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Navina

AI copilot for value-based care that helps clinicians improve HCC accuracy, close care gaps, and reduce documentation burden

Navina is an AI copilot platform that transforms fragmented healthcare data into actionable insights, helping clinicians and value-based care organizations

About

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Homepage of Navina

Navina is an AI copilot platform designed for clinicians in value-based care organizations. It transforms complex, fragmented patient data from multiple sources into actionable insights at the point of care. The platform helps clinicians improve HCC accuracy for risk adjustment, close care gaps for quality management, streamline documentation, and track value-based performance metrics.

Navina integrates seamlessly with EHR systems and provides evidence-backed clinical insights including HCC recommendations, quality care gap identification, and comprehensive analytics. The platform uses 600+ AI algorithms and serves 20,000+ clinicians and care team members across value-based organizations, with 3.5 million lives impacted.

The company was founded in 2019 and is based in New York. Navina's AI is designed to reduce administrative burden on physicians while improving clinical outcomes and organizational value-based care performance through data-driven decision support.

Features at a glance

  • AI-powered HCC recommendations at the point of care
  • Clinical evidence backing for every insight
  • Seamless EHR integration
  • Ambient transcription and chart review support
  • Care gap identification and quality management
  • Multi-source data reconciliation
  • Analytics and performance tracking
  • 600+ AI algorithms
  • Clinician-first interface design

Pricing

Pricing model: Contact for pricing

Quick answers

What is value-based care?
Value-based care is a healthcare approach where providers are compensated based on how effectively they treat patients and help them stay healthy, rather than on the quantity of medical services they provide. It involves delivering care in a patient-centered way with care coordination and collaboration among healthcare professionals, emphasizing preventive care and patient engagement.
Why should providers care about RADV audits?
Although Medicare Advantage health plans are audited by CMS, providers play a central role in creating documentation that serves as the foundation of risk adjustment and directly impacts audit outcomes. Provider reimbursement is often based on the same risk adjustment data, making compliance important.
How can Navina help with RADV readiness?
Navina's platform identifies risk-adjustable conditions and flags HCC documentation gaps in real time to support audit-grade compliance year-round, helping providers prepare for audits proactively.
What increases RADV audit risk?
Common audit findings include incomplete or inconsistent documentation, unsupported diagnosis codes, and unexplained variation in coding patterns. These risks can be mitigated through prospective documentation and routine internal reviews.
How does value-based care aim to reduce healthcare costs?
Value-based care reduces costs by prioritizing quality and efficiency through preventive care, care coordination, and data-driven decisions. Providers can keep costs down by encouraging regular check-ups and screenings, facilitating effective collaboration among professionals to avoid duplicate services, and using data effectively to prevent unnecessary tests and procedures.

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