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Medicare Part D Risk Scoring: Best Practices and Processes

Event Date: 3/30/2021

Event Overview

Tuesday, 3/30/2021
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Aspire Health Plan

Join in the conversation about Part D coding practices and approaches for identifying opportunities to improve. In response to Alliance member health plan interest generated in the discussion forum, this call enables conversation about best practices for Part D risk scoring and gap closure. Plans share their current processes, opportunities they have identified to improve RxHCC coding, and vendors that help them get there. Additionally, in a roundtable fashion, plans will have an opportunity to ask their peers questions and share their current challenges.  Attendees will learn about new methods and solutions to enable more accurate RxHCC coding and identifying opportunities to improve.

Covered in this session will be:

  • Identifying care gaps to close
  • Intervention strategies
  • Vendor support
  • Financial impacts

 

Click to reference the discussion forum thread for details.


 

Audience

This call is specially designed for those responsible for coding strategies and processes, accuracy and identifying ways to improve.


 

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.

Start a discussion

 



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Documents
3/30/2021

Presentation: Medicare Part D Risk Scoring - Best Practices and Processes
In response to Alliance member health plan interest, Alliance health plans share their current RxHCC coding process, improvement efforts, and vendors that help them get there. Alison B. Dunton, Director, Practice Enhancement and Analytics at Aspire Health Plan, hosts this roundtable discussion.

3/30/2021

Recording: Medicare Part D Risk Scoring: Best Practices and Processes
In response to Alliance member health plan interest, Alliance health plans share their current RxHCC coding process, improvement efforts, and vendors that help them get there. Alison B. Dunton, Director, Practice Enhancement and Analytics at Aspire Health Plan, hosts this roundtable discussion.

Attendees

Below is a list of all delegates registered to date for this event

  • Linda Alexander
  • ALLIANCE MEMBER
  • Quality Assurance Specialist at Cox HealthPlans
  • Lori Asmus
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Network Health
  • Gay Ball
  • ALLIANCE MEMBER
  • MRA Project Manager, Cone Health at HealthTeam Advantage
  • Steven Barnett
  • ALLIANCE MEMBER
  • Manager of Quality/Comprehensive Health Assessment at Health First Health Plans
  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Olga Belik
  • ALLIANCE MEMBER
  • Clinical Reviewer, Risk Adjustment at Neighborhood Health Plan of Rhode Island
  • Brandon Bock
  • ALLIANCE MEMBER
  • Quality Improvement Documentation Coordinator at Paramount Health Care
  • Craig Bogner
  • ALLIANCE MEMBER
  • Senior Pharmacist at Paramount Health Care
  • Terri Bowers
  • ALLIANCE MEMBER
  • HCC Risk Adjustment Analyst at Providence Health Plans
  • Misty Boyd
  • ALLIANCE MEMBER
  • Consultant - Compliance at IU Health Plans
  • Sibyl Boyd
  • ALLIANCE MEMBER
  • Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans
  • Jason Brockett
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager at SelectHealth
  • Eric Cannon
  • ALLIANCE MEMBER
  • Chief Pharmacy Benefits Officer at SelectHealth
  • Kayleigh Cavano
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at MediGold
  • Shane Clemans
  • ALLIANCE MEMBER
  • Clinical Pharmacist at Providence Health Plans
  • Jena Deschler
  • ALLIANCE MEMBER
  • Managed Care Pharmacist at Health Alliance Medical Plans
  • Rudy Dominguez
  • ALLIANCE MEMBER
  • Population Health Managment Process Specialist at Community Health Plan of Washington
  • Rory Donohue
  • ALLIANCE MEMBER
  • Vice President Actuary at Network Health
  • Thomas Edgerton
  • ALLIANCE MEMBER
  • Chief Medical Officer at FirstCarolinaCare Insurance Company
  • Sarah Engle
  • ALLIANCE MEMBER
  • Risk Adjustment and Claims Analytics Supervisor at Western Health Advantage
  • Lindsay Erickson
  • ALLIANCE MEMBER
  • Director, Quality Analysis & Risk Adjustment at Community Health Plan of Washington
  • Jeremy Fejfar
  • ALLIANCE MEMBER
  • Pharmacy Director Government Programs at Quartz Health Solutions
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Freda Hogan
  • ALLIANCE MEMBER
  • VP Network Development at Paramount Health Care
  • Christi Isaac
  • ALLIANCE MEMBER
  • Coding Analysis and Education Manager at Health Alliance Medical Plans
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Vicki Kazmierczak
  • ALLIANCE MEMBER
  • Outpatient CDI Specialist at Henry Ford Health System
  • Kaesie Kettinger
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor at Paramount Health Care
  • Roth Khea
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
  • Ed Lee
  • ALLIANCE MEMBER
  • Exec Director Healthcare Economics Outcomes at IU Health Plans
  • Brianne Leverenz
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Supervisor at Health Alliance Medical Plans
  • Elizabeth Lewallen
  • ALLIANCE MEMBER
  • Medicare Compliance Analyst at Western Health Advantage
  • Ren Mullinix
  • ALLIANCE MEMBER
  • Vice President at Southwestern Health Resources at Care N' Care Insurance Company, Inc.
  • Cathy Nagy
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
  • Daniel O'Connell
  • ALLIANCE MEMBER
  • Vice President of Health Services at Cox HealthPlans
  • 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
  • Data Scientist, Risk Adjustment at Neighborhood Health Plan of Rhode Island
  • Mark Richardson
  • ALLIANCE MEMBER
  • Director, Medicare Program and Products at SelectHealth
  • Britany Ritz
  • ALLIANCE MEMBER
  • Actuarial Analyst at Geisinger Health Plan
  • Karen Rosen
  • ALLIANCE MEMBER
  • Manager, Government Revenue Analytics at Providence Health Plans
  • Lauren Russell
  • ALLIANCE MEMBER
  • Attorney at Scott & White Health Plan
  • Paul Sherman
  • ALLIANCE MEMBER
  • Chief Medical Officer at Community Health Plan of Washington
  • Susan Sirek
  • ALLIANCE MEMBER
  • Sr. Business Data Analyst at Sharp Health Plan
  • Mike Sloan
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Submissions & Analytics at MediGold
  • Krystal Stevenson
  • ALLIANCE MEMBER
  • Manager- Risk Adjustment Programs & Operations at Health Alliance Plan (HAP)
  • Kris Trafton
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Geisinger Health Plan
  • Desiree Walke
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Nancy Weber
  • ALLIANCE MEMBER
  • Clinical Integration Program Manager at Network Health
  • Joan Wilberg
  • ALLIANCE MEMBER
  • Manager, Healthcare Economics at IU Health Plans
  • Sam Wu
  • ALLIANCE MEMBER
  • Actuary Medicare at Health Alliance Medical Plans
  • Holly Zorz
  • ALLIANCE MEMBER
  • Quality Improvement Project Coordinator III at Paramount Health Care
Speakers