Collaborating to improve care quality and control expenses effectively
PBMs face an ongoing challenging environment with evolving member and payer expectations. RHO Health collaborates with you to revolutionize operations, minimizing costs, enhancing pharmacy network performance, and ensuring optimal member care.
Together, let’s find a better way
RHO has experience serving providers and ACOs with a thorough understanding of the complexities caused by competing and aligned incentives to reduce cost of payments and maximize revenue capture.
Thousands of healthcare data scientists, architects, and engineers with deep provider domain and operations expertise can extract value hidden in data.
Our deep, enterprise-wide understanding of where automation is most needed can help drive up staff productivity and patient satisfaction.
What we do
Improve Operating Margins
- HCC coding analysis and risk suspecting
- NLP driven chart review and coding services
- Best in KLAS Risk Adjustment
- Provider performance dashboards
Improve the Patient Experience
- Contact center operations
- AI driven patient engagement
- Clinical nurse triage
- Customer journey mapping
Drive Health Outcomes
- Predictive risk stratification
- Gap identification and quality improvement
- SDOH and barrier identification
- Predictive risk models
Increase Operational Efficiency
- Intelligent process automation
- Conversational AI
- Natural language processing
- AI payment planning and collections