Medicare Risk Adjustment (CMS-HCC v23 & v24 )
Cozeva’s Risk Adjustment engine calculates RAF and analyzes HCC scores. We have the most up-to-date and accurate models, which look at billion of events spanning multiple years and include everything from claims & charts to prescriptions & lab test results.
Commercial Risk Adjustment (ACA)
Cozeva puts into the line of sight to providers suspect conditions for the Commercial Exchange and ACA populations using HHS-HCC Risk Model.
Medicaid Risk Adjustment (CDPS / Medicaid Rx)
Cozeva also computes risk using CDPS/Medicaid Rx for Medicaid populations.