Overview

Arcadia Assess is a cloud-based solution designed to enhance collaboration between healthcare payers and providers by streamlining risk adjustment and quality gap closure processes. Traditional methods often rely on paper-based workflows, leading to inefficiencies such as duplicated efforts and strained relationships between parties. Arcadia Assess addresses these challenges by offering a centralized platform that integrates clinical data and claims feeds, facilitating seamless risk adjustment and quality workflows. This integration not only reduces administrative burdens but also improves overall performance in managing risk and quality programs.

Features and Capabilities

• Seamless Application: Provides an elegant workflow and reporting structure for quality and risk adjustment programs, enhancing user experience.
• Cloud-Based Integration: Integrates with claims feeds and clinical data to facilitate combined risk adjustment and quality workflows for providers.
• Dynamic, Customizable Forms: Offers forms that can be customized and triggered by health plan quality and risk teams, ensuring flexibility and adaptability.
• Near Real-Time Collaboration: Allows providers and payers to collaborate in near real-time as the system updates, ensuring timely data sharing.
• Timely Clinical Data: Integrates with daily clinical data and claims feeds for an up-to-date view of risk and quality gap status.
• Combined Risk and Quality Workflows: Provides a single application and programming engine for a unified approach to quality gap closure and risk adjustment.
• Integrated Care Management Programs: Triggers interventions based on quality and diagnostic findings, and shares records with care coordination staff.
• Highly Configurable Views: Built to accommodate real-world variations between payers, health systems, and state requirements, allowing tailored workflows.
• Automated Assignments: Creates assignments automatically for providers and other users based on the type of gaps and eligible contracts, streamlining task management.