Login to register | Return to search
Fly-In: 2022 Risk Adjustment
Event Date: 2/8/2022 - 2/9/2022
Event Overview
Risk adjustment audits, operational best practices, and ACA market competition
Join risk adjustment leaders from Alliance member health plans across the country for timely insights into the dramatic increase in DOJ, OIG and CMS activity and the latest code capture best practices. During this one-and-a-half-day meeting, you’ll have valuable time to interface with individuals focused on tackling the same challenges as you. Hear risk adjustment strategy leaders share key takeaways to help your team improve operational efficiency, coding accuracy, compliance, reimbursement accuracy, AND identify cost-savings opportunities.
Top reasons to attend
- Hear the latest insights on the recent state and federal cases involving compliance issues and what your team needs to do to avoid legal action from Teresa A. Mason, Epstein, Becker Green, then engage in a lively discussion with Alliance risk adjustment leaders as they share their RADV experience
- Unpack recent commercial risk adjustment methodology changes, how some plans achieved a negative error rate and how you can stay ahead of your ACA market competition by differentiating your health plan and targeting the right people for your plan
- Explore how Alliance member risk adjustment team dynamics have shifted over the last two years, tips for managing remote teams, and in-sourcing vs. out-sourcing strategies
- Discuss how health plans' risk adjustment strategies continue to shift, with new approaches to suspecting, telehealth and deployed devices, and medical record retrieval and storage
- Swap provider engagement and incentive program best practices—we'll look at Alliance member incentive program comparison data and discuss what's working
Who should attend
Alliance health plan executives and managers with responsibility for:
- Risk adjustment and HCC coding
- Provider engagement and education
- Finance, revenue, and actuarial analysis
- Government programs
Venue
Magellan Health Studio
Located in Frisco, Texas, Magellan Health Studio focuses on solving healthcare’s most vexing issues through a human-centered design approach that brings innovation to life. Using a proprietary innovation engine, the Studio tests new care delivery models and creates products that address the behavioral health and physical needs of patients. This whole-person approach is powered by deep clinical and digital expertise, advanced analytics, top talent with Fortune 100 healthcare experience, and partnerships with leading innovators who share Magellan Health Studio’s commitment to accelerate the digital capabilities required to address complex healthcare challenges.
Sponsors
Thank you to our event sponsors
Platinum
Bronze
Sponsor
Insider
Sponsors
Thank you to our event sponsors
Platinum
Bronze
Sponsor
Insider
Attendees
Below is a list of all delegates registered to date for this event
- Jessica Dupont
- ALLIANCE MEMBER
- Vice President of Government Programs at Alliant Health Plans
- Sara Hansen
- ALLIANCE MEMBER
- Vice President of Population Health Operations at Avera Health Plans
- David Seal
- ALLIANCE MEMBER
- Executive Director Provider Outreach and Engagement at AdventHealth (FHHS)
- Rebecca Welling
- ALLIANCE MEMBER
- VP Risk adjustment at Select Health
- Teresa Mason
- SPEAKER
- Senior Counsel at Epstein Becker Green (EBG)
- Greg Pastor
- SPEAKER
- Managing Director - Risk Adjustment at UST HealthProof
- Jay Scholes
- SPONSOR
- AVP, Sales at Veradigm
- Deb Abbott
- VIRTUAL ATTENDEE
- Risk Adjustment and Payment Integrity Coordinator at Network Health
- Dega Abdi
- VIRTUAL ATTENDEE
- Risk Adjustment Coding Auditor at MediGold
- Zoe Benfield
- VIRTUAL ATTENDEE
- Director of UM & Risk Adjustment Solutions at Health Alliance Medical Plans
- Richard Bernhardt
- VIRTUAL ATTENDEE
- Executive Director at IU Health Plans
- Tracy Boback
- VIRTUAL ATTENDEE
- Health Risk Coding and Education Specialist II at Health Alliance Plan (HAP)
- Peter Boss
- VIRTUAL ATTENDEE
- Healthcare Data Analyst at Providence Health Plan
- Terri Bowers
- VIRTUAL ATTENDEE
- HCC Risk Adjustment Analyst at Providence Health Plan
- DeeEl Brovetto
- VIRTUAL ATTENDEE
- Risk Adjustment Auditor II at Baylor Scott and White Health Plan
- Ngoc Bui-Tong
- VIRTUAL ATTENDEE
- Chief Health Equity and Strategy Officer at Santa Clara Family Health Plan
- Andrew Bundy
- VIRTUAL ATTENDEE
- Interim Director, Risk Adjustment at Presbyterian Health Plan
- Kayleigh Cavano
- VIRTUAL ATTENDEE
- Risk Adjustment Coding Auditor at MediGold
- Kelly Chan
- VIRTUAL ATTENDEE
- Supervisor, Risk Adjustment Coding at Presbyterian Health Plan
- Jessica Chapagain
- VIRTUAL ATTENDEE
- Applications Systems Manager at Select Health
- Aaron Christensen
- VIRTUAL ATTENDEE
- Strategic Account Manager at Select Health
- Miriam Clay
- VIRTUAL ATTENDEE
- Member Support at Vizient Inc.
