Health Fidelity

Comprehensive, scalable risk adjustment transformation solutions

Improving Outcomes

Comprehensive, scalable risk adjustment transformation solutions
Health Fidelity develops innovative technologies for health plans in the value-based health care era. The company worked with UPMC to develop a comprehensive risk-adjustment solution for Medicare Advantage, Medicare ACO, and health insurance exchange programs. The technology – first deployed at UPMC Health Plan – uses analytics, workflow optimization and point-of-care integration to provide the control, transparency and information necessary to successfully run risk-adjustment programs at health plans.

About Health Fidelity:
  • Natural Language Processing platform for risk adjustment at health plans
  • Founded 2011
  • Headquarters: San Mateo, Ca.
  • UPMC Enterprises co-led $36 million financing round, April 2017
  • Technology behind Hemolung developed at University of Pittsburgh
  • UPMC was the first hospital system in U.S. to use Hemolung RAS on an emergency use basis
Case study:
Health Fidelity and UPMC Health Plan