Valiant Lifecare helps payers achieve accurate risk scoring, stronger quality results, regulatory alignment, and streamlined plan operations — across risk adjustment, HEDIS, abstraction, and network data.
High-precision workflows across risk, quality, and plan operations — built for Medicare Advantage, Medicaid, Commercial, TPAs, MSOs, IPAs, and delegated entities.
High-precision concurrent, prospective, and retrospective reviews that ensure accurate HCC capture and risk score integrity across your population.
Measure abstraction, chase strategies, gap closure, supplemental data workflows, and Star Ratings improvement programs designed for real-world plan operations.
Scalable support for chart retrieval, member management, provider data integrity, and clinical abstraction workflows — keeping plan operations smooth and audit-ready.
Serving Medicare Advantage, Medicaid, Commercial Plans, TPAs, MSOs, IPAs, and fully or partially delegated entities — with credentialed teams and plan-aware workflows.
Concurrent, prospective, and retrospective reviews, HCC validation, RAF modeling, and provider education — supporting accurate risk capture and compliant documentation.
Year-round abstraction, chart chasing, supplemental data support, Star Ratings strategy, and measure performance improvement.
Accurate abstraction for HEDIS, quality programs, registries, clinical audits, and analytics initiatives — delivered by credentialed clinical abstractors.
Nationwide provider coverage, EMR integration, portal retrieval, and facility coordination with industry-leading completion rates.
Eligibility verification, outreach campaigns, care coordination, welcome calls, appointment scheduling, and engagement workflows.
Directory accuracy, roster management, credentialing data, NPI validation, and regulatory compliance alignment.
Delivering accuracy and reliability across the operations that matter most to payers and delegated entities.
HEDIS abstraction accuracy
Chart retrieval success rate
Improvement in gap closure
Partner with a team that improves HCC validation, risk modeling, and data integrity across every population you serve.
Streamlined workflows reduce administrative burden and save countless hours for plan operations, analytics, and compliance teams.
Audit-ready processes aligned with CMS and NCQA frameworks — supporting reliable compliance and stakeholder trust.
Enhanced measure performance with high-accuracy abstraction and gap-closure workflows — driving Stars and HEDIS scores upward year over year.
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