Risk Adjustment & Quality Management

Get Help with Risk Adjustment & Quality Management from Pulse8

Pulse8, an affiliate of Veradigm is a Healthcare Analytics & Technology vendor that provides complete transparency into the efficacy of your Risk Adjustment, Quality Management, and Pharmacy Programs. Pulse8 solutions are ideal for At-Risk providers.

Pulse8’s advanced analytics and risk adjustment expertise provide invaluable support to those responsible for Risk-Adjusted Revenue, Performance-based Contracting, and Quality Management.

Pulse8 Can Help You:

Succeed in risk-sharing arrangements from Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMH) to CMS Star Ratings and Value-Based Payments (VBP)
Drive risk-adjusted revenue, outcomes-based reimbursement, and quality-driven bonuses for your practice
Translate analytics into action to help promote patient health outcomes

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Pulse8 Products

Medical Management - Collabor8 + Integr8
Quality Management - Qualit8
Practice Management - Collabor8
Finance & Administration - Calcul8
Risk Adjustment - Calcul8
Managed Care - Calcul8 & Collabor8

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Medical Management | Collabor8 & Integr8 The user-friendly Provider Portal within Collabor8 and the EMR integration of our Integr8 technology help maximize gap closure rates while minimizing provider disruption.

Reduce the administrative burden of information requests by prioritizing intervention targets
Coordinate your efforts to close gaps in documentation, coding, and quality all at once
Translate analytics into meaningful action to drive positive health outcomes
Alerts can be delivered independently or integrated with the providers established workflows

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Quality Management | Qualit8 NCQA certified HEDIS engine that proactively identifies trends in quality performance and can strategically prioritize quality improvement initiatives.

Efficiently steer your HEDIS® nurses and QI staff towards closing the most meaningful quality gaps
Provides the flexibility to use cardinal or ordinal measures; relative or absolute determination methods; the ACA Quality Rating System (QRS), CMS Star Ratings, or State-specific Medicaid Models
Advanced analytics enable QM/QI managers to only target the most fruitful intervention targets

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Practice Management | Collabor8 Provider engagement solution with essential dashboards and scorecards to stay on top of clinician and patient analytics

Evaluate your clinicians’ clinical performance, case mix, diagnostic capture rates, and coding efficacy to identify those who might benefit from ongoing education and/or additional support staff.
Stay on top of your patient panel
Maintain your own patient profiles and analytics framework so that you can understand the risk-related data of your practice

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Risk Adjustment Analytics & Financial Reporting | Calcul8 Risk adjustment, pharmacy analytics and financial reporting solution to help you maintain a watchful eye on your practice’s risk-based contracts

Enables the ability to monitor how well your practice is performing on your risk-based contracts when compared to expectations.
Accurately helps your practice predict Medicare Advantage final year and/or mid-year risk adjustment results and ACA Commercial Transfer Payment Revenue
ACA Commercial Modeler can calculate the RAF Points your practice needs to reach budget and the optimal intervention level, timing, and type with which to get there.

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Risk Adjustment | Calcul8 Risk adjustment analytics and reporting solution to improve your confidence levels and predictive capabilities regarding individual patient risk factors

Combines advanced risk adjustment analytics with Big Data mining to produce precise and actionable risk adjustment algorithms in Managed Medicaid, ACA Commercial, and Medicare Advantage markets.
Patent pending Dynamic Intervention Planning helps target gap closure strategies to the right patient at the right time
Helps avoid pursuing low-yield interventions that may have little to no impact on risk scores

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Managed Care | Calcul8 & Collabor8 Solutions for managed care contracting teams to reduce administrative burden and drive practice efficiencies

Leverage Calcul8 to project the impact of the revenue and risk scores for each contract
Collabor8 dashboards can help uncover details about high-cost patients who may disproportionately affect your practice’s risk profile
Translate analytics into meaningful action to drive positive health outcomes

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Learn more about Risk Adjustment & Quality Management

Risk Adjustment & Quality Management

Get Help with Risk Adjustment & Quality Management from Pulse8

Pulse8 Can Help You:

Pulse8 Products

Filter by:

Medical Management | Collabor8 & Integr8 The user-friendly Provider Portal within Collabor8 and the EMR integration of our Integr8 technology help maximize gap closure rates while minimizing provider disruption.

Quality Management | Qualit8 NCQA certified HEDIS engine that proactively identifies trends in quality performance and can strategically prioritize quality improvement initiatives.

Practice Management | Collabor8 Provider engagement solution with essential dashboards and scorecards to stay on top of clinician and patient analytics

Risk Adjustment Analytics & Financial Reporting | Calcul8 Risk adjustment, pharmacy analytics and financial reporting solution to help you maintain a watchful eye on your practice’s risk-based contracts

Risk Adjustment | Calcul8 Risk adjustment analytics and reporting solution to improve your confidence levels and predictive capabilities regarding individual patient risk factors

Managed Care | Calcul8 & Collabor8 Solutions for managed care contracting teams to reduce administrative burden and drive practice efficiencies

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Contact us for more information about managing risk and quality for your practice.