Discover how our SMART approach can streamline your strategies and improve outcomes in risk-adjusted healthcare management.

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10 - 13X Average Reimbursement Potential

Our Clients Realize Up To 60%

UASI is Trusted by 1100+ Hospitals and Physician Groups

Risk Adjustment:
An Integrated System for Value-Based Care

Shifting into a value-based reimbursement environment is a transformational endeavor. VBC turns the traditional model on it’s head by focusing on the patient, not the encounter. Taking the approach to keep patients healthy versus treating them when they are ill causes providers to approach their care in much different ways. Achieving the right outcomes with risk adjustment requires healthcare organizations to trade silos for an integrated approach.

Change is never easy or a straightforward path. It’s difficult for many organizations to get started when they think about all of the factors that have to be considered. Others have gotten started in their transformation but have not experienced the outcomes they are seeking. Risk-adjustment needs to be addressed head on. Success is rare if trying to “fit” care for risk adjusted patients into using current mindsets, people, processes and tools. While this can be overwhelming at first, it’s important to think big picture, but act purposefully. In our experience, we have found using a system framework helps make the process manageable and helps providers see how to be successful.

Our system framework is comprised of 5 key components (or elements) that need to be in place to think and plan the transformational effort. The relationship between each component requires consistent monitoring and evaluation for continuous improvement to ensure a viable, beneficial system.

Strategize, Measure, Align, Resource, and Transform
for a Future-Ready Healthcare System

Strategy

Unified Healthcare Approach with UASI

Develop a cohesive strategy with UASI that aligns all healthcare activities with your broader organizational goals. By breaking down silos and coordinating clinical and financial operations, we ensure that every effort is directed towards collective outcomes. With UASI, gain access to bespoke strategic planning and expert insights that leverage decades of healthcare management experience to exceed the evolving needs of patient care.

Measurement

Data-Driven Decision Making with UASI Expertise

Leverage UASI's expertise in data management to measure and analyze performance effectively. Our rigorous approach to data collection, analysis, and interpretation informs every decision, ensuring strategies are both effective and adaptable. With UASI, you benefit from customized analytics solutions and ongoing support to ensure your organization can achieve and surpass industry benchmarks.

Alignment

Harmonizing Operations and Goals with UASI

Ensure that every component of your organization—from your clinical teams to your IT infrastructure—is synchronized with your strategic goals through UASI’s support. This alignment is crucial for fostering a supportive and cohesive environment that promotes health over healthcare transactions. With UASI, benefit from integrated health systems design and change management expertise, ensuring seamless operations across your entire organization.

Resources

Optimizing Tools and Technology with UASI

Selecting and implementing the right tools and technology are paramount in executing strategic initiatives. With UASI, gain access to industry-leading resources that improve efficiency and meet the complex data demands of modern healthcare systems. Our solutions and expert implementation support pave the way for operational excellence and set you apart in the healthcare industry.

Transformation

Continuous Improvement and Adaptation with UASI

Embrace transformation as an ongoing journey with UASI by your side. We emphasize the importance of continuous monitoring, evaluation, and adaptation to ensure your organization not only meets current healthcare standards but also sets new benchmarks. With UASI, you gain a dedicated partner in healthcare innovation, providing tools and strategies for sustainable growth and performance improvement.

As reimbursement models shift to value-based care, accurate medical coding will have a powerful impact on your revenue cycle performance.

Capturing accurate RAF scores for your patients is key to improving quality of care and proper reimbursement.

Contact UASI if you’d like to speak with one of our HCC risk adjustment experts for guidance on your next steps.

Achieving Outcomes in a Complex Structure

Shifting into a value-based reimbursement environment is a transformational endeavor.

Achieving the desired outcomes with risk adjustment requires healthcare organizations to move away from isolated operations towards a fully integrated approach. Change is never straightforward or easy. Many organizations struggle to embark on this transformation, and even those who do often find the results elusive. Addressing risk adjustment head-on is critical, and success is unlikely when trying to adapt care and operations for risk-adjusted patients without changing the foundational mindsets, people, processes, and tools. The complexity can be overwhelming, especially when organizations must operate concurrently within both traditional fee-for-service and risk-adjusted models.