Resources
Understanding risk across patient populations allows more efficient resource allocation. Focus can be given to high-risk, high-cost individuals who will benefit most from high-touch actions like care management.
One-quarter of provider groups report that 'little or no ability to risk-stratify patients' is an obstacle to implementing value-based care initiatives, finds Azara's Market Report.
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Risk Adjustment & Risk Stratification
