EmblemHealth works with Veradigm to promote risk adjustment education and gap closure efforts for EmblemHealth members.
The 2025 EmblemHealth Risk Adjustment Program for Primary Care Providers (PCPs) is underway and runs from Jan. 1, 2025, through Dec. 31, 2025. The program is designed to help our PCPs identify members with chronic conditions who require an annual evaluation. The program also supports correct coding and documentation of the severity of their condition.
We look to our PCPs to maintain accurate medical records and claims coding to capture the complete health status of all NY State of Health members, Medicare Advantage HMO members, and Medicaid members.
EmblemHealth needs evidence of ongoing care to support accurate reimbursement for government programs. As a bonus, PCPs who also complete a compliant provider alert and provide the supportive progress note(s) in Veradigm’s Collaborate provider portal can receive additional reimbursement.
Veradigm offers a series of free, 60-minute monthly webinars to help you learn about best practices for the risk adjustment process. See Training for upcoming sessions.
2025 Collaborate Provider Portal
Collaborate is a web-based tool that supports improvements in documentation, quality, and risk score accuracy. PCPs can visit Veradigm’s Collaborate provider portal via the EmblemHealth provider portal at emblemhealth.com/providerportal. See instructions for using the Veradigm Collaborate portal.
If you are interested in learning more about how you can view Veradigm’s provider resources and webinars, contact Veradigm’s Customer Support team at 800-877-5678, option 7, from 8 a.m. to 8 p.m., Monday through Friday or email support@veradigm.com.
JP 68747 03/2025