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

Identify undocumented HCCs and mitigate missed risk through advanced, adaptive models.

Member & Provider Stratification

Prioritize outreach and chart chase based on risk impact, provider performance, and documentation quality.

ACA Risk Optimization & EDGE Readiness

Forecast risk transfer payments, flag submission gaps, and ensure ACA program compliance.

Real-Time Dashboards & Self-Service Analytics

Empower teams with intuitive tools to monitor progress, track chase yield, and analyze financial impact.

NLP-Driven Clinical Insight Engine

Extract insights from unstructured chart data to surface risk conditions and support RADV audits.

Annual Wellness Visit (AWV) Effectiveness Tracking

Drive AWV participation and link visit outcomes to care gap closure and risk score improvement.

Chart Chase Optimization

Automate and prioritize retrieval lists based on expected ROI, provider responsiveness, and submission deadlines.

Condition Progression & Encounter Integrity Modeling

Predict chronic condition trajectory and flag at-risk encounters before submission.

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.

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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.

September 12, 2025 Datasheet