Case Study: a leading primary care group achieves stronger value-based care outcomes with Navina

Navina AI-Powered Solution Improves Value-Based Care for Advanced Multi-State Primary Care Group

The customer, a leading primary care group for seniors with over 100 centers, faced the challenge of accurately assessing patient health to improve value-based care outcomes. They needed to lighten the administrative load on their clinicians and coders while ensuring accurate risk adjustment scores. To address this, they turned to Navina and its AI-powered platform.

Navina's solution integrated and interpreted vast amounts of patient data to create a concise "Patient Portrait" for clinicians. This provided evidence-based insights and diagnosis recommendations at the point of care. The results were significant: a 12% increase in risk adjustment scores, an 87% platform engagement rate, and a 74% acceptance rate of Navina's suggested diagnoses. The solution impacted 130,000 patient lives, identified 14% more diagnoses, and tripled coder capacity, leading to better financial outcomes and higher physician satisfaction.