Model.IsUpcomingAward = False Model.IsLoggedOut=False Model.PassedInYear=2023 Model.LastYear=2025 Model.ShowLoggedOut=True
 
 
 
2023 Best In Klas
 

Risk Adjustment

 
 
2023 Best In KLAS Risk Adjustment
Risk Adjustment
 
 
Best in KLAS Winner
 


92.5
Overall Performance Score
(100-point scale)

 
 
A+ = 95.0+
A = 91.0-94.9
A- = 88.0-90.9
B+ = 85.0-87.9
B = 81.0-84.9
B- = 78.0-80.9
C+ = 75.0-77.9
C = 71.0-74.9
C- = 68.0-70.9
D+ = 65.0-67.9
D = 61.0-64.9
D- = 58.0-60.9
F = <58.0
Based on KLAS' Decision Insights data, the market energy indicator reflects the frequency with which a vendor is seriously considered and replaced compared to what would be expected based on the number of vendors in the market and the number of purchase decisions recorded.
 
 
Ranked Solutions
Market average: 82.9
Software average: 80.3
Grading Scale

Overall performance score
(100-point scale)
Trend
(2022-2023)
Total
evaluations
Culture
Loyalty
Operations
Product
Relationship
Value
                   
Vatica Health
Risk Adjustment and Quality of Care Solution  
92.5
N/A
n=13
A
A+
B+
A-
A+
A
         
 
 
 
 
 
EXL
Clarity  
88.2
-5%
n=13
A
B
A-
B
A
A-
         
 
 
 
 
 
Datavant (formerly Apixio)
Apixio HCC Identifier  
86.8
-5%
n=20
A-
B
A-
B
A
A-
         
 
 
 
 
 
Pareto Intelligence
Risk Solutions  
86.7
-4%
n=14
B+
A-
B
B
A-
A
         
 
 
 
 
 
Advantmed
ELEVATE Risk Adjustment Insights  
85.2
N/A
n=6
B+
A
C
B
B+
A-
         
 
 
 
 
 
Edifecs
Talix Risk Adjustment and Analytics Solutions  
85.2
N/A
n=11
B-
A-
B+
B
B+
B+
         
 
 
 
 
 
Episource
Risk Adjustment and Analytics  
84.8
-3%
n=27
B
A-
B
B
B+
B+
         
 
 
 
 
 
Veradigm
Illumin8 Risk Analytics  
84.7
N/A
n=9
B
B
B+
B
A-
B+
         
 
 
 
 
 
MedInsight
Risk Analytics  
84.5
-6%
n=25
B+
B+
B
B
B+
B
         
 
 
 
 
 
Arcadia
Risk Navigator Plus  
79.3
N/A
n=8
C+
B
C
C+
B
B
         
 
 
 
 
 
Datavant (formerly Ciox Health)
Ciox Health Risk Adjustment Solution  
78.0
-5%
n=21
B-
B-
C+
C+
B-
C
         
 
 
 
 
 
Optum
Change Healthcare Risk View (Risk Analytics)  
KLAS comments icon
77.9
-1%
n=14
B-
C+
B
C
B
B-
         
 
 
 
 
 
Edifecs
Health Fidelity Lumanent  
74.5
N/A
n=19
D
C
B-
C
C+
B
         
 
 
 
 
 
Cotiviti
Risk Adjustment Solutions  
68.6
N/A
n=6
D
C-
C
D-
C
B-
         
 
 
 
 
 
Inovalon
ONE Platform Risk  
50.3
-16%
n=19
F
F
F
F
F
F
 
50.0
100.0
 
Vatica Health
Risk Adjustment and Quality of Care Solution
92.5
n=13
 
culture
A
loyalty
A+
operations
B+
product
A-
relationship
A+
value
A
 
EXL
Clarity
88.2
n=13
 
culture
A
loyalty
B
operations
A-
product
B
relationship
A
value
A-
 
Datavant (formerly Apixio)
Apixio HCC Identifier
86.8
n=20
 
culture
A-
loyalty
B
operations
A-
product
B
relationship
A
value
A-
 
Pareto Intelligence
Risk Solutions
86.7
n=14
 
culture
B+
loyalty
A-
operations
B
product
B
relationship
A-
value
A
 
Advantmed
ELEVATE Risk Adjustment Insights
85.2
n=6
 
culture
B+
loyalty
A
operations
C
product
B
relationship
B+
value
A-
 
Edifecs
Talix Risk Adjustment and Analytics Solutions
85.2
n=11
 
culture
B-
loyalty
A-
operations
B+
product
B
relationship
B+
value
B+
 
Episource
Risk Adjustment and Analytics
84.8
n=27
 
culture
B
loyalty
A-
operations
B
product
B
relationship
B+
value
B+
 
Veradigm
Illumin8 Risk Analytics
84.7
n=9
 
culture
B
loyalty
B
operations
B+
product
B
relationship
A-
value
B+
 
MedInsight
Risk Analytics
84.5
n=25
 
culture
B+
loyalty
B+
operations
B
product
B
relationship
B+
value
B
 
Arcadia
Risk Navigator Plus
79.3
n=8
 
culture
C+
loyalty
B
operations
C
product
C+
relationship
B
value
B
 
Datavant (formerly Ciox Health)
Ciox Health Risk Adjustment Solution
78
n=21
 
culture
B-
loyalty
B-
operations
C+
product
C+
relationship
B-
value
C
 
 
culture
B-
loyalty
C+
operations
B
product
C
relationship
B
value
B-
 
Edifecs
Health Fidelity Lumanent
74.5
n=19
 
culture
D
loyalty
C
operations
B-
product
C
relationship
C+
value
B
 
Cotiviti
Risk Adjustment Solutions
68.6
n=6
 
culture
D
loyalty
C-
operations
C
product
D-
relationship
C
value
B-
 
Inovalon
ONE Platform Risk
50.3
n=19
 
culture
F
loyalty
F
operations
F
product
F
relationship
F
value
F
 
 
 
 
 
 
 
Other Notable Performances Other Notable Performances
 


Ranked solutions for which at least 95% of respondents answered yes.
Avoids charging for every little thing?
Arcadia
Risk Navigator Plus
n=7  100%
Pareto Intelligence
Risk Solutions
n=14  100%
Talix
Risk Adjustment and Analytics Solutions
n=10  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=12  100%
Keeps all promises?
EXL
Clarity
n=13  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=13  100%
Part of long-term plans?
Advantmed
ELEVATE Risk Adjustment Insights
n=6  100%
Arcadia
Risk Navigator Plus
n=7  100%
Talix
Risk Adjustment and Analytics Solutions
n=10  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=13  100%
Would you buy again?
Advantmed
ELEVATE Risk Adjustment Insights
n=6  100%
Pareto Intelligence
Risk Solutions
n=13  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=13  100%
Avoids charging for every little thing?
Arcadia
Risk Navigator Plus
n=7  100%
Pareto Intelligence
Risk Solutions
n=14  100%
Talix
Risk Adjustment and Analytics Solutions
n=10  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=12  100%
 
Keeps all promises?
EXL
Clarity
n=13  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=13  100%
 
Part of Long Term Plans?
Advantmed
ELEVATE Risk Adjustment Insights
n=6  100%
Arcadia
Risk Navigator Plus
n=7  100%
Talix
Risk Adjustment and Analytics Solutions
n=10  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=13  100%
Would you buy again?
Advantmed
ELEVATE Risk Adjustment Insights
n=6  100%
Pareto Intelligence
Risk Solutions
n=13  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=13  100%
 
 
 
 
 
Related Reports
 
 
 
 

Past Risk Adjustment Awards

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