Introducing the next generation
of risk adjustment and quality of care

Vatica Health offers a unique model that pairs expert clinical teams with cutting-edge technology at the point of care. By capturing more accurate and complete diagnosis codes, our solution helps improve financial performance for health plans and providers and reduces the risk associated with an audit.

PCP performance

We drive provider utilization of preventive services, enhance quality of care and patient engagement, and improve gain-share revenue.

Quick and
painless coding

Our pre-encounter prep work paired with EMR workflow integration helps practices efficiently capture diagnosis code while reducing physicians’ administrative burdens.

Support for
quality programs

We identify open care gaps to help providers understand where to take action when it matters most, at the time of the visit.

There’s a better way to facilitate risk adjustment,
and it all starts with the in-office encounter

We’re there at the
point of care

We ensure the encounter and documentation process run seamlessly. Vatica Clinical Consultants use real-world experience to surface the most appropriate codes, based on aggregated data from health plans, EMRs, and patients.

Less time with tech,
more time with patients

Spend less time coding and more time delivering care. We integrate into the provider workflow and leverage our platform to drive improvements to care and financial performance.

Drive compliance
and reduce audit risks

The best record is the most complete record. Our solution is built around compliance to ensure appropriate documentation and coding. 100% of encounters are reviewed by clinicians (such as RNs and MDs) with advanced coding certifications.

Benefiting health plans, providers and patients

Our combination of EMR-agnostic, proprietary technology and on-site clinicians increases engagement, improves coding accuracy and compliance, and ensures that value-based care goals are met. Vatica Health’s solution also improves health and wellness of patients by facilitating the delivery of Annual Wellness Visits, preventive services, and other clinical services for all patients. Our solution helps providers, health plans, and patients achieve better outcomes, together.

See how our solutions can work for you

Real results, real ROI

Improve financial

Improve financial performance

Health plan: Complete and accurate diagnosis capture drives greater risk adjustment revenue

Provider: Higher volume of AWVs and other preventive services, incentives for plan-sponsored risk assessments, and gain-share drive greater revenue

Maximize patient

Maximize patient engagement

Health plan: Industry-leading member engagement: 65%+

Provider: Enhanced patient engagement through flexible workflows, administrative support and outreach strategies

quality of care

Enhance quality of care

Health plan: Open care gaps are flagged and addressed during a PCP encounter

Provider: Comprehensive pre-encounter work empowers providers with necessary information to deliver the highest quality of care

Enhance compliance and RADV performance

Enhance compliance and RADV performance

Health plan: Comprehensive quality improvement review process ensures coding compliance and completeness. 100% of encounters are reviewed by clinicians (such as RNs and MDs) with advanced coding certifications.

Boost quality outcomes

Boost quality outcomes

Health plan: Collaboration with providers to improve care enables health plan partners to consistently achieve 4-5 STARs for CMS quality ratings

Improve risk
adjustment accuracy

Improve risk
adjustment accuracy

Health plan: 25% higher risk adjustment yield vs. pre-Vatica Health performance (due to more accurate and complete coding and documentation).

Let’s get acquainted

Enough about us, please tell us more about you and how we can help

our solution is simple.

Proprietary technology
ensures less time coding,
more time delivering care.

Solution built around
compliance reduces the risk
associated with an audit.

Expert clinical teams enable
efficient encounters at the
point of care.

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