Washington, DC (PRWEB) October 22, 2016
With provider groups assuming progressively more risk and with the proliferation of risk adjustment and quality metrics across all three lines of government business, market forces necessitate increased data sharing among payers and providers. To avoid sinking under all these data demands, risk-bearing entities need to leverage advanced analytics that will coordinate their gap closure efforts to simultaneously address both risk adjustment and quality initiatives. To reduce provider abrasion and alert fatigue, payers also need to collaborate with their network providers on efficient data collection methods.
This session will explore how plans can leverage alternative data gathering and intervention modalities, such as EMR Integration and telehealth, and better integrate gap closure initiatives to more effectively nurture payer-provider collaboration. The speakers will also share the provider engagement and collaboration strategies that are essential to improve quality and fulfill mutually beneficial goals.
Pulse8 is the only Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustment and Quality Management programs. We enable health plans and at-risk providers to achieve the greatest financial impact in the ACA Commercial, 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 and quality. 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. For more company information, please contact Scott Filiault at (732) 570-9095, visit us at http://www.Pulse8.com, or follow us on Twitter @Pulse8News.
About America’s Health Insurance Plans (AHIP)
AHIP is the national trade association representing the health insurance community. AHIP’s members provide health and supplemental benefits through employer-sponsored coverage, the individual insurance market, and public programs such as Medicare and Medicaid. AHIP advocates for public policies that expand access to affordable health care coverage to all Americans through a competitive marketplace that fosters choice, quality, and innovation. To learn more about AHIP, visit us online: https://www.ahip.org/.