QUALITY AND RISK BUNDLE

The Quintuple Aim in one solution

Execute on all five dimensions of the Quintuple Aim in a comprehensive and integrated solution

All Value-Based Care initiatives in one place

Seeing the full picture allows you to connect the dots like never before. Bring together all 5 dimensions of the Quintuple Aim - care experience, population health, care team well-being, health equity and cost - under one umbrella across your health plans and patient populations to achieve seamless coordination and drive better outcomes

Quality and Risk Bundle Highlights

Quality and Risk Bundle Highlights

Explore the key features designed to help Provider Organizations deliver exceptional performance

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

Leverage actionable incentive dashboards to engage and drive provider behavior change

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 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

Quality and Risk Bundle Highlights

The all-in-one solution that uses next generation AI & integrated approaches at the point-of-care for Value Based Care

See all your quality and risk initiatives integrated into one view

Align your performance with what your health plans are seeing

Gain multi-payer alignment across all your quality and risk initiatives

Ensure year-round collection of quality, utilization and cost data

Gain transparency into coding details and inclusion criteria for easy QA

Gain visibility into health equity opportunities across quality and risk

Unlock population health analytics for quality and risk

Ensure quality and risk initiatives are presented at point-of-care

Engage providers in PI efforts via actionable dashboards

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, 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!

Professional Service Offerings

Additional offerings to support your organization to achieve its maximum potential

AMP Submissions

Automate AMP submissions to IHA (California) to reduce risk & unnecessary administrative burden

DAV

Increase trust & integrity of clinical data with automated processing & reduced administrative burden

Health Plan Data Exchange

Securely exchange data between health plans, provider organizations & other stakeholders

Clinician Engagement and Onboarding

Drive provider engagement with outreach & onboarding by Cozeva's Clinician Success team

Custom Program Administration

Specialty Bonus (special programs, attribution, custom measures, etc.)

Performance Improvement Consulting

Partner with professional services to reach all of your quality, risk and affordability goals

Demonstrated success from coast to coast.

Trusted by over 84 health plans and care delivery organizations, driving performance improvement and healthy outcomes for more than 25 million people across 31 states — and growing!
Learn more about how we can help you achieve your value-based care goals