Risk Adjustment Software Directory
2026 edition · reviewed against public sources Updated

Enterprise platform

Innovaccer

Risk adjustment as one workflow on a unified payer data platform, with a 2026 KLAS win in payer analytics and a stated move to per-task pricing.

Capture model
Both, through the Galaxy payer platform with Gravity agents on top
AI approach
Unified data model with an AI agent layer
RADV & audit
Handled inside broader risk and quality workflows
Submission lifecycle
Tracked inside the platform
Best fit
Enterprise plans consolidating onto a single data layer
2026 Best in KLAS
Data Analytics Platform for Payers, 90.5 vs a category average of 87.2 (announced February 4, 2026)
Pricing model
Announced move from software-access fees to outcome-based, per-task pricing, April 15, 2026, with a $250M three-year commitment to the Gravity agent platform

Innovaccer’s pitch is architectural: one data model under risk and quality, so a plan never pays to retrieve the same chart twice, with Gravity AI agents layered on top of the Galaxy payer platform. KLAS agreed on the data layer, awarding it 2026 Best in KLAS in Data Analytics Platform for Payers at 90.5 against a category average of 87.2.

On April 15, 2026 the company said it would stop charging for software access and start charging per task completed, quoting roughly $20 for a prior authorization where the manual equivalent runs around $100, and committed $250M to Gravity over three years. Paying for finished work instead of seat licenses is a genuine change. It says nothing, though, about who picks up a suspect once the platform raises it, or how many days pass before that person contacts the practice, which is the question a shortlist should settle in the demo.

Choose it when

Enterprise plans that want to standardize risk, quality, and analytics on a single data platform and can drive workflow adoption themselves.

Look elsewhere when

Smaller risk-bearing groups that need an operating workflow out of the box more than a data platform.

Related profiles

Sources

Positioning summarized from public materials current in August 2026. What a given customer receives depends on contract and scope, so confirm the details with the vendor. Spot an error? Tell us and we will correct it. Back to the full comparison →