An engaged partnership between health plans and providers is vital to financial success and ensuring beneficiaries receive valuable benefits.
Risk adjustment is much more than a regulatory requirement for Medicare Advantage plans. Not only does it have a significant financial impact, but it can also improve the quality of care by providing an accurate picture of each member’s health status and ensuring each member receives the right interventions and treatment. Providers play an important role in risk adjustment, too.
Hassan Rifaat, MD, CEO of Vatica Health, joined Bright Spots in Healthcare on June 23 at 12 p.m. ET for a webinar alongside key leaders in payer and provider organizations.
The Elevate Risk Adjustment by Activating Physician Participation panelists shared successful strategies and best practices for payers and providers to work in partnership to improve diagnosis coding and documentation, close gaps in care, achieve better clinical and financial performance, and support value-based care.
Additional speakers included:
Jeslie Jacob, Divisional Vice President, Provider Analytics, Reporting & Connectivity, Blue Cross and Blue Shield of Illinois
Janie Reddy, DNP, FNP-BC, Director of Family Medicine, CommuniCare Health Centers
Rebecca Welling, Associate Vice President, Risk Adjustment & Coding, SelectHealth
Lisa Wigfield, RN, BSN, CCM, CRC, CDEO, Clinical Advisor, Risk Management, Priority Health