Risk Adjustment Data Integrity: How Western Health Advantage Enhanced its Financial Performance
Event Date: 10/30/2018
Event Overview
Tuesday, October 30, 2018
1:00 PM CT – 2:00 PM CT (60 minutes)
Vendor Spotlight Host: HealthScape Advisors
This vendor spotlight is hosted on our ReadyTalk platform
The session will address the complexity of the encounter data flow process and identify points of vulnerability for risk fallout prior to acceptance by regulatory agencies, as well as identification and remediation of specific issues through the lenses of a case study conducted in partnership between Western Health Advantage and HealthScape Advisors. During the webinar you will have the opportunity to:
- Understand the complexity of the data flow process from point of encounter through regulatory submission
- Identify points of vulnerability in the data flow process
- Understand the importance of Data Integrity for risk adjusted markets
- Learn recommended best practices for ensuring Data Integrity across one’s systems
- Understand the process Western Health Advantage (WHA) underwent to identify and remediate data integrity issues and the impact their efforts had on financial performance
Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.
Documents
Recording: Risk Adjustment Data Integrity: How Western Health Advantage Enhanced its Financial Performance
HealthScape Advisors in partnership with Western Health Advantage, address the complexity of the encounter data flow process and identifies points of vulnerability for risk fallout prior to acceptance by regulatory agencies, as well as identification and remediation of specific issues through the lenses of a case study.
Presentation: Risk Adjustment Data Integrity: How Western Health Advantage Enhanced its Financial Performance
HealthScape Advisors will address the complexity of the encounter data flow process and identify points of vulnerability for risk fallout prior to acceptance by regulatory agencies, as well as identification and remediation of specific issues through the lenses of a case study conducted in partnership between Western Health Advantage and HealthScape Advisors.
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
- Judith Baillie
- ALLIANCE MEMBER
- Clinical Quality Manager at Western Health Advantage
- Kevin Borchert
- ALLIANCE MEMBER
- Chief Actuary at Network Health
- Danielle Brinkley
- ALLIANCE MEMBER
- Director, Population Analytics at Community Health Plan of Washington
- Ngoc Bui-Tong
- ALLIANCE MEMBER
- Chief Health Equity and Strategy Officer at Santa Clara Family Health Plan
- Andrew Bundy
- ALLIANCE MEMBER
- Manager, Risk Adjustment at Presbyterian Health Plan
- Deborah. Coakley
- ALLIANCE MEMBER
- Director of Risk Adjustment Programs - Operations at Baylor Scott & White Health Plan
- Starlyn Crook
- ALLIANCE MEMBER
- Project Manager at HealthTeam Advantage
- Janice Curtis
- ALLIANCE MEMBER
- Revenue Analyst at Baylor Scott & White Health Plan
- Christine Day
- ALLIANCE MEMBER
- Provider Data Quality Analyst at Health Alliance Plan (HAP)
- Crystal Djordjevic
- ALLIANCE MEMBER
- Risk Adjustment Education Specialist at Health Alliance Medical Plans
- Rory Donohue
- ALLIANCE MEMBER
- Vice President Actuary at Network Health
- Jessica Dupont
- ALLIANCE MEMBER
- Vice President of Government Programs at Alliant Health Plans
- Lisa Garrett
- ALLIANCE MEMBER
- Risk Adjustment Manager at Sentara Health Plans (Optima)
- Jaime Gonzalez
- ALLIANCE MEMBER
- Chief Business Development Officer at Health Plan Alliance
- Syed Hamdani
- ALLIANCE MEMBER
- Claims and Provider Relations Director at Western Health Advantage
- Matthew Hesser
- ALLIANCE MEMBER
- Analyst at Geisinger Health Plan
- Karen Jensen
- ALLIANCE MEMBER
- Manager, Risk Adjustment and SIU at Quartz Health Solutions
- Robin Perry
- ALLIANCE MEMBER
- Coding Consultant at Health Alliance Medical Plans
- Dean Ratzlaff
- ALLIANCE MEMBER
- Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
- Heather Richardson
- ALLIANCE MEMBER
- Sr. Medicare Compliance Analyst at Physicians Health Plan
- Rita Ruecker
- ALLIANCE MEMBER
- Chief Financial Officer at Western Health Advantage
- Mitchell Stevens
- ALLIANCE MEMBER
- Actuarial Analyst at Sentara Health Plans (Optima)
- Susan Waterman
- ALLIANCE MEMBER
- Director, Risk Adjustment at Baylor Scott & White Health Plan
- Nancy Weber
- ALLIANCE MEMBER
- Clinical Integration Program Manager at Network Health
- Josh Weisbrod
- ALLIANCE MEMBER
- VP Risk Adjustment at Network Health
- Noelle Wilds
- ALLIANCE MEMBER
- Sr. Data Analyst at Presbyterian Health Plan
- Christopher Zapart
- ALLIANCE MEMBER
- Investigator at Geisinger Health Plan
- Jami Eddington
- SPEAKER
- Client Advisory Manager at HealthScape Advisors, LLC
Speakers
- Jami Eddington
Client Advisory Manager at HealthScape Advisors, LLC
click here for full people profile
- Syed Hamdani
Claims and Provider Relations Director at Western Health Advantage
click here for full people profile