Cotiviti Holdings, Inc. has added to its Risk Adjustment solution suite with a new offering for prospective risk adjustment. In-Home Assessments provide a complementary approach to retrospective methodologies, allowing health plans to capture and substantiate health information about their members who do not regularly visit their doctors. These assessments not only ensure appropriate documentation of health conditions but also facilitate care planning and help close care gaps, all in the convenience of the members’ own homes. Risk adjustment programs for health plans were put in place to ensure that members receive the care they need, when they need it. The higher a member’s illness burden, the greater cost he or she generates, which means health plans must be appropriately compensated for that illness burden. In addition, costs can quickly spiral out of control if diagnoses are not carefully captured and members’ conditions are not carefully managed.