- Jennifer Cones
- VIRTUAL ATTENDEE
- Manager, Outpatient CDI at Health Alliance Plan (HAP)
- Deb Curry
- VIRTUAL ATTENDEE
- Director Risk Adjustment Programs at Medical Mutual
- Esther D'Arezzo
- VIRTUAL ATTENDEE
- RN, Clinical Supervisor Risk Adjustment at Neighborhood Health Plan of Rhode Island
- Nicole Davis
- VIRTUAL ATTENDEE
- Risk Adjustment Coder at Baylor Scott and White Health Plan
- Alison Dunton
- VIRTUAL ATTENDEE
- Director of Practice Enhancement & Analytics at Aspire Health Plan
- Randi Escobedo
- VIRTUAL ATTENDEE
- Vice President, Healthcare Experience and Advocacy Strategy at Providence Health Plan
- Matthew Felker
- VIRTUAL ATTENDEE
- Sr Director, Actuarial Services at Quartz Health Solutions
- Jennifer Ferguson-Berringer
- VIRTUAL ATTENDEE
- Provider Education Coordinator at Henry Ford Health System
- Amber Harris
- VIRTUAL ATTENDEE
- Director Risk Adjustment at MediGold
- Christy Hitchcock
- VIRTUAL ATTENDEE
- Risk Adjustment Coding Analyst at CommunityCare
- Mary Ingram
- VIRTUAL ATTENDEE
- Chief Actuary at Western Health Advantage
- Shamyne Jean-Francois
- VIRTUAL ATTENDEE
- Risk Adjustment Auditor I at Baylor Scott and White Health Plan
- Karen Jensen
- VIRTUAL ATTENDEE
- Manager, Risk Adjustment and SIU at Quartz Health Solutions
- Paul Klatt
- VIRTUAL ATTENDEE
- Data Analyst at MediGold
- Joanne Lauterbach
- VIRTUAL ATTENDEE
- Chief Financial Officer at Community Health Options
- Kevin Lewis
- VIRTUAL ATTENDEE
- Chief Executive Officer at Community Health Options
- Viji Malaiyan
- VIRTUAL ATTENDEE
- Senior Business Analyst - Sentara Healthcare at Sentara Health Plans
- Meghan Miller
- VIRTUAL ATTENDEE
- Risk adjustment auditor at Baylor Scott and White Health Plan
- Stephne Morgan
- VIRTUAL ATTENDEE
- Risk Adjustment Program Manager at Health New England
- Deana Myers-Voyk
- VIRTUAL ATTENDEE
- Coding Auditor at SummaCare
- Nomsa Mzozoyana
- VIRTUAL ATTENDEE
- Project Coordinator at MediGold
- Cathy Nagy
- VIRTUAL ATTENDEE
- Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
- Savitha Narayanaraju
- VIRTUAL ATTENDEE
- Sr Healthcare Data Analyst at Sentara Health Plans
- Kari Pace
- VIRTUAL ATTENDEE
- Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
- Wade Penner
- VIRTUAL ATTENDEE
- Manager Revenue-Risk at Samaritan Health Plans
- Krystal Revai
- VIRTUAL ATTENDEE
- Associate Chief Medical Officer at Health Alliance Medical Plans
- Monday Reynolds
- VIRTUAL ATTENDEE
- CRC at Santa Clara Family Health Plan
- Ariana Ricci
- VIRTUAL ATTENDEE
- Risk Adjustment Analytics Lead at Neighborhood Health Plan of Rhode Island
- Celeste Richards
- VIRTUAL ATTENDEE
- Chief Operating Officer at Alliant Health Plans
- Jason Rio
- VIRTUAL ATTENDEE
- Sr. Director of Revenue Assurance and Risk Management at Health New England
- Maria Rodriguez
- VIRTUAL ATTENDEE
- Risk Adjustment Auditor at Baylor Scott and White Health Plan
.JPG)
- Mike Sloan
- VIRTUAL ATTENDEE
- Manager, Risk Adjustment Submissions & Analytics at MediGold
- Kathleen Spaulding
- VIRTUAL ATTENDEE
- Manager, Risk Adjustment Quality Assurance at Capital District Physicians' Health Plan (CDPHP)
- Tana Turner
- VIRTUAL ATTENDEE
- Risk Adjustment Coding Auditor lll at Select Health
- Muhammad Umar
- VIRTUAL ATTENDEE
- Healthcare Data Analyst at Sentara Health Plans
- Diana Vasquez
- VIRTUAL ATTENDEE
- Senior Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
- Kayla Walker
- VIRTUAL ATTENDEE
- Risk Adjustment Auditor II at Baylor Scott and White Health Plan
- Josh Weisbrod
- VIRTUAL ATTENDEE
- VP Risk Adjustment at Network Health
- Amy Whalen
- VIRTUAL ATTENDEE
- Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
- Jill Singletary
- VIRTUAL ATTENDEE - SPONSOR
- Director Sales, Administrative Services at UST HealthProof