Value-Based Care

Drive Better Outcomes with Smarter Value-Based Care Tools

Support ACOs, MA plans, and VBC contracts with Carevynโ€™s AI-powered risk scoring, HCC coding, and clinical condition capture to optimize reimbursements and outcomes.

Value-based care (VBC) success depends on precise coding, accurate risk scores, and timely insights. Carevyn enables organizations to thrive under VBC models with AI-driven risk adjustment, HCC coding accuracy, and real-time identification of care gaps.

Value-Based Care AIVBC Success

Intelligent Risk Adjustment & Condition Capture for ACOs, MA Plans & Payers

Value-based care (VBC) success depends on precise coding, accurate risk scores, and timely insights. Carevyn enables organizations to thrive under VBC models with AI-driven risk adjustment, HCC coding accuracy, and real-time identification of care gaps.

Core Capabilities for VBC Enablement

  • ๐Ÿง  AI-Driven Risk Scoring
    • Automatically extract and validate HCC-relevant conditions from clinical notes
    • Ensure complete, accurate RAF scoring for MA and ACO contracts
  • ๐Ÿ—‚๏ธ Real-Time HCC Coding
    • 98%+ accurate HCC suggestions based on clinical documentation
    • Auto-suggest missing or undocumented chronic conditions
  • ๐Ÿ“Š VBC Reporting Dashboards
    • Monitor performance by provider, facility, or population
    • Track risk score trends, coding completeness, and contract alignment

Benefits for Your Organization

๐Ÿงฎ
Accurate RAF Scores

Better alignment with actual patient risk

๐Ÿ“ˆ
Boost Reimbursement

Capture all billable chronic conditions

๐Ÿ›ก๏ธ
Reduce Audit Risk

Compliant, transparent coding practices

๐Ÿ“Š
Improve Care Quality

Spot care gaps and take timely action

๐Ÿ”
VBC Optimization

Align coding with quality & cost targets

Who Should Use This?

  • ACOs & MSSP Participants
  • Medicare Advantage Plans
  • Risk-Bearing Provider Groups
  • Specialty Networks in VBC contracts

Value-Based Care Starts with Accurate Data

Discover how Carevyn helps you succeed in value-based contracts with actionable data and coding precision.