CMS Risk Management

Risk Calculations

Data Engineering

CMS Risk Management


Managing the risk profile of your patient population is too difficult if you cannot anticipate your Risk Adjustment Factor score given by CMS. We can build an easy to use on demand calculator. Manage better.

Business Challenge

CMS risk adjustment requires accurate, timely, and auditable calculations across populations. Submissions are error‑prone without governed data, traceable logic, and scalable compute—especially for organizations with limited staff.

Business Solution

OmniArcs delivers a standardized data and calculation pipeline tailored to existing procedures. We provide governed datasets (cataloged with lineage), parameterized models (Data‑as‑Code), and on‑demand or scheduled processing that scales with need. Our approach incorporates privacy and security controls suitable for HIPAA workloads (Zero Trust). Our experience at Full 360 informs pragmatic design choices.

Customer Outcomes

  • HIPAA‑aligned controls and auditability
  • Easier workflows for submissions and reviews
  • Improved data integrity and traceability
  • Strong backup and disaster recovery
  • System transparency and reporting
  • Historical patient record continuity

Timelines & Costs

We typically deliver a preliminary design and working proof of concept in ~6 weeks, then continue with validation and rollout based on stakeholder priorities.

Customers We Serve

  • Health plans and providers with Medicare or Medicaid reimbursements
  • Organizations with limited IT staff/compute needing scalable processing
  • Teams seeking better financial forecasts and patient analytics
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