RA Horizon Platform
A purpose-built SaaS platform for Medicare Advantage risk adjustment forecasting and optimization.
Maximize Your Risk Adjustment Revenue
RA Horizon combines actuarial methodology with production-grade machine learning to deliver high-fidelity RAF forecasting for Medicare Advantage plans.
Unlike generic analytics platforms, RA Horizon was built ground-up by FSA actuaries with deep HCC expertise to support clinical review workflows and audit readiness.
RAF Score Forecasting
Predict end-of-year RAF scores with confidence intervals at the member level.
Predictive HCC Models
ML-based models identify likely HCC conditions based on pharmacy, lab, and claims signals.
Suspect Condition Lists
Prioritized outreach lists delivered to care managers and coders weekly.
Performance Dashboards
Real-time tracking of RAF capture rate, coding accuracy, and revenue impact.
Provider-Level Analytics
Identify provider-level coding gaps and support targeted CDI initiatives.
API Integration
Connect to your existing data warehouse, EMR, or care management platform.