Case Study: Leading Healthcare Company achieves optimized risk-adjustment performance and reduced coding time with Innovaccer Health Cloud

Optimizing risk-adjustment performance with the Innovaccer Health Cloud

Leading Healthcare Company faced widespread coding gaps, inaccurate risk-adjustment factor (RAF) records, limited physician time, and difficulty understanding medical codes—challenges that threatened accurate HCC coding and Medicare Advantage performance. To tackle these issues, they engaged Innovaccer and implemented the Innovaccer Health Cloud.

Innovaccer deployed its Health Cloud—using a proprietary risk model, AI/NLP, and risk-adjustment workflows—to identify dropped/suspect HCC codes, support risk-coder workflows, enable two-way clinician–coder communication, and deliver actionable point-of-care insights. As a result, Innovaccer helped the Leading Healthcare Company achieve a 40–50% improvement in physician response rates, about a 30% reduction in time spent on risk coding, a 20–30% decrease in readmissions, and improved risk stratification and productivity.