Jeslie Jacob, Divisional Vice President, Provider Analytics, Reporting & Connectivity, Blue Cross and Blue Shield of Illinois.
Rebecca Welling, Associate Vice President, Risk Adjustment & Coding, SelectHealth
Lisa Wigfield, RN, BSN, CCM, CRC, CDEO, Clinical Advisor, Risk Management, Priority Health
Janie Reddy, DNP, FNP-BC, Director of Family Medicine, CommuniCare Health Centers
Hassan Rifaat, MD, CEO, Vatica Health
Risk adjustment is much more than a regulatory requirement for Medicare Advantage plans. Not only does it have a significant financial impact, but it can also improve the quality of care by providing an accurate picture of each member’s health status and ensuring each member receives the right interventions and treatment. Providers play an important role in risk adjustment, too. An engaged partnership between health plans and providers is vital to financial success and ensuring beneficiaries receive valuable benefits.
Our panel will share successful strategies and best practices for payers and providers to work in partnership to close gaps in care, achieve better clinical and financial performance, and support value-based care. Hear both payer and provider perspectives on building a successful relationship.
Understanding the challenges payers and providers face in the current marketplace
Establishing better collaboration between payers and providers
Offering providers incentives and support