HealthExecWire

HealthcareWebSummit: Integrating Risk Adjustment and Quality of Care Initiatives

The smartest plans have already discovered that face to face member evaluations are the ideal way to bring risk adjustment and quality improvement together into one initiative. It is possible for this one activity to impact your STAR score across multiple measures; not only HEDIS, but also the more elusive member satisfaction measures as well.

The learning curve of implementation and execution, however, remains steep. From most effectively stratifying the membership to actually completing the evaluations within your target dates, prospective programs are fraught with challenges.

To add to the complexity, most plans are unprepared to effectively fold the evaluations’ premium impact back into benefit design. Once you’ve completed a target group of evaluations, how do you allocate the premium impact to maintain the required MLR?

This in-depth session is advanced, but highly practical and designed to offer tangible take aways. The webinar examines the challenges health plans face while designing, implementing, and executing their prospective risk adjustment programs. In addition, it offers insight and commentary on best practices and innovative thinking from other health plans around the country.

Participants will be able to:

Use what you know about your members to determine the best methodology for your prospective evaluations
Idenitfy and apply key considerations when choosing which members to evaluate
Ensure your process effectively closes the loop with medical management, the member, and the PCP
Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group

Interested attendees would include:

C-Suite Executives
Medicare Executives and Staff
Medical Directors
Case Management Executives and Staff
Quality Improvement Executives and Staff
Revenue Management Executives and Staff
STARS Program staff

Attendees would represent organizations including:

Health Plans
Provider Networks
Government Agencies
Solutions Providers
Associations, Institutes and Research Organizations
Media
Other Interested Parties

Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $285 for non-attendees after the event.

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!