Cotiviti and health plan executives will discuss how to intelligently drive member interventions and achieve premium accuracy
SALT LAKE CITY, August 30, 2022 – Cotiviti, a leader in data-driven healthcare solutions, will present on optimizing health plan risk adjustment programs at the RISE West conference in Los Angeles, taking place August 31–September 2, 2022. Cotiviti’s RaeAnn Grossman, executive vice president of population health management, risk adjustment, and quality operations, and Andres Aguirre, MPH, director of quality improvement at Sharp Health Plan , will look at proven strategies for shifting from reactive decision-making to prescriptive, dynamic interventions to improve clinical and financial outcomes, as well as close gaps across risk adjustment and quality programs such as HEDIS® and Star Ratings.
“The stakes are high for all health plans amid a fiercely competitive market, complex risk adjustment programs, a frequently changing regulatory environment, and increasing government audits,” said Grossman, who will chair the risk adjustment track for RISE West. “We look forward to discussing how health plans can implement effective, multifaceted member interventions, which will ultimately improve risk score accuracy and patient outcomes.”
The session will present the latest benchmark data to help plans analyze how their organization’s risk adjustment analytics capabilities compare to industry peers. Cotiviti and Sharp Health Plan will also dive into how health plans can implement a more analytics-driven approach to interventions for member populations and deconstruct data silos to enable aggregated insights across multiple programs. Attendees will learn which risk adjustment tools to use and when to implement to help ensure timely, consistent, and compliant revenue payments.
Cotiviti is a platinum sponsor of RISE West, the leading conference for healthcare organizations looking to elevate performance across risk adjustment, quality improvement, and financial compliance. The conference will take place August 31–September 2, 2022, at InterContinental in downtown Los Angeles. Cotiviti’s session with Sharp Health Plan will take place on Thursday, September 1, 2022, from 10:55-11:40 pm PT. Learn more about Cotiviti’s presence at RISE West at this link.
Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to unlock value. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, consumer engagement, and network performance management programs. Cotiviti’s healthcare solutions are powered by Caspian Clarity, a proprietary data and analytics platform spanning thousands of unique member and provider data types across financial and clinical domains, representing the most comprehensive longitudinal data set in healthcare. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit www.cotiviti.com.
Aria Marketing for Cotiviti
HEDIS® is a registered trademark of the National Committee for Quality Assurance.