Revolutionizing Healthcare Analytics

Calcul8 delivers the most advanced risk adjustment analytics to the ACA Commercial, Medicare Advantage, and Managed Medicaid Markets as well as Value-Based Payment Models for Medicare. Calcul8 provides the real-time visibility needed to monitor and manage risk adjustment revenue against budgeted gap closures and Key Performance Indicators (KPIs).

Qualit8 facilitates gap closure in Star Rating, QRS, and other quality measures using advanced analytics and predictive models to identify and prioritize the quality gaps most worthy of attention and to recommend the ideal intervention method and timeline for closing each.

With a continually evolving pharmacy management industry, Pulse8 is the only objective partner that can support a payer’s relationship with its PBM, pharmaceutical manufacturers, pharmacy networks, prescribers, and patients.

Valid8 analyzes conditions at risk of failing a data validation audit, whether or not they have been submitted to the EDGE server, CMS (EDPS/RAPS), or Medicaid (MEDS II), and strips away the “False Positives” that can expose a health plan during a RADV Audit for attributing risk factors that cannot be fully validated from the member’s medical records.

Collabor8 helps health plans and at-risk providers to engage physicians, advance quality initiatives, and deliver provider education, benchmarking, and member-specific alerts for gaps in Documentation, Coding, and Quality – all within a provider’s point-of-care workflow, via an intuitive self-service portal.

Integr8 utilizes advanced IT linkages to unite an ever-growing number of leading Electronic Medical Record (EMR) systems in order to access their expansive data sets, embed advanced analytics into the provider’s workflow, and push alerts directly to the provider for gap closure in the clinical setting.

Popul8 employs advanced Computer-Aided Coding technologies, such as Natural Language Processing (NLP) and Optical Character Recognition (OCR), to enable health plans to more efficiently and accurately find, document, and code those conditions for which their members were treated.

Reconcili8 is an integrated solution for EDPS/RAPS and/or EDGE Server Submissions that enables direct data entry, contains correction utilities, manages and prioritizes exceptions, and provides reconciliation dashboards – all to ensure complete and accurate data submissions.