Choose Certainty

RISE West 2022

August 31–September 2 | Los Angeles

Register for our speaking session

Better health outcomes are enabled by a holistic understanding of each stakeholder’s position in the healthcare ecosystem.

Choose Certainty with Cotiviti at RISE West 2022 and learn how our solutions align risk adjustment, HEDIS® and Star Ratings, population health, and provider management through intelligent analytics that inform proactive decisions that positively impact health outcomes.

Our focus on more informed decisions at the member level powers risk adjustment and quality program performance, allowing payers to manage costs while delivering value. 


Cotiviti Golden Ticket

Get your golden ticket for a chance to win

Pre-register for our speaking session for your chance to win a $250 airline gift card*! At the session, our team will give you a golden ticket that you can bring to the Cotiviti booth to enter the raffle.

 

A Feed10 tote bag

Play the Cotiviti Word Hunt

Stop by our booth to play the Cotiviti Word Hunt and receive a Feed10 tote bag!* Each bag provides 10 meals to children in the most vulnerable populations.

 

*Note: Open to non-vendor, health plan attendees only. Limit of one raffle entry per attendee View full Giveaway Rules.

Session: From gap identification to dynamic interventions

Climbing the risk adjustment analytics curve to intelligently target members and achieve premium accuracy

Thursday, September 1
10:55–11:40 am PT

Knowing which risk adjustment tools to use—and when to use them—is critical to ensuring timely and consistent revenue payments. In addition, the regulatory environment changes frequently, and government audits are becoming more common. Cotiviti risk adjustment leaders will plot the risk adjustment analytics maturity curve and provide strategies health plans can implement to climb from reactive decision making to prescriptive, dynamic intervention support.

In this session you will learn to:

  • How your organization’s risk adjustment analytics capabilities compare to your health plan peers according to the latest industry benchmark
  • Practical steps to implement a more dynamic, analytics-driven approach to prioritizing and prescribing interventions for your plan’s member population
  • What it means to deconstruct data silos to enable aggregated insights and comprehensive gap closure efforts across risk adjustment and quality programs
Presenters:
Headshot of Andres Aguirre

Andres Aguirre
MPH, QI Director, Sharp Health Plan

Andres Aguirre specializes in quality improvement and has spent his entire professional career helping health plans of all shapes and sizes strengthen their programs. Today, he serves as director of quality improvement for Sharp Health Plan, where he’s helped the organization achieve a five-star rating as a Medicare Advantage plan and five stars as a Covered California plan. He previously worked with Medicaid plans including Santa Clara Family Health Plan, Health Plan of San Mateo, and Central California Alliance for Health as well as commercial plans.

 
Headshot of Jonas Foit

Jonas Foit
Senior Vice President, