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ZuraInsight · Risk Score, HEDIS & Analytics

Know your true risk score — in real time

ZuraMedOps ZuraInsight brings risk scoring, HEDIS measure tracking and panel analytics into one engine. Surface suspected conditions, close quality gaps at the point of care, and see the trends that move your score and your revenue — with the evidence to defend every point.

+0.41avg RAF lift / panel
9,000+HCC categories mapped
100%real-time scoring
Report not uploadedHEDIS · auto-reminder sent
+4% panel scoreAnalytics · this quarter
Risk Score · John Erthal
1.247 Patient RAF 6 of 9 HCCs
HCC 18Diabetes w/ complicationsCaptured
HCC 138CKD, stage 3Captured
HCC 85Heart failure — suspectedReview
One module, three engines

Everything that drives your bottom line

Risk scoring, HEDIS measure tracking and panel analytics — reading the same chart, updating the instant a note is written.

Anatomy of a RAF

See exactly what drives the score

Every demographic factor and captured HCC contributes a transparent slice — no black box.

0.30
HCC 18 · 0.34
HCC 138 · 0.30
HCC 85 · 0.31
DemographicsAge, sex, eligibility
Diabetes w/ complicationsHCC 18
CKD, stage 3HCC 138
Heart failureHCC 85 · suspected
= 1.247Total RAF
HEDIS tracking

Every measure, tracked against your panel

Each HEDIS measure carries its own due date. The moment a report is due and hasn’t been uploaded, ZuraInsight fires an automatic reminder — so nothing slips past the reporting deadline.

  • Due-date tracking per measureCOL, CBP, CDC2 and every other measure carries its own reporting window.
  • Automatic upload remindersNo report by the due date, and the responsible staff member is notified automatically — no manual chasing.
  • One-click upload, instantly reflectedUpload the report and the measure status updates across every dashboard.
HEDIS measures · Q3 2026
CBPControlling blood pressureUploaded
COLColorectal cancer screeningNot uploaded
Automatic reminder

“COL report is due and hasn’t been uploaded — reminder sent to Dr. Quaning.”

CDC2Diabetes eye examUploaded
RAF · 0.42
HEDIS · 0.33
Open gaps · 0.25
Risk-adjusted scorePanel average RAF
Quality measures metHEDIS composite
Still openFlagged for outreach
Analytics

See the panel, not just the patient

Trend lines, payer-ready exports and measure-level dashboards turn a chart's worth of documentation into decisions for the whole panel.

  • Panel-level dashboardsRAF, HEDIS and gap trends rolled up across your whole population.
  • Risk trend historyTrack how RAF and quality measures move quarter over quarter.
  • Payer submission-ready exportsExport the exact numbers payers expect, formatted and ready.
Risk Score capabilities

Built for accurate, defensible capture

Live RAF calculation

The score recomputes the instant a diagnosis is added — see the financial impact of every condition as you document.

100%
real-time, no overnight batch

Suspected HCC detection

Analytics flag conditions hinted at in labs, meds and history but never coded — turning hidden risk into captured revenue.

Recapture tracking

Audit-ready evidence

Care-gap closure

Open gaps appear in-workflow with one-click documentation, so they close during the visit — not after.

9HCCs identified
  • Captured60%
  • Suspected25%
  • Unaddressed15%
Full visibility

Nothing chronic slips through

ZuraInsight classifies every identified condition by status, so your team knows exactly what’s captured, what to confirm, and what’s been missed entirely.

  • Pre-visit summariesLikely HCCs are surfaced before the patient arrives.
  • Confirm or rule outOne tap to document a suspected condition or dismiss it.
  • Linked evidenceEvery captured HCC ties back to its supporting note.
The annual cycle

Recapture, on schedule

Chronic conditions reset every January. ZuraInsight keeps the whole year on track.

JAN
Year resets

Last year’s captured HCCs become this year’s recapture worklist.

Q1–Q2
Prompt at visits

Each encounter surfaces the conditions still due for documentation.

Q3
Target outreach

Panel analytics flag patients with open gaps for scheduling.

Q4
Close the year

Final sweep ensures full, defensible recapture before year-end.

Before & after

Stop leaving risk on the table

Without ZuraMedOps

Conditions coded once, then forgotten
Suspected HCCs invisible to clinicians
RAF known only at year-end
Audit scramble for documentation
VS

With ZuraInsight

Recapture prompts every single year
Suspected conditions surfaced pre-visit
RAF updates live, at the point of care
Every score backed by linked evidence

See your panel’s true risk profile

Book a demo and we’ll run ZuraInsight — risk scoring, HEDIS tracking and analytics — on a sample of your population.

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