Smarter Risk Adjustment, Driven by AI and NLP
Transforming Risk Into Value & Positive Outcomes
AI-powered risk adjustment, coding, and encounter integrity solutions across Medicare, Medicaid, and ACA.
Risk adjustment data is the lifeblood of value-based care. Yet many health plans face a fragmented ecosystem of vendors, inconsistent data quality, and missed care gaps—leading to lost revenue and compromised member outcomes.
Invent Health delivers unified, AI-driven risk adjustment and analytics solutions that bridge clinical and financial gaps across Medicare Advantage, Managed Medicaid (Medi-Cal), and ACA Marketplace populations.
Who we help
Managed Care Plans
Improve risk capture, boost submission accuracy, and increase ROI on in-home assessments (IHAs), Annual Wellness Visits (AWVs), and chart reviews.
Who we help
Providers & Provider Groups
Enhance HCC documentation, track AWV effectiveness, and enable proactive care planning through real-time risk insights.
Highlights
Line of Business (LoB) Solutions
Tailored Solutions. Measurable Results. Sustained Growth.
Managed Medicaid (MCP / Medi-Cal)
Track redetermination risk, improve encounter data submission rates, and close care gaps for vulnerable populations.
Medicare Advantage (MAO)
Boost RAF score accuracy, reduce RADV risk, and streamline chart reviews with NLP-powered prioritization.
ACA Marketplace
Maximize risk transfer payments and EDGE submission completeness with our ACA-tuned suspecting and recapture engine.
Our Platform
Invent Health’s
Modular Analytics Platform (MAP)
Your central engine for end-to-end risk performance. MAP delivers unmatched data agility, actionable intelligence, and modular flexibility—built for payers and providers alike.
- Prospective, concurrent, & retrospective suspecting
- Provider group and member stratification
- Risk score and revenue forecasting
- NLP-driven chart review and AWV tracking
- Utilization and quality metrics integration
- Point-of-care data capture
- Pay-for-performance reporting
Our Process
Reveal. Revise. Reward.
We connect the entire risk adjustment lifecycle—identifying gaps, targeting interventions, and capturing compliant, validated risk to drive better outcomes and financial performance.
Our Blog
Healthcare Insights,
Made Simple
Explore expert perspectives on risk adjustment, AI-powered analytics, and healthcare innovation. Stay informed with actionable insights designed for health plans, providers, and managed care organizations.
The Silent RADV Killer
The worst time to discover organizational silos is when the RADV audit notice arrives. The best time to break them down is now. Successful health…
Provider Engagement in Risk Adjustment
Standing in a busy provider’s office, documentation reports in hand—every risk adjustment professional knows that moment. The real challenge in provider engagement isn’t technology or…
The New RADV Reality
Health plans face multiple, simultaneous RADV audits—proactive resource planning and audit readiness are now essential for Medicare Advantage and ACA compliance success.
