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.
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.
Gain a comprehensive view of patient health records from diverse, interconnected clinical data sources packaged into our holistic patient compendium with supporting clinical documentation.
Leverage our Evidence Validation Engine EVETM for treatment use cases that surface suspected undiagnosed conditions, comorbidities and chronic disease states.
Integrate up-to-date patient insights into existing provider workflow and clinical systems, reducing provider abrasion and making care gap closure actionable and repeatable.
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.
By surfacing insights at the point of care, Reveleer allows value-based care organizations to focus on patient outcomes and Risk Adjustment accuracy.
Get concise clinical indicators with supporting clinical evidence integrated directly into the EHR for workflow efficiency.
Catch suspected, undiagnosed conditions with our advanced clinical-decision-support algorithms.
Prospective Risk Adjustment captures true patient health risk and streamlines Retrospective Risk Adjustment programs.