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HealthcareWebSummit:The Impact of Risk Adjustment on Quality of Care: Next Steps in Better Case Management
Risk adjustment remains the defining issue for Medicare Advantage health plans and is central to improving the quality of care provided to chronically-ill beneficiaries. Many health plans have already come to realize that prospective health risk assessments are the most effective way to bring risk adjustment and case management together to drive better revenue, better medical management, better Star Ratings and higher patient satisfaction.

For some though, the majority of diagnostic information is still collected from claims-based submissions often augmented by retrospective review of selected charts. Recent audit experience has repeatedly shown that this information to be incomplete and often incorrect—at great risk to the plan. In fact, studies done on risk adjustment implementation suggest that as many as 17% of claims-based submissions could not be supported by charts. RADV audits have documented variances closer to double that number.

In partnership with MCOL, join Gorman Health Group and CenseoHealth for a discussion on a new model for mastering the risk adjustment payment of Medicare Advantage plans on February 22 from 1:00-2:00 Eastern time.

Hear from Dr. Jack McCallum, CEO of CenseoHealth, on how a well-designed prospective risk adjustment program can help to ensure plan compliance. He’ll be joined by Nathan Goldstein, CEO of Gorman Health Group, for a discussion on practical program steps and enhanced techniques designed not only to drive risk-adjusted revenue, but also quality Star Ratings and enhanced medical management.
Learning Objectives
Participants will be able to:
  1. Understand the value of one best medical record: A simple step that goes a long way
  2. Examine the return of the house call: Improving risk adjusted revenues, Star Ratings and medical management
  3. Consider the power of patient evaluations: Which members carry the most risk, and how do you address it?
  4. Explore the next steps in revamping your chart review process: Making retrospective literally a thing of the past
Who Should Attend
Interested attendees would include:
  • Risk Adjustment Executives and Staff
  • Quality Improvement Executives and Staff
  • STARS Program Initiatives Executives and Staff
  • Revenue Management Executives and Staff
  • Case Management Executives and Staff

Attendees would represent organizations including:

  • Health Plans
  • Provider Networks
  • Care Management Organizations
  • Government Agencies
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Parties
The Impact of Risk Adjustment on Quality of Care: Next Steps in Better Case Management
  Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $285 for non-attendees after the event.

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

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Topic   Event   CD-ROM
California Trends   California Healthcare Environment: A Forecast for 2012
Thursday, December 15th, 2011
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Midwest Trends   Midwestern Healthcare Environment: A Preview for 2011
Thursday, December 9th, 2011
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ACOs   2011 Accountable Care Web Summit
Thursday, December 8th, 2011
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