Optimize Risk Adjustment Performance

Not every member has the same potential — or the same barriers. We identify and prioritize the right population for outreach using claims data, pharmacy patterns, HCC history, and social determinants of health, ensuring your resources are focused where they generate the most value. 

We design and run coordinated outreach campaigns across call, SMS, mail, and digital — optimizing channel mix, message timing, and contact frequency to maximize response without overwhelming members. Less noise. More action. 

Your call center is often the most direct line to AWV completion — and most aren’t operating at full potential. We train agents using behavioral science-based techniques proven to improve member conversations, reduce refusals, and convert more calls into scheduled visits. 

From staffing models to redial rules, small operational changes can have an outsized impact on results. We analyze and refine each step of your engagement workflow to eliminate friction and maximize the number of members who complete a visit. 

In-home assessments are a critical complement to PCP-based AWVs — particularly for harder-to-reach populations. We help plans build a focused IHA strategy, select and manage vendors, and establish guardrails that balance completion rates with member satisfaction. Because members don’t distinguish between your plan and your vendors — and neither should your strategy. 

Outreach only works if it reaches someone. We apply rigorous data augmentation and validation to maximize contact rates — ensuring your campaigns get to the members who need them most.