Clinical Intelligence for Prospective Risk

Clinical Intelligence built for value-based care

Clinical patient data is fragmented across many encounters and providers within a patient's healthcare journey. This fragmentation creates blind spots for clinicians and insurance plans when patients seek care outside of the visibility of their primary care physician or when one has not been assigned.

A full medical history is crucial in value-based medicine where treatment and reimbursement for care are based on individual patients’ risk-adjustable conditions. To succeed, providers need a patient-centric view that accounts for all clinical encounters. Health plans need to ensure that enrollee risk adjustment factor (RAF) scores are accurate and align with value-based care payment models. Reveleer's Clinical Intelligence bridges this gap.

Our value-based care enablement Platform and Clinical Intelligence solution taps into a nationwide network of clinical data to build a longitudinal view of patient care from outside and inside the provider's organization. Our technology then synthesizes this data into one composite health record, surfacing potential care gaps using artificial intelligence and then delivers these clinical insights back to the point of care.

By connecting clinical insights and risk adjustment opportunities pre-encounter, our technology presents providers with actionable clinical intelligence directly into the patient chart within the provider's EHR to have a greater impact on improving patient outcomes.

Clinical insights for providers at the point of care

Our end-to-end solution surfaces clinical insights for providers directly in their EHR with links to supporting clinical documentation to help optimize patient encounters and support condition management.

Animated user interface showcasing clinical intelligence software features by Reveleer

Build complete patient views

Gain a comprehensive view of patient health records from diverse, interconnected clinical data sources packaged into our holistic patient compendium with supporting clinical documentation.

Identify suspected diagnoses

Leverage our Evidence Validation Engine EVE^TM for treatment use cases that surface suspected undiagnosed conditions, comorbidities and chronic disease states.

Integrate with clinical systems

Integrate up-to-date patient insights into existing provider workflow and clinical systems, reducing provider abrasion and making care gap closure actionable and repeatable.

Redefine Prospective Risk Adjustment for value-based care plans

Reveleer’s end-to-end Prospective Risk solution captures clinical evidence and validates diagnoses during patient encounters. This updated workflow decreases provider abrasion, reduces the reliance on retrospective risk adjustment audits, and ensures RAF accuracy for a more complete Risk Adjustment solution.

Advanced clinical data interoperability

Gain a comprehensive view of patient care with clinical insights from an established, nationwide network of clinical data for treatment use cases.

AI-powered clinical review

Ensure accurate RAF scores when risk adjustable HCCs are surfaced, treated and documented by providers during patient encounters.

Optimize the risk continuum

Drive efficiencies into Retrospective Risk Adjustment programs when HCCs are treated and coded at the point of care, reducing retrospective chases, minimizing coding inaccuracies and improving revenue transparency.

Expedite gap closure at the point of care

By surfacing insights at the point of care, Reveleer allows value-based care organizations to focus on patient outcomes and Risk Adjustment accuracy.

Patient insights in provider workflows

Get concise clinical indicators with supporting clinical evidence integrated directly into the EHR for workflow efficiency.

Proactive diagnosis identification

Catch suspected, undiagnosed conditions with our advanced clinical-decision-support algorithms.

RAF score accuracy

Prospective Risk Adjustment captures true patient health risk and streamlines Retrospective Risk Adjustment programs.

Clinical Intelligence

A new evolution in patient insights with Prospective Risk