Medihealth Payors Medihealth hero


risk adjustment & quality

Our Model is Uniquely Positioned

to Promote:

Preventative Care and Quality

  • Quality (STARS/HEDIS) and Risk Gap Closure
  • Care Management Team coordination
  • Annual Wellness Visits

Regulatory Compliance

  • Providers are trained in CMS compliant risk adjustment coding and documentation practices to ensure MEAT thresholds are maintained
  • Licensed Medical Coders review records to meet RADV standards
  • State by state licensed providers to comply with CMS telehealth requirements

Data Driven Healthcare

  • Our claims driven data model allows us to triage high risk members for necessary clinical intervention
  • Data sharing with payors promotes transparency and real-time query process allows for payor-provider collaboration
Are you an ACA or Medicare Advantage Plan looking for telehealth primary care solutions for your membership?

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