Why Vatica Health?
Sharing the many benefits of accurate risk adjustment
Many of the healthcare industry’s most challenging objectives—ensuring quality care, operational efficiency, cost management, patient medical benefit access and financial health—are dependent upon accurate and effective risk adjustment. Evolving market dynamics, such as CMS-HCC Model Version 28 and RADV Final Rule, are forcing at-risk entities to focus more on financial performance and compliance. Because legacy models work around PCPs, they don’t improve outcomes and are susceptible to coding issues. Vatica Health’s unique solution directly addresses the root causes hindering risk adjustment performance.
By supporting greater collaboration between health plans and PCPs, driving the use of comprehensive clinical data at the time of patient encounters, increasing coding and documentation accuracy, and supporting patient engagement, Vatica’s technology and expert resources ensure that everyone wins—health plans, PCPs and patients.
Six reasons to choose
Vatica Health
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1
Vatica is PCP-centric
Vatica’s prospective solution places PCPs back at the center of care to diagnose, document and follow up. Other solutions drop off after collecting codes, leaving patients and physicians frustrated with a lack of coordination and care focus.
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2
Vatica supports closer provider and
health plan collaborationWe act as a bridge between health plans and PCPs, working behind the scenes to integrate clinical and health plan data. Our clinical staff curates an accurate active condition list that ensures the most comprehensive encounters. Vatica enables seamless documentation post-encounter and generates reports with appropriate HCC and quality codes for providers to evaluate.
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3
Vatica technology is powerful and intuitive
Vatica’s powerful technology ensures speed, ease of use and accuracy. PCPs adopt our solution readily and can easily integrate it into leading EMRs.
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4
Vatica addresses resource constraints
A survey showed that 84% of PCPs cite a lack of administrative support, clinical support and overall staff to enable effective risk adjustment and coding accuracy. Our solution provides dedicated licensed nurses and CRC-certified coders that PCPs need to augment in-house resources.
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5
Vatica helps drive value-based care and preventive care
We drive PCP utilization of preventive services, identify care gaps, enhance quality of care and patient engagement, and improve VBC performance.
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6
Vatica is proven
Our Net Promoter Score® of +54 from our health plan clients indicates high customer loyalty. In addition, we’ve earned three consecutive Best in KLAS® awards for risk adjustment. Vatica Health's solution is the trusted solution of the nation’s leading health plans and thousands of PCPs in 39 states.
Optimized performance for payers and providers
Vatica Health offers a unique solution that aligns incentives with quality care, making it possible for health plans and PCPs to achieve better clinical performance. Health plans improve coding accuracy, and PCPs are placed back at the center of care to diagnose, document and follow up.
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.
Hear from our customers
“For our practice, the first ‘toe in the water’ toward transitioning to value-based care was our contract with Vatica. There was a concerted effort in our organization to make sure that some of the savings that comes from this work is shared with physicians. Physicians were motivated to change. They’re doing a better job of assessing risk, understanding where the higher risk population is and directing services toward that population.”
Northeast Medical Group, Connecticut
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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.