FROM REACTIVE TO PROACTIVE: THE ROLE OF RISK ADJUSTMENT SOLUTION IN PREVENTIVE CARE
Providing the best care to patients while minimizing the risks and costs associated with illnesses is the ultimate goal of the healthcare industry today. The customary approach to healthcare has always been reactive, where healthcare providers wait for a patient to become ill before taking steps. However, with advancements in technology and the rising cost of healthcare, there has been a shift towards a more proactive approach, which involves early detection and prevention of diseases. Risk Adjustment Solution plays a crucial role in this shift towards proactive healthcare.
What is Risk Adjustment?
It is a process used by healthcare providers to assess the severity of illness in their patient population. It involves collecting data on patients’ health status and using it to spot patients at elevated threat of developing particular ailments. This information can then be used to develop preventive care plans that can help reduce the risk of these diseases.
How Does Risk Adjustment Solution Work?
Risk adjustment solution uses a combination of data analytics and natural language processing (NLP) to analyze large amounts of patient data. This data can include medical records, claims data, and other health-related data sources. The data is then employed to recognize patients who are especially at high risk.
The Role of HCC Coding
One of the critical components of a risk adjustment solution is Hierarchical Condition Category – HCC Coding. It is a method used by healthcare providers to identify patients who have chronic conditions that require ongoing medical care. The HCC codes are used to classify patients depending on the severity of their disease.
How Does NLP Help?
It is another important component of risk adjustment – a type of artificial intelligence that is used to analyze and understand human language. NLP can be used to extort significant data from medical records and other health-related data sources.
The Gains of Risk Adjustment Solution
In conclusion, the Risk adjustment solution plays a crucial role in this healthcare shift by identifying patients who are at high risk of developing certain conditions or diseases. Persivia is a leading provider of risk adjustment platforms that uses advanced NLP and HCC coding to identify high-risk patients and develop preventive care plans. By partnering with Persivia, healthcare providers can improve the overall healthcare landscape.