Wednesday, April 21, 2021, at 1:30 PM ET

(Live Webinar)

Risk Adjustment and the Rubber Band Effect

Why Attend?

In this webinar, you’ll learn ways to overcome the rubber band effect that the pandemic is poised to spring on risk adjustment operations. Given the low encounter volumes last year, uncovering and confirming risk adjustable conditions this PY will be incredibly challenging. However, by emphasizing revenue stabilization in other ways, along with careful cost reduction measures, you can insulate your organization from the full brunt of this sting.  

The Opportunity

2021 is offering a unique chance to become a year of optimized risk adjustment. With the signing of the American Rescue Plan Act of 2021 barriers and premiums for COBRA have been reduced or eliminated, there are new Medicaid expansion incentives, and the ACA marketplace has an off-calendar second opening.

Medicare Advantage enrollment is soaring, with 2.4 million new enrollees YTD as of February 2021, a 9.9% increase, YOY, which also coincides with the MA 2020 DOS submission deadline extension, from February to August 2021.

Simultaneously, the pent-up demand for care from 2020 is rebounding patient volumes. This is creating a tremendous opportunity to capture, and recapture, risk adjustable conditions.  

Key Takeaways

  • Overcome COVID-19 resource disruption by improving cash flow with net new revenue streams while also boosting RAF accuracy
  • Hear how risk bearing provider organizations are leveraging NLP to close care and risk gaps as patient volumes rebound, including for Medicaid populations
  • See the long-term potential of patient identification via NLP clinical suspecting alongside telehealth’s new permanence and how to protect against the associated audit risk through unique clinical documentation requirements

Wednesday, April 21 at 1:30 PM ET