Risk Adjustment: Boost RAF Accuracy Without Increasing Burden
MedOrion combines AI and behavioral science to help health plans improve RAF accuracy by engaging members based on real-time indicators of intent, motivation, and readiness to act. By predicting which members are most likely to follow through on risk-relevant encounters, plans capture more chronic conditions in-year, reduce dropped assessments, and improve documentation—without adding lift to providers or operations teams.
Move the Needle on Revenue and Risk
Demonstrate direct impact on financial outcomes, operational efficiency, and member responsiveness.
2-Star
6.3%
4.82%
Smarter RAF, Powered by AI
MedOrion applies behavioral science and AI to identify which members are most likely to complete risk-relevant visits. This predictive intelligence allows plans to engage members with the highest likelihood of follow-through—resulting in more complete, timely documentation and higher in-year risk capture.
Smarter Targeting, Greater ROI
Traditional risk adjustment relies on broad outreach and expensive year-end chases. MedOrion replaces guesswork with intent-driven targeting, allowing plans to reduce missed encounters, avoid outreach fatigue, and maximize ROI across field, provider, and vendor-led programs.
Impact Without Operational Strain
MedOrion delivers real-time, behavior-based engagement without adding strain on care teams or workflows. Plans see improved member follow-through and higher coding accuracy—without increasing lift on providers, staff, or assessment vendors.
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