Model.IsUpcomingAward = False Model.IsLoggedOut=False Model.PassedInYear=2025 Model.LastYear=2026 Model.ShowLoggedOut=True
 
 
 
2025 Best In Klas
 

Risk Adjustment

 
 
 
 
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: 83.3
Software average: 80.6
Grading Scale

Overall performance score
(100-point scale)
Trend
(2024-2025)
# of unique orgs
Culture
Loyalty
Operations
Product
Relationship
Value
                   
Vatica Health
Risk Adjustment and Quality of Care Solution  
KLAS comments icon
94.4
+1%
11
A+
A+
A
A-
A+
A+
         
 
 
 
 
 
Datavant (formerly Apixio)
Risk Adjustment Suite  
92.1
0%
15
A
A
A-
A-
A
A
         
 
 
 
 
 
Cozeva
PayerOne Risk  
87.5
N/A
6
B-
A
B+
B+
A
B+
         
 
 
 
 
 
Episource (An Optum Company)
Episource Clarity Platform  
84.3
+4%
10
B+
B
B+
B-
B+
B
         
 
 
 
 
 
Veradigm
Risk Adjustment Solutions  
82.7
N/A
10
B-
B+
B
B-
B
B+
         
 
 
 
 
 
Datavant (formerly Ciox Health)
Datavant Risk Adjustment Solution  
82.2
-3%
11
B-
B+
B
B-
B
B
         
 
 
 
 
 
Arcadia
Risk Navigator Plus  
81.3
+1%
8
B
B
B-
B-
B+
B-
         
 
 
 
 
 
EXL
Clarity  
KLAS comments icon
80.3
+1%
6
B
B-
C+
B
A-
C
         
 
 
 
 
 
Edifecs, A Cotiviti Business
Edifecs Risk Adjustment Solutions  
KLAS comments icon
72.0
+6%
8
F
C
C+
C-
C
B
         
 
 
 
 
 
Optum
Change Healthcare Risk View  
KLAS comments icon
51.0
-33%
6
F
F
F
F
F
C-
 
0.0
100.0
 
 
culture
A+
loyalty
A+
operations
A
product
A-
relationship
A+
value
A+
 
Datavant (formerly Apixio)
Risk Adjustment Suite
92.1
15
 
culture
A
loyalty
A
operations
A-
product
A-
relationship
A
value
A
 
Cozeva
PayerOne Risk
87.5
6
 
culture
B-
loyalty
A
operations
B+
product
B+
relationship
A
value
B+
 
Episource (An Optum Company)
Episource Clarity Platform
84.3
10
 
culture
B+
loyalty
B
operations
B+
product
B-
relationship
B+
value
B
 
Veradigm
Risk Adjustment Solutions
82.7
10
 
culture
B-
loyalty
B+
operations
B
product
B-
relationship
B
value
B+
 
Datavant (formerly Ciox Health)
Datavant Risk Adjustment Solution
82.2
11
 
culture
B-
loyalty
B+
operations
B
product
B-
relationship
B
value
B
 
Arcadia
Risk Navigator Plus
81.3
8
 
culture
B
loyalty
B
operations
B-
product
B-
relationship
B+
value
B-
 
 
culture
B
loyalty
B-
operations
C+
product
B
relationship
A-
value
C
 
 
culture
F
loyalty
C
operations
C+
product
C-
relationship
C
value
B
 
 
culture
F
loyalty
F
operations
F
product
F
relationship
F
value
C-
 
 
 
 
 
Additional Performance Insights Additional Performance Insights
 


Ranked solutions for which at least 95% of respondents answered yes.
Avoids charging for every little thing?
Datavant (formerly Apixio)
Risk Adjustment Suite
n=15  100%
Edifecs
Risk Adjustment Solutions
n=8  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=10  100%
Keeps all promises?
Datavant (formerly Apixio)
Risk Adjustment Suite
n=15  100%
Episource
Clarity Platform
n=8  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=11  100%
Part of long-term plans?
Cozeva
PayerOne Risk
n=5  100%
Datavant (formerly Ciox Health)
Datavant Risk Adjustment Solution
n=11  100%
Episource
Clarity Platform
n=8  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=9  100%
Would you buy again?
Cozeva
PayerOne Risk
n=6  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=9  100%
Avoids charging for every little thing?
Datavant (formerly Apixio)
Risk Adjustment Suite
n=15  100%
Edifecs
Risk Adjustment Solutions
n=8  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=10  100%
 
Keeps all promises?
Datavant (formerly Apixio)
Risk Adjustment Suite
n=15  100%
Episource
Clarity Platform
n=8  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=11  100%
 
Part of Long Term Plans?
Cozeva
PayerOne Risk
n=5  100%
Datavant (formerly Ciox Health)
Datavant Risk Adjustment Solution
n=11  100%
Episource
Clarity Platform
n=8  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=9  100%
Would you buy again?
Cozeva
PayerOne Risk
n=6  100%
Vatica Health
Risk Adjustment and Quality of Care Solution
n=9  100%
 
 
 
Solutions Not Ranked
Ordered alphabetically

L      
Overall performance score
(100-point scale)
# of unique orgs
Culture
Loyalty
Operations
Product
Relationship
Value
                 
Matrix Medical Network
In Home Health Assessments
L
89.8
3
A
A
A-
B+
B
A
       
 
 
 
 
 
Optum
Risk Adjustment Solutions
L
80.4
5
B
C
B
B
B+
B-
       
 
 
 
 
 
Signify Health
In-Home Health Evaluations
L
73.6
3
D-
C-
B-
C
B
B
 

L      

&nbps;
Matrix Medical Network
In Home Health Assessments L
89.8
3
culture
A
loyalty
A
operations
A-
product
B+
relationship
B
value
A
 

Optum
Risk Adjustment Solutions L
80.4
5
culture
B
loyalty
C
operations
B
product
B
relationship
B+
value
B-
 

Signify Health
In-Home Health Evaluations L
73.6
3
culture
D-
loyalty
C-
operations
B-
product
C
relationship
B
value
B
 
 
 
 
 
 
Related Reports
 
 
 
 

Past Risk Adjustment Awards

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