Drive Value-Based Care at Scale
Eliminate critical barriers to provider adoption and unlock the full potential of value-based care
Upgrade from basic quality and risk tools to a true data strategy partner
PayerOne Highlights
PayerOne Highlights
All-in-one Solution
Integrate all data sources to enable payer and provider collaboration across quality and risk
NCQA-Certified
Leverage a NCQA-certified vendor for timely, accurate and secure HEDIS® submissions
Point of Care Integration
Engage providers and drive quality and risk initiatives at the point of care to close care gaps
Real-time Dashboards
Utilize actionable dashboards to engage providers and drive behavior change in care teams
Population Health Analytics
Unlock powerful and actionable population health analytics for both quality and risk
Health Equity Insights
Discover and act on health equity opportunity insights across all populations and initiatives
Customer Relationship Management (CRM)
Gain visibility, coordinate and manage care with members across organizations with global CRM views
Accurate Risk Adjustment
Use AI and analytics to improve member care while aligning risk adjustment revenue with disease burden
V28 Transition Support
Streamline transition with an advanced ML suspect model with layered clinical rules
Powered by Cozeva, a secure cloud-platform designed to drive provider engagement and organizational performance
Unified Experience
Exchange bi-directional data and merge views across tenancies to establish a unified experience across your POs, practices, providers and care teams
Artificial Intelligence
Analyze billions of data points using AI to predict member engagement, identify complex patients, stratify risk, prevent high-cost events, measure ROI and more
Advanced Analytics
Leverage AI and predictive analytics to deep dive into cost, utilization, quality and risk performance, and disparities across 200+ preconfigured analytic workbooks
EHR Integration
Use CozevaConnect to seamlessly integrate with EHRs to highlight care gaps within provider workflows, ensure accurate coding and streamline clinical data collection
360 Patient View
Gain insights into member needs, preferences and behaviors by bringing together data from multiple sources – claims, EHRs, SDoH, engagement and more
Population Health
Identify opportunities, drive end-to-end performance improvement workflows and coordinate care with an intuitive and flexible interface designed for diverse teams
Real-time Gap Closure
Take action and mark gaps as pending, enter supplemental data and confirm or disconfirm HCCs within clinical workflows to drive provider engagement and build trust
Care Team Well-Being
Leverage AI, automation and pre-built tools and templates to up-level your teams, reduce admin burden, and improve provider and care team well-being
And more
While these are our more commonly talked about features, there's more to explore — experience the full potential of our platform by scheduling a demo!
