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Fly-In: 2022 Risk Adjustment

Event Date: 2/8/2022 - 2/9/2022

Event Overview

 

 

RADV audits, HCC coding, 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

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

The venue is in the works! Register today and plan to join us in-person. The Alliance will update members when the venue is chosen, with ample time for attendees to make travel plans and hotel accommodations. 

 

Registration
ALLIANCE MEMBER
Fee End Date Description Amount
2/7/2022 for Alliance members attending in-person MEMBER PASS
VIRTUAL ATTENDEE - MEMBER
Fee End Date Description Amount
2/7/2022 for Alliance members engaging with the broadcasted sessions VIRTUAL MEMBER PASS
VIRTUAL ATTENDEE - SPONSOR
Fee End Date Description Amount
2/7/2022 for confirmed sponsors engaging in the virtual sessions VIRTUAL SPONSOR PASS
SPONSOR
Fee End Date Description Amount
2/7/2022 for invited sponsors attending the in-person event SPONSOR PASS
SPEAKER
Fee End Date Description Amount
2/7/2022 for confirmed faculty members FACULTY PASS
Sponsorship

The Alliance welcomes your interest in sponsoring this exclusive, HPA member-only event. Our member meetings are truly unique gatherings that prioritize collaboration and connection among attendees. We want the very best experience for meeting attendees and event sponsors as well, which is why we carefully match interested sponsors with our meeting offerings.

Apply to become an event sponsor below. Before submitting your event sponsorship registration, view our full Terms and Conditions of sponsoring HERE. You will be asked to acknowledge that you have read and agree to these Terms when submitting your sponsorship registration.

Your event sponsorship registration submission will be reviewed and confirmed within 3 business days by Alliance staff. We look forward to collaborating together on this Alliance member event!

Sponsorship: 45100; HPA200 - Fly In Sponsor
Fee End Date Description Amount
2/9/2022 Fly-In Sponsor $10,000.00
COVID Protocols

What to expect: Health and Safety Protocols

The Health Plan Alliance’s hallmark is the unique space we provide for our members and partners to come together and meaningfully connect around the challenges and opportunities your organizations navigate every day. The health and safety of every attendee is our top priority and we are implementing health and safety protocols for our in-person events aimed at protecting all participants. 

These protocols will be updated in response to ongoing guidance from CDC and local health authorities. If you have attended Alliance in-person meetings before, know this experience will be different in many ways – but also rest assured that we remain dedicated to creating unique opportunities to connect, learn and share with your colleagues from across the country.

Please review the Updated Safety protocols HERE

By registering to attend the event you agree and understand these specific risks noted below:

Liability Disclaimer and Release: COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic.  COVID-19 is reported to be extremely contagious.  The exact methods of spread and contraction are unknown, but the virus is believed to spread from person-to-person, by contact with contaminated objects, and even possibly in the air.  People reportedly can be infected and show no symptoms yet still spread the disease.  COVID-19 is reported to cause serious illness and death. The Health Plan Alliance cannot prevent attendees from becoming exposed to, contracting, or spreading COVID-19 while attending a HPA event or activity.  Any in-person interaction may increase the risk of contracting or spreading COVID-19. 

I agree and understand these specific risks and nonetheless accept them in order to attend this HPA event.  These services are of such value to me that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to participate in person rather than arranging for an alternative method participating or not participating at all.  I further hereby forever release and waive all claims and rights against the Health Plan Alliance in connection with exposure, infection, and/or spread of COVID-19 related to utilizing their services or premises or interacting with their members.  I understand that this release and waiver means I give up my right to bring any claims including for personal injuries, death, disease, property losses, or any other loss that may be released and waived under applicable law, including, but not limited to, claims of negligence, and I understand that this release and waiver prevents me from seeking damages in any way against the Health Plan Alliance, whether such damages are known or unknown, foreseen or unforeseen, or that occur now or in the future. 

I understand that the Health Plan Alliance and the event venue will implement COVID-19 health and safety protocols that align with the most recent guidance released by the CDC and the local health authority.  These protocols will include details regarding code of conduct and safety measures (ie, wearing masks in public spaces, maintaining physical distance during sessions, etc) for all attendees. I understand I will be expected to adhere to these guidelines.

Agenda

Last updated 11/18/2021
(All details in Central Time Zone)


Tuesday, February 8

6:00

Happy Hour and Dinner Mixer

Wednesday, February 9

7:30

Networking Breakfast

8:45

Welcome!

9:00

Fireside Chat: DOJ, OIG, CMS…Oh my!

