Case Study: Allina Health achieves 6x ROI in risk adjustment and revenue capture with Evidently

Allina Health sees 6x ROI with Evidently

Allina Health, a not-for-profit health care system, faced a challenge in accurately capturing HCC codes to reflect patient complexity for risk adjustment and revenue capture. Despite existing tools, a gap remained in searching unstructured data from sources like scans and external documents. Partnering with Evidently, Allina sought to optimize this process without adding to provider workload.

Evidently addressed this by analyzing large datasets to identify HCC opportunities and presenting actionable diagnostic suggestions directly within the EHR workflow. The solution processed tens of thousands of encounters, and providers accepted the AI-generated insights at a 20-30% rate. This led to more accurate risk adjustment and a significant expected financial impact, achieving a 6x return on investment for Allina Health.

Allina Health