Topics
- In-depth analysis of the state of the Exchanges - including transfer payment winners and losers this time around
- New regulations and enforcement trends in risk adjustment for MA, commercial, and Medicaid plans
- Tips for making the transition from RAPS to EDS from workflow to error prevention
- Innovative approaches for improving clinical documentation and achieving full coding accuracy
- How risk adjustment can improve patient care and outcomes
- The day-to-day of risk adjustment operations teams dos, donts, and best practices
Who should Attend
Commercial plan executives and providers from medicaid managed care, medicare advantage, exchanges and non-exchanges involved in:
- HCC
- Risk Adjustment
- Pricing & valuation
- Actuarial staff
- Plan design
- Compliance & audit personnel
- Finance/revenue
- Provider engagement & education
- Medicare/government programs
In addition:
- State/government agencies
- Provider groups
- Actuarial and consulting firms
- Risk adjustment & predictive modeling vendors
