Comprehensive Coding. Actionable Analytics. Impactful Interventions.
Medicare Advantage
Unlock RAF accuracy, optimize chart reviews, and drive member outcomes across your MA population.
Medicare Advantage
Overview
With over 33 million Medicare Advantage enrollees in 2024, accurate risk adjustment has never been more mission-critical. Yet, AWV completion rates remain below 35%, and in-home assessment (IHA) engagement is often under 25%—leaving significant coding gaps, care gaps, and revenue leakage.
Invent Health’s MAO solution enables health plans to close HCC coding gaps, improve submission integrity, and drive proactive interventions at scale. Our platform integrates NLP-powered chart review, AI-based suspecting, and real-time RAF analytics—ensuring that every opportunity to improve outcomes and capture risk is surfaced and acted upon.
Highlights
Key Capabilities
Invent Health MAO Advantage
Use Case Snapshot
Medicaid Advantage
Plan Profile
- Lives Covered: 250,000 MA; 60,000 DSNP
- Models Supported: CMS-HCC, ESRD, RxHCC
- Chart Reviews/Year: 50,000
- IHA + AWV Participation: 62% aggregate
- IHA + AWV Participation: 62% aggregate
Results
- Coding Accuracy: Up 95% with NLP + coder QA
- Unreconciled HCCs: Down from 22% to 8%
- RAF Lift: 8–10% improvement
- AWV Participation: Up from 45% to 58%
- IHA Engagement: Up from 5% to 14%
Contact us
Turn Risk Adjustment Into
A Strategic Advantage
Enabling accurate risk adjustment, seamless provider collaboration, and proactive care strategies to help health plans drive better outcomes and financial performance.
Our Blog
Healthcare Insights,
Made Simple
Explore expert perspectives on risk adjustment, AI-powered analytics, and healthcare innovation. Stay informed with actionable insights designed for health plans, providers, and managed care organizations.
Roundtable: Navigating 2026 Risk Adjustment Changes
Home Solutions Modular Analytics Platform Coding and NLP In Home Assessment Lines Of Business (MAP) Medicare Advantage Medicaid Advantage ACA Risk Adjustment About Us Resources…
Roundtable: Successfully navigating the V24 to V28 shift
Home Solutions Modular Analytics Platform Coding and NLP In Home Assessment Lines Of Business (MAP) Medicare Advantage Medicaid Advantage ACA Risk Adjustment About Us Resources…
Roundtable: Unlocking the Power of In-home Assessments
Home Solutions Modular Analytics Platform Coding and NLP In Home Assessment Lines Of Business (MAP) Medicare Advantage Medicaid Advantage ACA Risk Adjustment About Us Resources…
