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We analyze data to deliver accurate, high quality, and transparent risk adjustment solutions.
Cognisight is a risk adjustment industry leader, providing world-class solutions to healthcare payers and providers. Founded in 2006, Cognisight is a wholly owned subsidiary of the Greater Rochester Independent Practice Association (GRIPA) and an affiliate of Rochester Regional Health.

Our in-depth risk adjustment experience and business expertise has built a solid foundation for servicing the needs of:
  • Medicare Advantage Plans
  • Commercial Health Issuers
  • Accountable Care Organizations
  • PACE Programs
  • Medicaid Managed Care Plans
  • Independent Practice Associations
We combine expert industry knowledge with unparalleled service to deliver accurate, quality, and transparent results.


Our tailored and collective approach identifies and supports each client’s needs, ensuring that all stakeholders work as a team every step of the way.


At Cognisight, we are committed to delivering high quality risk adjustment solutions. We prioritize accuracy and compliancy with in-depth and efficient levels of review that have quality controls in place throughout the entire process.


Our process incorporates routine tracking and communication to ensure transparency with clients from project kickoff through completion.


As one of the pioneers in risk adjustment, our team has expertise in data analytics, medical record acquisition and review, and all supporting solutions focused on bringing our clients the best value possible.

A Diverse, Equitable & Inclusive Organization

We’re committed to fostering a diverse and inclusive environment where we recognize that our sources for innovation are fueled by the differences in our experiences, faith, cultures, disabilities, races, ages, ideologies and personalities.


We are a team of health care leaders and credentialed coding experts, specializing in risk adjustment and health information technology.
We focus on providing full-service risk adjustment solutions, leading the industry through collaboration, quality, and transparency. Our expert team is poised and ready to partner and deliver accurate and comprehensive results.


Being a part of GRIPA and Rochester Regional Health, Cognisight is uniquely positioned to have access to a body of knowledge allowing for deep understanding of the healthcare industry and risk adjustment.

– Joseph S. Vasile, MD, MBA 
President & CEO

Joseph S. Vasile, MD, MBA

President & CEO

Jennifer Briggs, CPA

Chief Financial & Operating Officer

Jeffrey R. Allen, MD, FACP

Chief Medical Officer

Jerry Gauchat

Executive Vice President


Kitt Diebold

Vice President, Information Technology

Sara Fraser

Director, Coding Operations


Matt Jones

Chief Analytic Architect

Natalie Maglozzi

Director, Client Performance


Stefanie Medina

Senior Contract Manager


Bill Quinn

Senior Manager, Risk Adjustment & Platform Analytics

Nicole Reyes

Director, Client Operations


Kathy Slack

Manager, PACE Client Services


Cassidy Sloan

Risk Adjustment Supervisor


Tracy Volkmuth

Marketing Manager



Greater Rochester Independent Practice Association

Built on a foundation of deep industry knowledge and intellectual capital, Cognisight is a wholly owned subsidiary of the Greater Rochester Independent Practice Association (GRIPA).

GRIPA is part of Rochester Regional Health, a $3.2+ billion health system with a rich history of serving patients and families across a vast footprint, which now includes 18 counties. With more than 19,100 employees, including 2,200 medical staff, Rochester Regional is the area’s second largest employer. As an integrated health system with a bold vision for transforming healthcare, Rochester Regional is dedicated to helping patients, residents and their families stay healthy by providing innovative services and compassionate care close to home.


2019 Healthgrades Excellence Awards, including Rochester General Hospital ranking among the Top 50 Hospitals

Rochester Regional Health has achieved dozens of Beacon Awards for Excellence from the American Association of Colleges of Nursing

GRIPA enables a unique partnership between RRH and physicians to improve all aspects of population health through innovation, collaboration, advocacy, and problem solving.

GRIPA was a pioneer in shaping the patient-centered health care system of the future, focused on quality, value, efficiency and outcomes, before healthcare reform mandated quality and efficiency performance standards.

Learn more about GRIPA