JSON twin: https://www.healthaidb.com/software/vatica-health.json
Vatica Health
https://vaticahealth.com/providers/risk-adjustment-solution/
Vatica Health is a provider-centric risk adjustment and quality-of-care platform that pairs embedded clinical teams with technology to improve diagnostic coding, gap closure, compliance, and performance for health plans and primary care practices.
Vatica Health delivers a prospective risk-adjustment and clinical quality solution combining a web-based platform, data aggregation from EMR and payer sources, dedicated licensed nurses/administrative support embedded at practices, and certified clinical auditors to improve coding accuracy, close care gaps, and reduce regulatory risk for health plans and providers.
yes
2011
US-based hosting (United States)
P1736
2025-09-07
proprietary/commercial
Contact vendor for pricing and implementation; payer-funded models available; no public list prices or self-serve tiers listed.
enterprise_quote
2011
product
1.0
{
"company_name": "Vatica Health",
"company_url": "https://vaticahealth.com/",
"company_offices": [
"United States"
],
"company_founding": "2011",
"product_url": "https://vaticahealth.com/providers/risk-adjustment-solution/",
"categories": [
"clinical",
"administrative",
"risk adjustment",
"quality of care",
"coding & documentation",
"population health",
"provider-facing"
],
"market_segment": [
"enterprise",
"smb",
"health plans",
"providers"
],
"links": [
"https://vaticahealth.com/",
"https://vaticahealth.com/providers/risk-adjustment-solution/",
"https://vaticahealth.com/risk-adjustment-for-health-plans/risk-adjustment-solution-payers/",
"https://vaticahealth.com/compliance/",
"https://vaticahealth.com/contact-us/",
"https://elion.health/products/vatica-health",
"https://marketplace.athenahealth.com/product/vatica-health",
"https://www.linkedin.com/company/vatica-health",
"https://www.businesswire.com/news/home/20240925852030/en/Vatica-Health-Earns-Highest-Score-Among-Risk-Adjustment-Vendors",
"https://vaticahealth.com/news/vatica-health-earns-third-consecutive-best-in-klas-award/"
],
"summary": "Vatica Health is a provider-centric risk adjustment and quality-of-care platform that pairs embedded clinical teams with technology to improve diagnostic coding, gap closure, compliance, and performance for health plans and primary care practices.",
"description": "Vatica Health delivers a prospective risk-adjustment and clinical quality solution combining a web-based platform, data aggregation from EMR and payer sources, dedicated licensed nurses/administrative support embedded at practices, and certified clinical auditors to improve coding accuracy, close care gaps, and reduce regulatory risk for health plans and providers.",
"target_users": [
"primary care physicians",
"clinicians",
"nurses",
"practice administrators",
"health plans / payers",
"risk adjustment auditors",
"quality improvement teams"
],
"specialties": [
"primary care",
"geriatrics",
"population health",
"value-based care/risk adjustment",
"chronic disease management"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing and implementation; payer-funded models available; no public list prices or self-serve tiers listed.",
"license": "proprietary/commercial",
"features": [
"In-EMR risk adjustment workflow (Vatica Connect)",
"Real-time alerts for supported visits",
"Condition list contextualized with curated clinical evidence",
"In-visit coding and documentation workflow",
"Automatic transmission of accepted diagnosis codes to EMR",
"Attachment of Vatica medical record document to EMR visit",
"Clinical consultant support and training",
"Gap closure tracking and quality-of-care support",
"Prospective risk adjustment enablement",
"Reporting and analytics for coding performance"
],
"integrations": [
"Epic",
"athenahealth",
"eClinicalWorks",
"Electronic Medical Records (EMR) systems (via embedded integration/connector)",
"Payer systems (risk-adjustment workflows)"
],
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web (EMR-embedded)"
],
"optional_modules": [
"Vatica Connect (EMR-embedded integration)",
"Well365 (platform referenced for related offerings)",
"Clinical consultant services / onsite training"
],
"data_standards": [
"FHIR",
"HL7 v2",
"ICD-10",
"SNOMED CT"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"SOC 2 Type II",
"HITRUST"
],
"certifications": [
"SOC 2 Type II",
"HITRUST"
],
"security_features": [
"Technical, physical and administrative controls",
"Encryption (in transit and at rest)",
"Audit logging and monitoring",
"Business continuity and disaster recovery"
],
"privacy_features": [
"Annual HIPAA Security Risk Analysis",
"BAA (business associate agreement) practices",
"Third-party vendor assurance and vendor code of conduct"
],
"data_residency": "US-based hosting (United States)",
"customers": [
"Kentucky Primary Care Clinically Integrated Network",
"UC Health",
"Nuestra Clinica del Valle",
"Lourdes Medical Group",
"Kentucky Primary Care Association (KPCA)"
],
"user_reviews": [
"Flexible work schedule, collaborative environment and supportive management.",
"Working from home is a huge pro! I can honestly and truly say I love my job.",
"Vatica micromanages your time; they have an actual timer on you, counting every second of every day.",
"Vatica relieved the burden of coding and documentation while generating additional health plan compensation.",
"The Vatica process is efficient—only a few minutes; it helps identify and code active conditions."
],
"ratings": [
"Best in KLAS - Risk Adjustment (KLAS Research) - ranked #1 (multiple years)",
"Glassdoor: 2.9/5 (employee reviews)"
],
"support_channels": [
"phone",
"email",
"contact form"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite"
],
"release_year": "2011",
"integration_partners": [
"Epic"
],
"id": "P1736",
"slug": "vatica-health",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/vatica-health.json"
}
}