Fort Lauderdale, Florida (PRWEB) November 13, 2015
Linking Risk Adjustment and Quality Measures
Ms. Montgomery, with co-presenter Hiro Arai, Staff Actuary at Blue Cross Blue Shield of North Carolina, will discuss how to align quality measures to achieve the most impactful results with the minimum number of touch points. By efficiently engaging providers through the use of Dynamic Intervention Planning (DIP™), gaps in the following areas can be simultaneously closed without generating assessment fatigue or provider resentment:
- Risk Adjustment
- CMS Star Ratings
- Case Management
Pulse8 Risk Adjustment and Big Data experts will be onsite to offer health plan and provider attendees:
- Interactive demonstrations of its revolutionary Risk Adjustment analytics;
- Insight into how big data and advanced analytics can be used to find more opportunities, intervene more precisely, and obtain superior financial results; and
- Real-time visibility into individual member and provider activities that allow health plans and providers to drill down and move quickly in order to deploy the most cost-effective and appropriate interventions.
Pulse8 is the only Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of Risk Adjustment and Quality Management programs. We enable health plans and at-risk providers to achieve the greatest financial impact in the Health Insurance Exchange (HIX), Medicare Advantage, and Medicaid markets. By combining advanced analytic methodologies with extensive health plan experience, Pulse8 has developed a suite of uniquely pragmatic solutions that are revolutionizing risk adjustment. Pulse8’s flexible business intelligence tools offer real-time visibility into member and provider activities so our clients can apply the most cost-effective and appropriate interventions for closing gaps in documentation, coding, and quality.
About Healthcare Education Associates
Healthcare Education Associates is a division of Financial Research Associates, LLC. HEA is a resource for the healthcare and pharmaceutical communities to improve their businesses by providing access to timely and focused business information and networking opportunities in topical areas.
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