Health Plans

Risk-adjustment services that achieve improved
outcomes for health plans and their members.

In 2015, 16.8 million people were enrolled in a Medicare Advantage (MA) plan – a figure that tripled in a single decade. EMSI Health helps health plans navigate this dynamic market with Healthy House Calls, prospective risk adjustment services, Five Star Quality Rating services, chart retrieval and HCC coding services. We've also leveraged our expertise in the MA market to provide comprehensive risk-adjustment services to the Health Insurance Marketplace.

EMSI Health sends trained professionals to visit members in their homes to update their health status, perform preventive screenings and tests, and uncover any new or previously undiagnosed conditions. We are also the industry’s leading medical chart retrieval provider, offering timely, cost-effective retrieval of medical records and coding services to keep your plan compliant.