Syntel’s unique Risk Adjustment Data Submission Solution for Healthcare Payers offering plans on HIX

Commercial Risk Adjustment is a high-impact, revenue generating process. Payers experience the grave risk of the inability – arising from adverse selection and risk pool failure - to control enrollment of high-risk members in a particular health plan, due to enrolments on Health Insurance Exchanges (HIX). In the current scenario, payers lack the necessary tools, expertise and know-how needed for standardizing and submitting the required data, and Health Plans are also deficient in the tools essential for managing errors, reports, or other miscellaneous interventions after data is processed on Edge server.

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