Commercial Risk Adjustment in the Marketplace: How to Implement Federal Risk Adjustment Model

Share Article

Pulse8 CEO John Criswell is Featured Speaker at RISE Conference "2nd Annual Health Insurance Exchange Summit" in Las Vegas, NV on November 18, 2013

John Criswell, CEO

Pulse8 CEO John Criswell is scheduled as a RISE-featured conference speaker on “Risk Adjustment in the Marketplace: How to Implement the Federal Risk Adjustment Model” in which he will share how qualified health plans are preparing to conduct risk adjustment for their commercial population. As health plans implement, refine and revise their health insurance exchange product and processes, they should consider new and innovative solutions from Big Data uses to technology products. At the 2nd Annual Health Insurance Exchanges Summit, attendees will hear about the lesser-known details that can make—or break—success on the exchanges. John Criswell will share insight into risk score calculations and their impact on provider networks, understanding zero-sum risk adjustment and using risk adjustment as a measure for utilization management objectives.

About Pulse8 LLC

Pulse8 is a cutting-edge healthcare technology and analytics provider that delivers an unprecedented view into risk adjustment so health plans can achieve the highest financial impact in the Commercial Health Exchanges. Its proprietary algorithms move beyond traditional methods and data sources to make predictions about what individual members require next, ultimately closing gaps in care and increasing precision with risk adjustment initiatives. Pulse8 offers innovative and unique methodologies to ensure its clients outperform the marketplace. Its transparent and flexible business intelligence tools ‎give real-time visibility into member and provider behaviors allowing clients to apply the most cost-effective and appropriate interventions. Pulse8 is a Silver sponsor for this RISE Conference in Las Vegas, NV. For more information, please contact Pulse8 at 410.928.4218 or visit and follow on Twitter @Pulse8News.

Find out more and register for the 2nd Annual Health Insurance Exchange Summit on November 18-19, 2013 in Las Vegas, NV at the Aria Hotel:

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Marketing Department
410-928-4218 Ext: x1
Email >
Follow us on
Visit website