RA/Quality Learning Session and Networking Carousel
Event Date: 10/23/2020
Event Overview
Friday, 10/23/2020
10:30 AM CT – 12:00 PM CT (90 minutes)
Hosted by: Pulse8
The Health Plan Alliance is hosting a series of virtual learning and networking events for our risk adjustment and quality leaders. These events will feature 40 minutes of timely content presented by topic experts, followed by small group networking. You’ll log off with new information to ponder and renewed connections with your Alliance peer network.
On October 23rd we’ll hear from Yamilet Truex, Manager for Risk Adjustment Data Analytics with Pulse8. The topic? Navigating the new, post-pandemic world of risk adjustment. In this short presentation and group discussion, Yamilet shares trends on how conditions are becoming exacerbated, increasing costs, and the mixed results from strained intervention campaigns.
Alliance members will be asked to share the impact of COVID-19 on their own risk adjustment and quality programs and describe the strategies they are considering to recover. We’ll dive into solutions on how interventions, RADV audits, and submissions will need to evolve with the new future.
After 40 minutes of presentation and group discussion, we’ll break into small groups for peer networking and Alliance members will have the chance to engage with peers and topic experts over 3 turns on our networking carousel. Don’t miss this fun and easy way to talk with your peers in small group settings.
PLATFORM NOTES: The group presentation will be on our webinar platform BigMarker. Attendees will then be redirected to the networking carousel, hosted on Zoom. Please test your computer in advance to ensure the best experience:
BigMarker system check - https://www.bigmarker.com/system_check
Zoom system check - https://zoom.us/test
Audience
Executive stakeholders in risk adjustment and quality management. In addition, those involved in governance programs will find this webinar beneficial.
Ask your peers a question or share a resource anytime through the Alliance discussion forum
You can visit the discussion forum and post a question anytime. It's only available to Alliance members, so your question is private and secure. When submitting a question, you can select which topics your question is related to. Individuals who have indicated in their Alliance profile they are interested in those topics and are opted in to discussion forum emails will receive your question. You can also add an attachment to your question or reply, making this tool another great resource for sharing best practices with your peers.
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Documents
Presentation: Navigating the New Post-Pandemic World of Risk Adjustment
As part of the Risk Adjustment & Quality Learning Collaborative, Yamilet Truex of Pulse 8 delivers 40 minutes of timely content followed by small group networking. During this session, Yamilet discusses navigating the new, post-pandemic world. Alliance members will be asked to share the impact of COVID-19 on their own risk adjustment and quality programs and describe the strategies they are considering to recover.
Reference: Delayed Cancer Screenings - A Second Look
Reference document for the Pulse8 Quality/RA webinar October 23, 2020.
Reference: Mental health and psychosocial considerations during the COVID-19 outbreak
Reference document for the Pulse8 Quality/RA webinar October 23, 2020.
Reference: Preventative Cancer Screenings during COVID-19 Pandemic
Reference document for the Pulse8 Quality/RA webinar October 23, 2020.
Reference: The Implications of COVID-19 for Mental Health and Substance Use
Reference document for the Pulse8 Quality/RA webinar October 23, 2020.
Attendees
Below is a list of all delegates registered to date for this event
- Jessica Althouse
- ALLIANCE MEMBER
- Director, Risk Adjustment at Presbyterian Health Plan
- Kieley Arakelian
- ALLIANCE MEMBER
- Director - Quality Management at Physicians Health Plan
- Frank Badillo
- ALLIANCE MEMBER
- Healthcare Payment Innovation Lead at MetroPlusHealth
- Pamela Bower
- ALLIANCE MEMBER
- Program Manager, Risk Adjustment at Presbyterian Health Plan
- Wynda Clayton
- ALLIANCE MEMBER
- Risk Adjustment Manager at Providence Health Plan
- Esther D'Arezzo
- ALLIANCE MEMBER
- RN, Clinical Supervisor Risk Adjustment at Neighborhood Health Plan of Rhode Island
- Mery Escoto
- ALLIANCE MEMBER
- Risk adjustment coding specialist at Neighborhood Health Plan of Rhode Island
- Erin Kavanagh
- ALLIANCE MEMBER
- Risk Adjustment Analyst at Samaritan Health Plans
- Kaesie Kettinger
- ALLIANCE MEMBER
- Senior Risk Adjustment Auditor at Paramount Health Care
- Kathy Mantell
- ALLIANCE MEMBER
- Provider Configuration Specialist at SummaCare
- Marilyn Minor
- ALLIANCE MEMBER
- TC Integrated Care Management, Behavioral Health at Sentara Health Plans (Optima)
- Deana Myers-Voyk
- ALLIANCE MEMBER
- Coding Auditor at SummaCare
- Cathy Nagy
- ALLIANCE MEMBER
- Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
- Wade Penner
- ALLIANCE MEMBER
- Manager Revenue-Risk at Samaritan Health Plans
- Jana Pennington
- ALLIANCE MEMBER
- Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
- Ariana Ricci
- ALLIANCE MEMBER
- Risk Adjustment Analytics Lead at Neighborhood Health Plan of Rhode Island
- Diana Vasquez
- ALLIANCE MEMBER
- Senior Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
- Eric Vilar
- ALLIANCE MEMBER
- Data Scientist at Health New England
- Desiree Walke
- ALLIANCE MEMBER
- Risk Adjustment Compliance Analyst at Quartz Health Solutions
- Jennifer Yates
- ALLIANCE MEMBER
- Manager, Health & Wellness at SummaCare
- Holly Zorz
- ALLIANCE MEMBER
- Quality Improvement Team Lead, Medicare at Paramount Health Care
- Agnes Dybowska
- SPONSOR
- Director, Client Advisory at Pareto Intelligence
- Kelly Kulhanek
- SPONSOR
- Sales Operations Associate at Pareto Intelligence
- Sandip Pal
- SPONSOR
- Senior Analyst, Data Analytics at Pareto Intelligence