Founded: 2011

HQ: San Mateo, CA

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.



  • Health Fidelity has worked with UPMC Health Plan since 2014
  • UPMC Enterprises became a strategic investor in March 2015
  • Achieved 3x increase in coder productivity with Health Fidelity
  • Found $475 in additional risk-adjusted revenue per Medicare Advantage member per year
  • UPMC Health Plan continues to scale Health Fidelity

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