Risk Adjustment For Health Plans


Focus Care offers a full spectrum of in-home, telephonic, and virtual Comprehensive Health Assessment solutions for health plans nationwide. Focus Care manages payers’ end-to-end Medicare, Medicaid or Dual Assessment programs with outreach, scheduling, provider support, Risk Adjustment Coding, and Quality Measure capture.

Focus Care’s NCQA Patient Assessment tool provides a comprehensive clinical review of the members health, helps identify risk factors, chronic conditions, and close Quality Measure gaps.

Member Engagement Strategies

When our Customer Service Member Reps get a member on the phone, Focus Care’sproven member outreach strategies and intelligent interviewing process, has resulted in a 78% conversion rate for our payer clients.

  • Member Outreach & Appointment Scheduling
  • Email/Texting/RDV
  • Direct Mail and Target Member Letters
  • Virtual Health Risk Assessments
  • Telehealth (CMS required telehealth platforms)
  • Telephonic

Robust National Provider Network

Focus Care has a robust national network of 11,000 providers nationwide (MDs, NPs, RNs, MSWs, LPNs) performing over 40,000 interactions per year. Focus Care’s fully staffed recruiting department recruits to the grassroots level making sure our providers are well versed in the community they serve.

NCQA Certified Assessment Tool

Focus Care was certified in August 2019 for their Patient Assessment Tool meeting all necessary criteria for NCQA.

Ensure GAP Closures

Focus Care offers basic screenings and lab tests through to advanced diagnostics, depending on the venue chosen. Screenings Include:

  • Diabetic Retinal Exam
  • Microalbumin screening
  • Fecal Immunochemical Test (FIT)
  • Osteoporosis screening
  • Hemoglobin A1c screening
  • Peripheral Artery Disease (PAD) Test

Quality HCC Coding

Focus Care adheres to the highest clinical standards with our documentation and coding to ensure compliance and reduce risk. During bi-monthly external audits are accuracy rate for coding is 98%.

Need More Information? Sign Up

If you are interested in learning more about Focus Comprehensive Solutions.
Please Fill out the form below and one of the expert salespeople will get back to you.