Gaps Closed. Outcomes Improved. Lives Enhanced.
Modular Analytics Platform
Making sense of risk adjustment data for healthier members and stronger performance.
Modular Analytics Platform
Overview
Managed care plans face increasing complexity in managing risk adjustment. From shifting regulations and heightened RADV audit scrutiny to inconsistent in-home assessment (IHA) outcomes and disconnected analytics systems—health plans are under pressure to get it right.
Invent Health’s Modular Analytics Platform (MAP) is purpose-built to unify fragmented data, close diagnosis gaps, improve audit readiness, and enable proactive member engagement across all lines of business—Medicare Advantage, Managed Medicaid, and ACA.
MAP ingests structured and unstructured data from any source and transforms it into real-time, actionable insights that support both retrospective and prospective risk adjustment strategies. The result? More accurate scores, fewer revenue leaks, and better member outcomes.
Highlights
Key Capabilities
AI-Powered Suspecting & Gap Closure
Member & Provider Stratification
ACA Risk Optimization & EDGE Readiness
Real-Time Dashboards & Self-Service Analytics
NLP-Driven Clinical Insight Engine
Annual Wellness Visit (AWV) Effectiveness Tracking
Chart Chase Optimization
Condition Progression & Encounter Integrity Modeling
Highlights
MAP Advantage
Data Agnostic
Seamlessly ingests claims, labs, EMR, assessments, pharmacy, and encounter data—any format, any source.
Scalable AI
Learns and adapts continuously to evolving risk models and population needs.
Flexible, Proprietary Stratification Frameworks
Customizable for plan-specific objectives, member populations, and provider workflows.
Built-In Compliance
Includes MAO-004 reconciliation, RADV audit support, and ACA EDGE submission checks.
Audit-Ready, Actionable Intelligence
Transparent, auditable reporting to satisfy internal teams, CMS regulators, and provider partners alike.
Actuarial Integration
Supports strategic planning with revenue forecasting, financial risk modeling, and scenario analysis.
Contact us
Turn risk adjustment from a burden into your strategic edge.
Schedule a demo and see how Invent Health strengthens your risk adjustment efforts.
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.
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