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.

Thank you to our event sponsors

Platinum

Bronze

Vendor

Agenda

Last updated 12/22/2021
(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	Operating in the “new normal” (Closed Door Session)
1:30	Break
1:45	Innovative HCC Capture Tactics
2:45	Provider and Member Engagement and Incentives
3:45	Wrap up and Adjourn

Venue

Meeting Venue

Magellan Health Studio

6303 Cowboys Way
Suite 350
Frisco, TX 75034

Hotel Accomodations

Canopy by Hilton Dallas Frisco Station
4455 Frisco Green Ave
Frisco, TX 75034
469.200.6161

The hotel room block expires on January 19, 2022
Our room rate is $132 plus taxes/fees. This rate may be available three days prior and three days after our meeting dates, depending on the hotel's availability. You should call the reservations department at 469.200.6161 and ask for the Health Plan Alliance (Vizient) room rate or click here to book online. Should you call after the deadline, you will not be guaranteed to receive our group room rate or the hotel may be sold out. Please note that the group block could sell out before this date.

Additional Info

DRESS
Business casual attire is appropriate for the meeting. Remember that the hotel meeting room temperatures vary, so we recommend that you layer clothing to be comfortable in case the room becomes either hot or cold.

GROUND TRANSPORTATION
Dallas/Fort Worth International airport is 22 miles away and an estimated fare of $42 Uber/Lyft. Click here for more details.

FRISCO WEATHER
View the latest weather forecast.

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.

Documents

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2/9/2022

MA Audit Summary Matrix 2022
Shared at the Risk Adjustment Fly-In, February 8-9, 2022.

2/9/2022

Presentation: Risk Adjustment Landscape
The government audit and enforcement processes are very interconnected. To avoid legal action, it is critical your health plan is compliant, supervises vendors, audits providers and “looks both ways” when conducting chart reviews. Teresa A Mason, Epstein Becker Green, will kick us off with a review of recent state and federal cases involving compliance problems and provide insight into what the OIG is looking for, what the penalties are, and how health plans and providers can avoid legal action. Then engage in a lively discussion with risk adjustment leaders as they share their RADV experiences.

2/9/2022

Presentation: Virtual Care Annual Health Visits
The pandemic forced us to think creatively about how to capture an accurate picture of our members’ health when they’re no longer going into the doctor’s office. During this session, you’ll hear how Alliance members’ tactics have shifted through the pandemic and innovative new strategies plans implemented to get an accurate picture of their members’ health.

2/7/2022

Agenda: 2022 Risk Adjustment Fly-In
Updated February 7, 2022. 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.

2/3/2022

2022 Alliance Member Risk Adjustment Audit Directory
Identify Health Plan Alliance member risk adjustment leaders you can tap for shared learning regarding risk adjustment audits. Confidential - For Alliance Members Only.

2/1/2022

Aspire Health Plan Risk Adj Org Chart
Shared at the Risk Adjustment Fly-In, February 8-9, 2022

2/1/2022

Quartz Risk Adjustment Job Descriptions
Shared at the Risk Adjustment Fly-In, February 8-9, 2022

2/1/2022

Alliant Risk Adjustment Org Chart 2022
Shared at the Risk Adjustment Fly-In, February 8-9, 2022.

2/1/2022

IU Health Plans Risk Adjustment Org Chart
Shared at the Risk Adjustment Fly-In, February 8-9, 2022

2/1/2022

IU Health Plans Risk Adjustment Job Descriptions
Shared at the Risk Adjustment Fly-In, February 8-9, 2022

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