Navina is a clinician copilot for value-based care, turning EHR, claims and HIE data into chart summaries, HCC recommendations and care gap evidence.
Overview #
Navina #
Navina is a clinical copilot built for the economics of value-based care. Navina pulls the fragments a patient's record is scattered across — the EHR, health information exchanges, claims feeds — and turns them into something usable at the point of care: a chart summary before the visit, diagnosis and HCC recommendations that make risk adjustment accurate, and the clinical evidence needed to close a quality gap. The framing is clinician-first: the work still happens in the visit, but the preparation is done.
Production credibility: Navina reports more than 20,000 clinicians and care team members across over 25 organisations, covering more than 3.5 million lives. Named customers include Privia Health, agilon health, Summit Health and Upperline Health, alongside accountable care organisations and medical groups. The product covers four documented areas — clinician copilot, risk adjustment, quality management and analytics. Pricing is not published; Navina sells to provider organisations through an enterprise process.
Key Features
- Chart review and pre-visit summaries assembled from fragmented sources
- Data pulled from EHRs, health information exchanges and claims
- HCC recommendations to improve risk adjustment accuracy
- Care gap evidence surfaced automatically for quality measures
- Analytics tracking value-based performance across the organisation
- Deployed across 25-plus provider organisations covering 3.5M-plus lives
Ideal Use Case
Primary care groups, ACOs and value-based organisations whose revenue depends on documented risk and closed quality gaps, and whose clinicians are losing time to chart review before every visit. It suits groups with data spread across an EHR and external feeds, which is where the assembly work is most expensive.
How Navina differentiates
Ambient scribes capture what happens in the room; Navina works on what is already in the record before the visit starts. That places it against the risk-adjustment and quality vendors rather than against documentation tools, with the difference that the output lands in the clinician's workflow rather than in a coder's queue. The bet is that accuracy improves when the clinician confirms a diagnosis at the point of care, and the evidence for it is the customer list rather than published trials.
FAQ
Q: What does Navina do? A: Navina is a clinician copilot for value-based care. It assembles data from EHRs, health information exchanges and claims into pre-visit summaries, HCC recommendations for risk adjustment, and evidence for closing care gaps.
Q: Who uses Navina? A: Provider organisations in value-based care. Navina reports more than 20,000 clinicians across 25-plus organisations covering over 3.5 million lives, including Privia Health, agilon health, Summit Health and Upperline Health.
Q: How much does Navina cost? A: Pricing is not published. Navina sells to provider organisations through an enterprise process.
Q: How is Navina different from an ambient scribe? A: An ambient scribe documents the conversation during the visit. Navina works on the existing record before the visit, surfacing diagnoses, risk adjustment opportunities and care gaps for the clinician to confirm.
Q: What is risk adjustment in Navina? A: It is the process of documenting patient complexity accurately for value-based contracts. Navina surfaces clinically supported HCC recommendations so the RAF score reflects the patient's actual condition.
tl;dr
Navina is a clinician copilot for value-based care: pre-visit chart summaries, HCC recommendations for risk adjustment, and care gap evidence assembled from EHR, HIE and claims data. Used by 20,000-plus clinicians across 25-plus organisations covering 3.5M lives.
Why Use Navina #
User Reviews #
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