How ACOs use this

When connected to your ACO's data, this view surfaces unaddressed HCC gaps by provider, ranks them by RAF dollar impact, and routes them into your CDI workflow. The same lens an MSSP Enhanced Track ACO uses to recover $3–5M in benchmark RAF per performance year.

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Risk Adjustment Command Center

Operational monitoring of HCC prevalence, recapture rates, and coding accuracy

Plan-Wide Avg RAF Score
1.12
↑ 0.04 YoY
Total Members
45,200
↑ 1.2% YoY
Overall HCC Recapture Rate
82.6%
↑ 3.1% from prior
Suspected Open Gaps
8,740
Target: <7,000
Coding Accuracy Score
91.2%
↑ 1.8% from Q3
Avg HCC Factor per Member
0.487
↑ 0.019 YoY
HCC Prevalence Benchmarking (Plan vs National MA Benchmark)
HCC Recapture Rate by Category (Prior vs Current Year)
12-Month RAF Trend (Current vs Prior Year)
Provider Coding Completeness (Top 8 Providers)
Top HCC Gaps — Recapture Opportunities
HCC Code Description Members with Gap HCC Factor Recapture Rate % Priority
Condition Category Recapture Heatmap by Provider
Diabetes
Cardiac
Renal
Respiratory
Behavioral
Neuro
Monthly Encounter Submission Tracker
Month Status Progress