Medicare Advantage Providers

Make Risk Work for You—Not Against You

Why Clients Choose Us

Managing Medicare Advantage (MA) data is never simple.

Providers are juggling multiple payers, inconsistent file formats, messy data structures, and limited internal analytics support. Most are trying to track critical financial targets—like PMPM spend—but the reality is often one giant spreadsheet and a lot of guesswork.

That’s where we come in.

We understand that no two payers send data the same way—but your team still needs a single source of truth.

We start by mapping your raw files to a standardized data model and incrementally build out visualizations that give you visibility across your entire book of business.

The result? You know exactly where your dollars are going, which patients or providers are driving costs, and whether you're on track to meet your financial goals.

What We Offer

  • High-Risk Patient Identification & Monitoring

    Flag patients at highest risk for hospitalization or complications. Set up dashboards to monitor care plans, touchpoints, and program progress in real time.

  • Care Gap Prioritization

    Track care gaps across multiple payers. Prioritize follow-ups based on clinical urgency, potential impact on outcomes, or upcoming visit windows.

  • Chronic Condition Program Support

    Monitor enrollment, engagement, and outcomes for hypertension, diabetes, CHF, and other chronic condition programs. Surface patients who need attention.

  • Utilization & Referral Tracking

    See patterns in ER visits, hospital admissions, and specialty referrals. Identify which clinics or providers drive over- or under-utilization.

  • Outreach & Care Management Worklists

    Create actionable, role-based worklists for outreach teams, nurses, or care coordinators—based on risk, gaps, or specific interventions.

  • Clinic & Provider Scorecards

    Give managers and medical directors a clear view into each clinic’s performance—on quality, engagement, utilization, and operational KPIs.