2019 ACA Risk Adjustment Transfer Payment Results
Event Date: 8/4/2020
Event Overview
Tuesday, 8/4/2020
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Pareto Intelligence
NOTE: You will receive login information from Health Plan Alliance - webinar.host@bigmarker.com if you do not receive an email confirmation contact our Support team at 888.472.0123
On July 17, 2020, the Department of Health and Human Services (HHS) released the Summary Report on Risk Adjustment Transfers for the 2019 Benefit Year, which outlines risk adjustment transfer payments by issuer and state for the Affordable Care Act (ACA) market. To help health plans understand the results, we’ve invited our colleagues at Pareto to lead a deep dive discussion into market trends. They’ll also share their predictions regarding methodology changes, the impact COVID may have on 2020 risk adjustment transfers, and insights on negative error rates and the impact on transfer payment guardrails.
Audience
Executive stakeholders with responsibility for finance along with leaders responsible for their health plan's risk adjustment and actuarial science.
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Documents
Presentation: 2019 ACA Risk Adjustment Transfer Payment Results
Pareto takes a deep dive into the results of the 2019 ACA risk adjustment transfer payments. They shared their main take-aways, insights on negative error rates and transfer payment guardrails, and predictions regarding methodology changes.
Attendees
Below is a list of all delegates registered to date for this event
- Matthew Kruszewski
- ALLIANCE GUEST
- Manager, RAR at Jefferson Health Plans
- Rick Alexsonshk
- ALLIANCE MEMBER
- Director ACA Risk Adjustment at SummaCare
- Jessica Althouse
- ALLIANCE MEMBER
- Director, Risk Adjustment at Presbyterian Health Plan
- Kieley Arakelian
- ALLIANCE MEMBER
- Director - Quality Management at Physicians Health Plan
- Lori Asmus
- ALLIANCE MEMBER
- Director, Risk Adjustment at Network Health
- Matthew Aug
- ALLIANCE MEMBER
- President at Cox HealthPlans
- Steve Ayotte
- ALLIANCE MEMBER
- Manager of Risk Adjustment Analysis at Neighborhood Health Plan of Rhode Island
- Sibyl Boyd
- ALLIANCE MEMBER
- Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans
- Sarah Burke
- ALLIANCE MEMBER
- Lead Quality Auditor at Health First Health Plans
- Liz Cook
- ALLIANCE MEMBER
- Manager Anaytics & Underwriting at Medical Associates Health Plans
- Deb Curry
- ALLIANCE MEMBER
- Director Risk Adjustment & Recoveries at Paramount Health Care
- Esther D'Arezzo
- ALLIANCE MEMBER
- RN, Clinical Supervisor Risk Adjustment at Neighborhood Health Plan of Rhode Island
- D De Roche
- ALLIANCE MEMBER
- Manager, Goverment Programs at Community Health Options
- Colleen Degenhardt
- ALLIANCE MEMBER
- Risk Adjustment Analyst at Quartz Health Solutions
- David DiGiuseppe
- ALLIANCE MEMBER
- VP of Healthcare Economics at Community Health Plan of Washington
- Enrique Dimacali
- ALLIANCE MEMBER
- Risk Adjustment Specialist at AvMed
- Jessica Dupont
- ALLIANCE MEMBER
- Vice President of Government Programs at Alliant Health Plans
- Sara Hansen
- ALLIANCE MEMBER
- Senior Director, Population Health & Clinical Operations at Avera Health Plans
- Obie Hooper
- ALLIANCE MEMBER
- QA Clinical Administrator at Alliant Health Plans
- Chamese Jarrett
- ALLIANCE MEMBER
- Auditor at MediGold
- Patricia Karam
- ALLIANCE MEMBER
- Risk Adjustment Specialist at Community Health Plan of Washington
- Kaesie Kettinger
- ALLIANCE MEMBER
- Senior Risk Adjustment Auditor at Paramount Health Care
- Angelo Kurukulasuriya
- ALLIANCE MEMBER
- Actuarial Analyst at Sentara Health Plans (Optima)
- Ed Lee
- ALLIANCE MEMBER
- Product Leader, Health Plans Medicare Advantage at IU Health Plans
- Adam Letherby
- ALLIANCE MEMBER
- Quality CHA Supervisor at Health First Health Plans
- Kari Pace
- ALLIANCE MEMBER
- Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
- Wade Penner
- ALLIANCE MEMBER
- Manager Revenue-Risk at Samaritan Health Plans
- Amanda Potter
- ALLIANCE MEMBER
- Manager Data Analytics at Physicians Health Plan
- Dean Ratzlaff
- ALLIANCE MEMBER
- Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
- Pat Reda
- ALLIANCE MEMBER
- Director, Actuarial Services at Health Alliance Medical Plans
- Ariana Ricci
- ALLIANCE MEMBER
- Risk Adjustment Analytics Lead at Neighborhood Health Plan of Rhode Island
- Allison Runyan
- ALLIANCE MEMBER
- Supervisor of Risk Adjustment Operations at Health First Health Plans
- Mallory Sheth
- ALLIANCE MEMBER
- Director - Strategy & Transformation at Sharp Health Plan
- Desiree Walke
- ALLIANCE MEMBER
- Risk Adjustment Compliance Analyst at Quartz Health Solutions
- Rebecca Welling
- ALLIANCE MEMBER
- VP Risk adjustment at SelectHealth
Speakers
- Brandon Solomon
VP of Sales at Pareto Intelligence
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