Verisk Health

Data-driven analytics and solutions.

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Overview

Verisk Health, a division of Verisk, offers a range of data-driven solutions to payers and other healthcare stakeholders. Their offerings include payment accuracy, risk adjustment, and population health analytics. While their focus is broad, their capabilities in analyzing claims data for population risk and cost drivers are relevant to network analytics and can be used to inform patient attribution models for performance measurement.

✨ Key Features

  • Payment Accuracy
  • Risk Adjustment and Quality
  • Population and Episode Analytics
  • Market and Competitive Intelligence
  • Fraud, Waste, and Abuse Detection

🎯 Key Differentiators

  • Leverages Verisk's broad data and analytics capabilities
  • Strong focus on risk and payment-related analytics
  • Expertise in fraud detection

Unique Value: Applies deep expertise in data analytics and risk management to help healthcare payers manage costs and improve performance.

🎯 Use Cases (4)

Cost containment for health plans Medicare and commercial risk adjustment Analyzing drivers of healthcare costs Detecting fraudulent billing

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Clinical workflow tools for providers

🏆 Alternatives

Cotiviti Inovalon Optum

Brings a unique perspective from the broader insurance and risk industry to healthcare analytics.

💻 Platforms

Web

🔌 Integrations

Claims Data Systems

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ ISO 27001 ✓ SSO ✓ SOC 2 Type II ✓ ISO 27001

💰 Pricing

Contact for pricing
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