Align risk adjustment strategy with provider support
Read more »Optimize health plan and practice performance
Expert clinical teams, comprehensive data and provider-centric
technology combine to deliver the #1-rated risk adjustment solution
#1
Rated Best in KLAS®
three years in a row
1.7M+
Patients served
41
States in our
market area
14
National and regional payer clients
11K+
Provider partners
What we do
The risk adjustment solution that works.
For everyone.
Vatica Health offers a unique model that pairs expert clinical teams with comprehensive data and intuitive technology at the point of care. By capturing more accurate and complete diagnosis codes, our solution helps improve performance for health plans and providers, enhances patient care and reduces compliance risk.
Why Vatica HealthWho we serve
Benefits for health plans
and providers
Trusted by leading health plans
Our unique combination of proprietary technology and clinicians embedded at the point of care increases PCP engagement, improves coding accuracy and compliance, and improves member health through comprehensive encounters that capture the true burden of all active conditions.
Embraced by providers
Legacy risk adjustment models work around PCPs and are disconnected from the patient’s care team. Vatica has always seen things differently. We built an end-to-end solution—paid for by health plans—that’s based on the idea that the PCP should be at the center of risk and quality interventions. Focusing on providers ensures accurate risk adjustment, as well as follow-up on active conditions.
Recognition
Named Best in KLAS®
three years in a row
2025 marked the third year in a row that we were recognized with the Best in KLAS distinction in the Risk Adjustment Software and Professional Services category.
Benefits
Make healthcare
more effective, efficient
and equitable for everyone
Improve clinical performance
Through a unique integrated platform and dedicated clinical and admin resources at the point of care, Vatica’s prospective solution improves patient care for both health plans and practices. Vatica’s unique partnership with payers and providers creates seamless collaboration between all stakeholders.
Enhance compliance, reduce
regulatory risk
Legacy risk adjustment programs have not evolved to meet the current regulatory environment and are being scrutinized for not impacting care and inflating risk scores. We equip providers with clinical insights at the time of a visit to positively impact patient care. Our team of AAPC™-certified clinical validation auditors reviews codes and documentation for completeness and accuracy.
Reduce the provider workload
Vatica licensed nurses and admin support are assigned to practices, helping providers capture more accurate and complete diagnosis coding and documentation. We do 90% of the prep work, reducing the burden on PCPs and their staff.
Drive superior results
We use powerful technology to drive efficiency and results. Clinical information is synthesized from various sources, including EMR and health plan data, to create the most comprehensive view of each patient.
Testimonials
“Vatica has helped immensely with our quality program and identifying gaps in care. We’ve seen an improvement in risk accuracy of about 10% per patient and are grateful to have this tool for our large network to use.”
Chief Medical Officer
Resources
Read our latest thoughts
on healthcare
Adjust your approach to risk adjustment
Talk to one of our risk adjustment experts today to see how we can help you deliver better performance and stronger compliance while closing gaps in care.