The following podcasts received the most downloads since RISE Radio launched in February 2021:
Guests: Lesley Weir, senior director, customer and product success at Veradigm, and Kate Wormingto director, product management, analytics at Veradigm Payer Analytics.
In this 31-minute podcast, Weir and Wormington discuss the risk adjustment and quality changes in the final rules and their recommendations and strategies for organizations going forward. Originally published on May 3, 2023.
2. Episode 10: Liz Haynes & Melissa Smith on 2022 Medicare Star ratings and what plans must do to maintain those scores
Guests: Liz Haynes, director of risk adjustment and stars for government programs at Blue Cross and Blue Shield of Kansas City, and Melissa Smith, executive vice president of consulting and professional services at HealthMine.
During this 27-minute podcast, Haynes and Smith offer their thoughts on inflated 2022 Medicare Star ratings, upcoming measurement changes that will likely lead to lower ratings for 2023, and the “holistic approach” plans need to take to prepare for the changes. Originally published October 28, 2021.
3. Episode 9: Dr. Angela Huskey on emerging drug threats, the rise in substance use among the elderly
Guest: Angela G. Huskey, PharmD, CPE, senior vice president and chief clinical officer at Millennium Health.
During this 21-minute podcast, Dr. Huskey discusses her work on identifying drug trends, emerging threats, substance use disorder, and the increase in drug overdose deaths since the COVID-19 pandemic. Originally published July 15, 2021.
4. Episode 14: Apixio’s Breanna Krebs on how to prepare for the 2023 Medicare Advantage sweep season
Guest: Breanna Krebs, the director of customer success at Apixio.
In this 11-minute podcast, Krebs discusses the impact of the double sweeps occurring this July and next January related to the extension deadline for submitting risk adjustment data for use in the risk score calculation run that the Centers for Medicare & Medicaid Services (CMS) implemented due to the COVID-19 pandemic; what the end of the extension deadline means; potential challenges to the return of regular submission deadlines in a post-pandemic landscape; and best practices to stay ahead of these compressed deadlines and ensure the accuracy of your risk adjustment data submissions to CMS. Originally published January 11, 2023.
Guest: Lyle Mioduszewski, vice president of population health and payer growth for Ciox Health
In this 26-minute podcast, Mioduszewski discusses social determinants of health (SDoH), data collection and sharing, and best practices for capturing SDoH codes in the medical record. Originally published July 5, 2023.
Want to learn more? Check out our entire RISE Radio library here.