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Optimize Risk Adjustment Through Technology-Enabled Payer-Provider Collaboration

45 Minute AHIP Webinar Recording

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60+ Sponsors. 32+ Sessions. 4 Tracks. 3 Days.

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A Successful Conference Starts with Us

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$229

Incremental Revenue Per Member

4X

Coder Productivity

Download the Case Study

Peer Perspective: UPMC Case Study

Mary Beth Jenkins, SVP & COO at UPMC HEALTH PLAN and Dr. Adele Towers, MPH at UPMC Enterprises will explain the challenges their plan was facing in risk adjustment for their MA and Exchange populations. Together, they'll discuss how they overcame several challenges and improved plan performance.

Leave with key takeaways and lessons learned that will enable your organization to succeed in similar circumstances.

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Leave with key takeaways and lessons learned that will enable your organization to succeed in similar circumstances.

Webinar Highlights

Listen as Mary Beth Jenkins, SVP & COO at UPMC Health Plan & Dr. Adele Towers, MPH at UPMC Enterprises explain the risk adjustment challenges their plan was facing in their MA and Exchange populations. Together, they discuss how applying new technology improved performance.

Key Presentation Points:

How UPMC Health Plan addressed their MA and ACA challenges with Natural Language Processing (NLP) technology
Pre- and post-technology enabled coding workflow comparisons, NLP parsing example and data ingestion process that transformed risk adjustment operations
Health plan results, including:
- Substantial increase in RAF capture
- Visibility into potential compliance issues/audit risks
- 4X gain in coder productivity

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Webinar Speakers:


Adele L. Towers, MD MPH FACP Risk Adjustment Director UPMC Enterprises	Adam Gronsky VP, Advisory Services Health Fidelity

Webinar Highlights

To be successful in today's value-based care world, payers and providers need to foster a strong working relationship. This webinar retraces the steps of UPMC’s risk adjustment transformation journey over the last 5 years while exploring the modern technology framework required to collaboratively improve risk adjustment outcomes.

In this webinar:

Learn about the tools, technology, people, and process coming together across UPMC’s health plan, health system, and provider network to achieve major risk adjustment goals.
Discover the technology framework UPMC utilized to support and enhance their risk adjustment transformation including a NLP-powered suite for retrospective and prospective review, physician education, data sharing, and clinical documentation improvement.
Develop a strategic understanding of how to incorporate NLP-powered solutions into your organization’s technology ecosystem.

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