We create alignment and value across the entire healthcare landscape to accomplish CMS’ aim of better care, better health and lower costs.
Our Well365 Standard solution drives better care and profitable revenue growth for providers by streamlining the delivery of CMS compliant Medicare Annual Wellness Visits (AWVs).
It also identifies numerous other recommended preventive services while closing quality gaps for HEDIS and Stars.
Well365 Plus enables Medicare and Commercial risk-bearing entities to capture diagnostic codes and close gaps for more complete and compliant risk adjustment. These cloud-based solutions help providers thrive in a value-based delivery model without disrupting current workflow.
Unlocking Value-Based Care
Vatica’s innovative PRAQS™ platform is the first Provider-centric Risk Adjustment and Quality Solution. PRAQS™ drives a measurable increase in the accuracy and quality of HCC coding, improves Star ratings, enhances financial performance, and reduces compliance risk.
Payers lack effective means to capture complete and accurate risk scores and quality measures in a compliant and cost effective manner across all business lines:
Vatica’s innovative PRAQS™ platform, centering around an Enhanced Annual Wellness Visit , is the first Provider-centric Risk Adjustment and Quality Solution. PRAQS™ drives a measurable increase in the accuracy and quality of HCC coding, improves Star ratings, enhances financial performance, and reduces compliance risk.
Payers lack effective means to maximize risk scores and quality measures in a compliant and cost effective manner across all business lines:
70% of members do not obtain prospective risk assessments
Third-party coders routinely provide little value after care has been delivered
Providers lack technology and proper incentives to effectively capture and document diagnosis codes
Missed and inaccurate coding due to lack of integrated systems to aggregate, normalize clinical and claims data at the point of care
Home assessments often lack access to clinical data and care coordination that regulators expect
- Provider Roll Out Expertise
- Proven Strategies to Drive EAWV Volume
Clinical and Compliance
- Program Effectiveness
- Clinical QI Reviews and Correction Process
- Third-Party Coding Audits
Data and Analytics
- Data Imports
- Data Exports
- Detailed HCC Analysis
- Medical Record Images
- Provider Office
- Mobile Wellness Units
- Skilled Nursing Facility
- Home Assessments
- Health Events
Member Outreach & Appointment Scheduling
- Call Center Scheduling
- Direct Mail
- Outbound Phone Calls
- Emails and Texting
Coding and Quality
- Real-Time, Computer-Assisted Diagnosis Coding, Gap-Closures and Capture of Quality Measures
- Ability to integrate with any certified EMR through HL7 and CCDs
Clinical Teams Deployed to Point of Care
Vatica’s solutions improve the health and wellness of individuals by facilitating the delivery of the Medicare Annual Wellness Visit and other important preventive services. Many serious diseases and illnesses can be prevented or delayed. The Wellness Visit is a recently created benefit that is intended to keep seniors healthy by addressing lifestyle habits and early detection of chronic diseases. The Annual Wellness Visit and many other preventive services are 100% free with no copay, yet they are dramatically under-used.