10:30

Break

10:45

Commercial Risk Adjustment: Strategies for Reducing Your Transfer Payment Risk

11:45

Lunch

12:30

Benchmarking: Operating in the “new normal” (Closed Door Session)

1:30

Break

1:45

Case Studies: Pandemic Proof HCC Capture Tactics

2:45

Fireside Chat: Provider engagement and incentives

3:45

Wrap up and Adjourn



 

Documents
11/22/2021

Agenda: 2022 Risk Adjustment Fly-In
Alliance member risk adjustment leaders have been in lockstep these last two years as we all navigated the regulatory and strategy changes needed to ensure continued accurate reimbursement rates. Reconnect with your peers, share lessons learned, and discuss the latest best practices and tactics for achieving optimal risk adjustment operations as we move into the new year.

Attendees

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

  • Sara Hansen
  • ALLIANCE MEMBER
  • Director of Quality & Clinical Risk Services at Avera Health Plans (DAKOTACARE)
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Wesley Sanders
  • ALLIANCE MEMBER
  • Chief Financial Officer at Alliant Health Plans
  • David Seal
  • ALLIANCE MEMBER
  • Executive Director Provider Outreach and Engagement at AdventHealth (FHHS)
  • Paul Sherman
  • ALLIANCE MEMBER
  • Chief Medical Officer at Community Health Plan of Washington
  • Mike Sloan
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Submissions & Analytics at MediGold
  • Amy Atkins
  • VIRTUAL ATTENDEE - MEMBER
  • Medical Records Specialist II at Community Health Plan of Washington
  • Jeanell Austin
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Provider Network Strategy Management at Health New England
  • Jason Brockett
  • VIRTUAL ATTENDEE - MEMBER
  • Senior Manager Risk Adjustment at SelectHealth
  • DeeEl Brovetto
  • VIRTUAL ATTENDEE - MEMBER
  • Risk Adjustment Auditor II at Scott & White Health Plan
  • Susan Budd
  • VIRTUAL ATTENDEE - MEMBER
  • Commercial Products Manager at Denver Health Medical Plan
  • Ngoc Bui-Tong
  • VIRTUAL ATTENDEE - MEMBER
  • Vice President, Strategies and Analytics at Santa Clara Family Health Plan
  • Jolene Carter
  • VIRTUAL ATTENDEE - MEMBER
  • Certified Medical Review Examiner at CommunityCare
  • Nadine Casey
  • VIRTUAL ATTENDEE - MEMBER
  • Compliance Consultant - Indiana University Health at IU Health Plans
  • Wynda Clayton
  • VIRTUAL ATTENDEE - MEMBER
  • Risk Adjustment Manager at Providence Health Plan
  • Jennifer Cones
  • VIRTUAL ATTENDEE - MEMBER
  • Manager, Outpatient CDI at Henry Ford Health System
  • Deidre DeRoche
  • VIRTUAL ATTENDEE - MEMBER
  • Manager, Goverment Programs at Community Health Options
  • Alison Dunton
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Practice Enhancement & Analytics at Aspire Health Plan
  • Karen Jensen
  • VIRTUAL ATTENDEE - MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Erin Kavanagh
  • VIRTUAL ATTENDEE - MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Teresa McKeever
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Quality Management at Health Partners Plans
  • Stephanie Motter
  • VIRTUAL ATTENDEE - MEMBER
  • President, IU Health Plans at IU Health Plans
  • Nomsa Mzozoyana
  • VIRTUAL ATTENDEE - MEMBER
  • Project Coordinator at MediGold
  • Cathy Nagy
  • VIRTUAL ATTENDEE - MEMBER
  • Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
  • Wade Penner
  • VIRTUAL ATTENDEE - MEMBER
  • Manager Revenue-Risk at Samaritan Health Plans
  • Krystal Revai
  • VIRTUAL ATTENDEE - MEMBER
  • Associate Chief Medical Officer at Health Alliance Medical Plans
  • Monday Reynolds
  • VIRTUAL ATTENDEE - MEMBER
  • CRC at Santa Clara Family Health Plan
  • Karen Rosen
  • VIRTUAL ATTENDEE - MEMBER
  • Manager, Government Revenue Analytics at Providence Health Plan
  • Kathleen Spaulding
  • VIRTUAL ATTENDEE - MEMBER
  • Manager, Risk Adjustment Quality Assurance at Capital District Physicians' Health Plan (CDPHP)
  • Diana Vasquez
  • VIRTUAL ATTENDEE - MEMBER
  • Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island