Built for the Complexity of
Risk-Based Healthcare
We build software and deliver expertise where risk adjustment, quality, and data science intersect — for health plans, provider groups, and the attorneys who represent them.
Risk Adjustment Software
Purpose-built software for Medicare Advantage, Medicaid MCOs, ACA issuers, and ACOs — calculating risk scores across HCC/CMS-HCC, CDPS/MedicaidRx, and ACA methodologies, closing coding gaps, and optimizing revenue accuracy.
Quality Measurement Software
End-to-end HEDIS and Stars quality measurement tools for health plans and providers — tracking performance, predicting gaps, and ensuring compliant, complete data across Medicare, Medicaid, and ACA lines of business.
Data Science & Analytics
Advanced analytics, ETL engineering, and predictive modeling for managed care organizations — turning raw administrative and clinical data into actionable intelligence across risk adjustment, quality, and population health programs.
Strategic Consulting
Hands-on advisory for Medicaid managed care organizations, Medicare Advantage plans, ACA issuers, ACOs, and risk-bearing provider groups — covering risk adjustment operations, encounter data management, revenue strategy, and compliance.