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Paramount Healthcare Case Study: Optimizing the Use of Risk Adjustment Vendors

Event Date: 11/21/2019

Event Overview

Thursday, November 21, 2019
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Episource

This vendor spotlight is hosted on our ReadyTalk platform

 

In this webinar presented by Episource LLC, you will hear a case study on Paramount Healthcare, a current Health Plan Alliance member, who did extensive research prior to deciding what Vendor Partner to choose for their Risk Adjustment solutions.  This presentation will give you insight into what Paramount looked for and the critical factors they considered before making that important decision. 

The presentation will also include how to:  

  • Use reporting to improve vendor oversight, including validating data through MMRs or CMS reports
  • Evaluate the true costs and benefits involved in building or buying solutions  
  • Find out how strong technology and vendor relationships can lead to improvements in quality and better risk scores 

Below are other programs, products and services that Episource offers.

Duals Eligibility & Enrollment by Episource -  is a fully managed solution that helps you efficiently manage
your risk adjustment programs and better support your members’ health by solving dual enrollment
challenges.

In-Home Health Assessments - we ensure member satisfaction truly understanding the member background and needs while elevating the quality of care.

Retrospective Chart Reviews - we provide retrospective coding services for Medicare, Commercial/HIX, and Medicaid. Our technology enables clients to obtain full transparency into the process to keep control over their projects and deadlines.

epiAnalyst - leverages proprietary algorithms to identify HCC gaps at member and provider
levels for accurate RAF reporting.

epiConnect -  allows client access to real-time project data in a secure and compliant environment.

epiEncounter - a single platform to process encounter data in both RAPS and EDPS formats.

 

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
11/21/2019

Recording: Paramount Healthcare Case Study: Optimizing the Use of Risk Adjustment Vendors
Episource. LLC., presents a case study on Paramount Healthcare, a current Health Plan Alliance member, who did extensive research prior to deciding what Vendor Partner to choose for their Risk Adjustment solutions.

11/20/2019

Presentation: Paramount Healthcare Case Study: Optimizing the Use of Risk Adjustment Vendors
Episource. LLC. presents a case study on Paramount Healthcare, a current Health Plan Alliance member, who did extensive research prior to deciding what Vendor Partner to choose for their Risk Adjustment solutions.

Attendees

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

  • Rick Alexsonshk
  • ALLIANCE MEMBER
  • Director ACA Risk Adjustment at SummaCare
  • Jessica Althouse
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Presbyterian Health Plan
  • Kieley Arakelian
  • ALLIANCE MEMBER
  • Director - Quality Management at Physicians Health Plan
  • Zoe Benfield
  • ALLIANCE MEMBER
  • Director of UM & Risk Adjustment Solutions at Health Alliance Medical Plans
  • Rudy Dominguez
  • ALLIANCE MEMBER
  • Population Health Managment Process Specialist at Community Health Plan of Washington
  • Doris Ewing
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Jaime Gonzalez
  • ALLIANCE MEMBER
  • Chief Business Development Officer at Health Plan Alliance
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Julie Miller
  • ALLIANCE MEMBER
  • coding analyst at Health Alliance Medical Plans
  • Nita Mosier
  • ALLIANCE MEMBER
  • Risk adjustment coder at Geisinger Health Plan
  • Cathy Nagy
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Dean Ratzlaff
  • ALLIANCE MEMBER
  • Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Noelle Wilds
  • ALLIANCE MEMBER
  • Sr. Data Analyst at Presbyterian Health Plan
  • Holly Zorz
  • ALLIANCE MEMBER
  • Quality Improvement Team Lead, Medicare at Paramount Health Care
  • Gregory Lea
  • SPEAKER
  • Vice President Prospective Client Services at Episource
Speakers