Risk Adjustment Accuracy - People or Technology?
Event Date: 8/8/2024
Event Overview
Tuesday, 8/8/2024
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Secondwave
Decision makers are evaluating the use of technology and AI solutions as a replacement for human-driven programs. At Secondwave, we mitigate the decision challenge between people and technology – bringing the best of both to our prospective risk adjustment program.
Learning Objectives
- How to accurately and compliantly improve risk scores and associated reimbursement
- How to influence positive movement in HEDIS and STAR ratings
- Why provider engagement is a critical component of any risk adjustment program
- The importance of focusing on compliance and security
Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.
Thank you to our event sponsors
Bronze
Documents
Recording: Risk Adjustment Accuracy - People or Technology?
Decision makers are evaluating technology and AI solutions to replace human-driven programs. We joined Secondwave, as they delved into how to blend the strengths of both to enhance their risk adjustment program, aiming to improve risk scores, HEDIS and STAR ratings, provider engagement, and compliance and security.
Presentation: Risk Adjustment Accuracy - People or Technology?
Decision makers are evaluating technology and AI solutions to replace human-driven programs. Join Secondwave, as we delve into how to blend the strengths of both to enhance our risk adjustment program, aiming to improve risk scores, HEDIS and STAR ratings, provider engagement, and compliance and security.
Attendees
Below is a list of all delegates registered to date for this event
- Tammy Allen
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor II at Capital District Physicians' Health Plan (CDPHP)
- Beth Allen
- ALLIANCE MEMBER
- CDS/HCC Coding Educator at Sentara Health Plans (Optima)
- Katie Anderson
- ALLIANCE MEMBER
- MGR, Risk Adjustment Analytics at Sentara Health Plans (Optima)
- Marsha Barlocker
- ALLIANCE MEMBER
- Senior Director Quality and Case Management at HealthTeam Advantage
- Stuart Battersby
- ALLIANCE MEMBER
- CFO at Community Health Plan of Washington
- Kranthi Biragoni
- ALLIANCE MEMBER
- Senior Coding Analyst at Providence Health Plan
- Katrina Brent
- ALLIANCE MEMBER
- Senior Manager, Quality/Medicare Stars at HealthTeam Advantage
- Danielle Brinkley
- ALLIANCE MEMBER
- Director, Population Analytics at Community Health Plan of Washington
- Jenny Bullock
- ALLIANCE MEMBER
- Quality Consultant at SelectHealth
- Jeannine Bumford
- ALLIANCE MEMBER
- Director of Risk Adjustment Operations at CHRISTUS Health Plan
- Tayling Chang
- ALLIANCE MEMBER
- Risk Adjustment Specialist at Sentara Health Plans (Optima)
- Deborah Coakley
- ALLIANCE MEMBER
- Director of Risk Adjustment Programs - Operations at Baylor Scott & White Health Plan
- Michelle Coberly
- ALLIANCE MEMBER
- Vice President, Medicare at Physicians Health Plan
- Janese Crawford-Chriscoe
- ALLIANCE MEMBER
- Risk Adjustment Coder & Documentation Specialist at Sentara Health Plans (Optima)
- Esther D'Arezzo
- ALLIANCE MEMBER
- RN, Clinical Supervisor Risk Adjustment at Neighborhood Health Plan of Rhode Island
- Kaitlyn Daigle
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor at Health New England
- David DiGiuseppe
- ALLIANCE MEMBER
- VP of Healthcare Economics at Community Health Plan of Washington
- Wendi Dillon
- ALLIANCE MEMBER
- Risk Adjustment Coding and Documentation Specialist at Sentara Health Plans (Optima)
- Shirley Doyle
- ALLIANCE MEMBER
- Sr. Director, Medicare Revenue Mgmt at Sentara Health Plans (Optima)
- Kathy Edmonds
- ALLIANCE MEMBER
- Risk Adjustment Coding & Documentation Specialist at Sentara Health Plans (Optima)
- Samantha Gallow
- ALLIANCE MEMBER
- Risk Adjustment Coder and Documentation Specialist at Sentara Health Plans (Optima)
- Christine Gilbert
- ALLIANCE MEMBER
- Dir Finance, Business Development M&A at Sentara Health Plans (Optima)
- Mary Glasgow
- ALLIANCE MEMBER
- Senior Corporate Compliance Auditor at Physicians Health Plan
- Cha Nesha Griffin
- ALLIANCE MEMBER
- Risk Adjustment Senior Analyst at Baylor Scott & White Health Plan
- Amber Harris
- ALLIANCE MEMBER
- Director Risk Adjustment at MediGold
- Simone Ingram
- ALLIANCE MEMBER
- SIU Investigator at Health Alliance Plan (HAP)
- Donna Ives
- ALLIANCE MEMBER
- EDI&Encounter Data Specialist at Health Alliance Medical Plans
- Krysta James
- ALLIANCE MEMBER
- Medical Auditor at Physicians Health Plan
- Karen Jensen
- ALLIANCE MEMBER
- Manager, Risk Adjustment and SIU at Quartz Health Solutions
- Alyssa Joy
- ALLIANCE MEMBER
- Quality Audit Analyst at Physicians Health Plan
- James Juillerat
- ALLIANCE MEMBER
- VP Chief Actuary at Sentara Health Plans (Optima)
- Sarah Kennedy
- ALLIANCE MEMBER
- Manager, Risk Adjustment Coding Operations at Capital District Physicians' Health Plan (CDPHP)
- Melanie Lewis
- ALLIANCE MEMBER
- Risk Adjustment Coder at Henry Ford Health System
- Taren Long
- ALLIANCE MEMBER
- Coding Program Trainer/Auditor at Geisinger Health Plan
- Ashly Martinez
- ALLIANCE MEMBER
- Pharmacy Stars Specalist at Samaritan Health Plans
- Taylor McInnis
- ALLIANCE MEMBER
- Health Equity Star Ratings Coordinator at Health Alliance Medical Plans
- Maria Menendez
- ALLIANCE MEMBER
- RN/CPC/CRC/CPMA -clinical reviewer at AvMed
- Tom Nasadoski
- ALLIANCE MEMBER
- Vice President, Risk Adjustment at Capital District Physicians' Health Plan (CDPHP)
- Jana Pennington
- ALLIANCE MEMBER
- Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
- Jessica Rainone
- ALLIANCE MEMBER
- Senior Quality Improvement Specialist at Neighborhood Health Plan of Rhode Island
- Dean Ratzlaff
- ALLIANCE MEMBER
- Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
- Maria Rodriguez
- ALLIANCE MEMBER
- Risk Adjustment Coder II at Baylor Scott & White Health Plan
- Athena Santos
- ALLIANCE MEMBER
- Executive Director at AdventHealth (FHHS)
- Aswani Somuri
- ALLIANCE MEMBER
- Manager of Data Engineering at Community Health Plan of Washington
- Rebecca Stob
- ALLIANCE MEMBER
- Director of Actuarial Services at Denver Health Medical Plan
- Samantha Waterstram
- ALLIANCE MEMBER
- Supervisor of Risk Adjustment Coding Operations at Capital District Physicians' Health Plan (CDPHP)
- Gina Wenzl
- ALLIANCE MEMBER
- Quality Improvement at Sentara Health Plans (Optima)
- JENNIFER WINEGEART
- ALLIANCE MEMBER
- PROJECT MANAGER at CHRISTUS Health Plan
Speakers
- Jeremy Moskow
EVP, Business Development at Secondwave Delivery Systems, LLC
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