Risk Adjustment Master Class 2020
Event Date: 2/4/2020 - 2/5/2020
Event Overview
Risk adjustment (RA) leaders from Alliance member health plans across the country convene for this concentrated workshop and master class. The event features seven highly focused sessions that dive deep into the strategy and tactics of successful RA programs, each showcasing faculty members led by your Alliance colleagues. If you've attended a fly-in before, prepare yourself for a completely re-imagined format. Attendees will be working elbow to elbow with their Alliance colleagues, sharing out discreet pre-work, and collecting specific, actionable insight from your fellow RA leaders.
Top reasons to attend
The event kicks off with a members-exclusive, closed session. We'll use this time behind closed door to have candid conversations about:
- How Alliance member health plans approach RA staffing and organizational structure.
Size, complexity, org. structure, and your provider partners' risk appetite are just some factors that impact your staffing structure, department model and policies.
- The pains and gains of outsourcing vs. insourcing risk adjustment functions.
What processes do other RA leaders rely on vendors to complete? Which Alliance plans are die-hard DIYers? Are there specific areas your RA department is hoping to improve via an outsourced or internally developed approach? The session facilitates a “show and tell” approach between Alliance members.
- Best practices in vendor management: Lessons learned and winning approaches from RA leaders.
In this flash case study and discussion session, Alliance members share the best approach to oversee and manage vendors.
This member-exclusive, closed session provides a thoughtfully designed space that makes connecting with your peers easy. And it's just the kick off for day two of the workshop! Check out the Agenda and Documents tabs above to view full event details.
A few other things we're excited about ...
- After the members-only session, we're hosting a private reception, strolling dinner and vendor showcase. It's a relaxed evening with your Alliance colleagues and the event sponsors where you can learn more about your Alliance network and the solutions recommended by your Alliance colleagues.
- Alliance members benefit from a room block at the Aloft hotel—just down the street from the learning center. It means you can keep the conversations going after hours and enjoy the common spaces in the comfortable Aloft lounge.
Who should attend
This meeting is limited to Health Plan Alliance members and invited guests and is designed for risk adjustment leaders and their teams, with particular emphasis on the ACA and MA product lines.
Alliance member health system and/or provider groups are also invited attend.
Agenda
For a printable, detailed agenda go to the Documents tab above
AGENDA AT A GLANCE (updated November 12, 2019)
TUES, FEB 4 Alliance Member-Only Sessions |
|
1:00 |
Alliance member plan attendees check in and badge pick up |
1:20 |
Welcome! |
1:45 |
Show and tell: How Alliance member health plans approach risk adjustment staffing and organizational structure |
2:45 |
Who does what? Alliance members discuss pains and gains of outsourcing vs. insourcing risk adjustment functions |
3:45 |
Break |
4:15 |
Best practices in vendor management: Lessons learned and winning approaches from risk adjustment leaders |
4:30 |
Vendor fair participants check in, badge pick up, and table set up |
6:00 |
Networking reception and strolling dinner at the Vendor Fair |
WED, FEB 5 Open to all registrants |
|
7:00 |
Breakfast: hosted at the Aloft hotel |
8:30 |
Welcome back! |
8:45 |
Preparing for risk adjustment audits: MA and ACA |
9:45 |
Break |
10:00 |
Revenue projections are hard. Why your RAF isn’t what you expect – and what your Alliance colleagues are doing about it |
11:30 |
Lunch |
12:30 |
Case study: Avera’s ambitious risk adjustment strategy – ideation, goals, and outcomes so far |
1:30 |
Case study: How Providence Health Plan has tied risk adjustment and quality together |
2:30 |
Wrap up and Adjourn |
Venue
Meeting is being held at the Health Plan Alliance Headquarters
290 E. John Carpenter Freeway, Bldg 1
Irving, TX 75062
Hotel information
Aloft Las Colinas
122 E John Carpenter Fwy
Irving, TX 75062
972.717.6100
Website
Our group rate is $169 call or go online to make your reservation by January 27th. If you have trouble booking a room contact Denise Venegas at 972.819.1217 or dvenegas@quorumhotels.com and she will be happy to assist you.
Attire
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
Taxi from the Dallas/Ft Worth International airport and Love Field airport is approximately $25 one-way. UberX is $17-20. The hotels above provide a shuttle to the Alliance office at 290 E John Carpenter Fwy, Bldg 1, which is where the meeting will be held.
Dallas weather
View the latest weather forecast.Documents
Risk Adjustment Master Class 2020: Pre-work Instructions
The pre-work assignment instructions for Alliance member health plans attending the Risk Adjustment Master Class in Feb 2020
Risk Adjustment Master Class 2020: Audit Program Survey
This blank template is part of the Pre-work assignment for Alliance member health plans attending the Risk Adjustment Master Class in Feb 2020.
