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
- Health Fidelity and UPMC Health Plan: Scout helped UPMC Health Plan discover new risk insights, increase revenue, and improve coder efficiency for its MA and ACA member populations.
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