Risk adjustment is the financial backbone of value-based care (VBC). By aligning reimbursement with patient acuity, risk adjustment ensures fairness when comparing outcomes across populations.
Yet for many provider groups and health systems, risk adjustment breaks down where it matters most: during the patient encounter. Clinicians are expected to capture every relevant diagnosis in the moment, but fragmented records, time pressures, and constant annual recapture requirements make it nearly impossible. The result is missed documentation, incomplete patient profiles, and added compliance risk — all at the expense of accurate reimbursement and fair representation of patient complexity.
Skypoint’s Lia, a Care Management AI Agent, is purpose-built to help regional hospital groups overcome these barriers.
Seamlessly Enhance Existing EHR Workflows
Lia is available as a secure Chrome extension, and can integrate seamlessly with any browser-based EHR. This allows care providers to leverage Lia’s insights without major changes to existing workflows.
See the Whole Care Picture with Real-Time Clinical Risk Stratification
Lia analyzes patient data using proven clinical risk models, including the Charlson Comorbidity Index, LACE, Readmission Risk, and Polymedication Risk. This provides care teams with actionable guidance to close gaps, protect revenue, and improve outcomes.
Instantly Identify and Close Care Gaps
Lia continuously scans clinical data, claims, and unstructured notes to surface hidden risks at the point of care. This empowers clinicians and care providers to address gaps in real time and improve patient outcomes without adding administrative burden.
Optimize Reimbursement With Real-Time Risk Adjustment Analytics
Lia aligns patient complexity with risk adjustment factors in real time, helping organizations capture the full value of their care delivery and safeguard against revenue leakage.
Write Back into Clinical Workflows
Lia communicates bidirectionally using the FHIR standard, so it can ingest patient context and write back changes directly into your EHR and care platforms.
Drive Value-Based Success with Skypoint’s Lia
Risk adjustment should support providers, not burden them. With Lia, regional hospital groups gain an AI partner that works inside existing workflows, captures the full complexity of every patient, and safeguards reimbursement with audit-ready accuracy.
By unifying clinical risk models, real-time analytics, and seamless EHR integration, Lia transforms risk adjustment from a compliance challenge into a strategic advantage. Ready to see how Lia can optimize risk adjustment for your organization? Schedule a demo with our team today.
