Engagys Playbook Best Practices Risk Adjustment

Using the power of member engagement to complete risk adjustment

Health plans face a number of headwinds: rising medical costs, pressure on pricing, and scrutiny from the public and government. Consistent, complete, and accurate risk adjustment (RA) coding remains one lever that you control. Since the annual wellness visit is the ideal platform, it is critical to engage your members and convince them to act. But, the work needs to be done in an orchestrated manner in a way that balances multiple trade-offs: member abrasion v. satisfaction, standardization v. flexibility, and investing in technology v. controlling costs.

Engagys is the only firm that blends expertise in the operational challenges of balancing member engagement and completing risk adjustment.

Our capabilities span all the work needed to address the last mile of member engagement and complete the AWV.