Risk Adjustment Master Class 2020: Revenue Projections Questionnaire
This blank template is part of the Pre-work assignment for Alliance member health plans attending the Risk Adjustment Master Class in Feb 2020
Risk Adjustment Master Class 2020: Vendor Evaluation
This blank template is part of the Pre-work assignment for Alliance member health plans attending the Risk Adjustment Master Class in Feb 2020
Risk Adjustment Master Class 2020: Vendor Matrix
This blank template is part of the Pre-work assignment for Alliance member health plans attending the Risk Adjustment Master Class in Feb 2020
Agenda: Risk Adjustment Master Class 2020
Risk adjustment leaders from Alliance member health plans across the country convene for this concentrated workshop and master class. The event features 7 highly focused sessions that dive deep into the strategy and tactics of successful risk adjustment programs, each showcasing faculty members led by your Alliance colleagues. If you've attended a fly-in before, prepare yourself for a completely re-imagined format.
Avera Health Plans Risk Adjustment Job Description
A compiled collection of Avera Health Plan Risk Adjustment Job Descriptions created for the February 2020 HPA Risk Adjustment Master Class
Avera Health Plans Risk Adjustment Vendor Evaluation
Avera Health Plan Risk Adjustment Vendor Evaluations created for the February 2020 HPA Risk Adjustment Master Class
Attendees
Below is a list of all delegates registered to date for this event
- Lori Asmus
- ALLIANCE MEMBER
- Director, Risk Adjustment at Network Health
- Zoe Benfield
- ALLIANCE MEMBER
- Director of UM & Risk Adjustment Solutions at Health Alliance Medical Plans
- Pamela Bower
- ALLIANCE MEMBER
- Program Manager, Risk Adjustment at Presbyterian Health Plan
- 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
- Joe Caldwell
- ALLIANCE MEMBER
- Chief Finance Officer at Denver Health Medical Plan
- Allen Chen
- ALLIANCE MEMBER
- Director of Network Operations at Central Health Plan of California
- David DiGiuseppe
- ALLIANCE MEMBER
- VP of Healthcare Economics at Community Health Plan of Washington
- Trish Donoghue
- ALLIANCE MEMBER
- CFO at HealthTeam Advantage
- Jessica Dupont
- ALLIANCE MEMBER
- Vice President of Government Programs at Alliant Health Plans
- Thomas Glasner
- ALLIANCE MEMBER
- Actuarial Analyst at Health First Health Plans
- Sara Hansen
- ALLIANCE MEMBER
- Senior Director, Population Health & Clinical Operations at Avera Health Plans
- Amber Harris
- ALLIANCE MEMBER
- Director Risk Adjustment at MediGold
- Ed Lee
- ALLIANCE MEMBER
- Product Leader, Health Plans Medicare Advantage at IU Health Plans
- Gregory Limon
- ALLIANCE MEMBER
- Director of Revenue Cycle and Data Management at Sharp Health Plan
- Shelly Marsh
- ALLIANCE MEMBER
- Quality Audit Manager at Physicians Health Plan
- Amanda Potter
- ALLIANCE MEMBER
- Manager Data Analytics at Physicians Health Plan
- Sundar Ramalingam
- ALLIANCE MEMBER
- Sr. Manager, Retrospective Review at AvMed
- Dean Ratzlaff
- ALLIANCE MEMBER
- Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
- Naidelys Rodriguez
- ALLIANCE MEMBER
- Clinical Reviewer Supervisor at AvMed
- Mike Sloan
- ALLIANCE MEMBER
- Manager, Risk Adjustment Submissions & Analytics at MediGold
- Rosaelena Solorio Quintero
- ALLIANCE MEMBER
- Business Data Analyst at Alliant Health Plans
- Sunita Varghees
- ALLIANCE MEMBER
- System Vice President, CDI at Baylor Scott & White Health Plan
- Pam Walsh
- ALLIANCE MEMBER
- Director of System Configuration & Technical Services at Health Alliance Medical Plans
- Susan Waterman
- ALLIANCE MEMBER
- Director, Risk Adjustment at Baylor Scott & White Health Plan
- Rebecca Welling
- ALLIANCE MEMBER
- VP Risk adjustment at SelectHealth
- Warren Demurjian
- SPONSOR
- SVP, Business Development at Porter
- Kim Staley
- SPONSOR
- Sales Support Manager at Centauri Health Solutions
Speakers
- Andrew Bundy
Manager, Risk Adjustment at Presbyterian Health Plan
click here for full people profile
- Joe Caldwell
Chief Finance Officer at Denver Health Medical Plan
click here for full people profile
- Jessica Dupont
Vice President of Government Programs at Alliant Health Plans
click here for full people profile
- Sara Hansen
Senior Director, Population Health & Clinical Operations at Avera Health Plans
click here for full people profile
- Amber Harris
Director Risk Adjustment at MediGold
click here for full people profile
- Sundar Ramalingam
Sr. Manager, Retrospective Review at AvMed
click here for full people profile
- Dean Ratzlaff
Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
click here for full people profile
- Naidelys Rodriguez
Clinical Reviewer Supervisor at AvMed
click here for full people profile
- Mike Sloan
Manager, Risk Adjustment Submissions & Analytics at MediGold
click here for full people profile
- Rebecca Welling
VP Risk adjustment at SelectHealth
click here for full people profile