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Risk Adjustment & Analytics 2020

Risk Adjustment & Analytics 2020
A First Look at Vendor Performance

September 3, 2020 | Read Time: 8  minutes

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In the risk adjustment and analytics space (solutions and services supporting population stratification, reporting, and/or analytics for CMS or other risk-based contracts), four vendors tend to dominate mindshare and market share—Change Healthcare, Cotiviti, Inovalon, and Optum. But market share is not a guarantee of a strong customer experience, and some organizations have started to consider and choose other options. This report shares available vendor options, market perceptions of the most prominent vendors, and an early look at how well vendors meet client needs and drive outcomes. As KLAS research in this market is early, most satisfaction data is limited.

Healthcare Providers,
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Key Findings:

  1. Risk Adjustment & Analytics Vendor Landscape
  2. Apixio, Health Fidelity Provide Strong Support of Risk Adjustment Strategy; Ciox Customers See Some Challenges
  3. Advantasure Customers Dissatisfied Due to Functionality Struggles and Unkept Promises
  4. SCIO Health Analytics, Apixio Consistently Deliver Strong Support, Contributing to Overall High Satisfaction
  5. Advantasure, Optum, MedInsight Less Consistent at Helping Drive Outcomes, Often Due to Unmet Expectations
  6. Market Perception from Non-Customers: Large, Traditional Market Players Perceived as Having Gaps
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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2021 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.