Think Differently: Innovative Paths to Success in Today’s MA Market
As the Medicare Advantage market resets from the impact of V28 and new cut points have come out for Stars, health plans are withdrawing from markets, cutting benefits, and increasing premiums in response. But there are other less drastic options to maintain revenue. This new environment requires plans to have a more integrated management structure and eliminate silos to grow and maintain revenue.
When you join speakers Eric Wallace and Matt Neis for this session, be prepared to think differently about today’s MA market. Eric and Matt have more than 35 years of combined experience in the industry, working closely with payers across the country. You can learn from their observations about how payers can restructure, identify additional data sources for clinical validation, and work with key departments to succeed in this dynamic environment.
The speakers will show how various functions including risk adjustment, Stars/quality, network, compliance, and medical management can share a common scorecard. They will focus on successful risk adjustment strategies in particular, including how to educate and engage your provider network.
Enjoy the recording of the webinar presented by the Vatica Health team.
Topics at a Glance
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How to structure a cross-functional effort to succeed with V28.
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Additional sources of data for clinical validation.
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Tips for the highest compliant risk adjustment yield.
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How to educate and engage providers
Who Should Attend
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Risk adjustment
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Quality of care/HEDIS/Stars
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Medical director
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Revenue
Top Reasons to Attend
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You need to increase revenue for your MA program
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You need to improve your risk adjustment program
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You want to increase PCP engagement in your risk adjustment program
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You are concerned about compliance risk in your risk adjustment program
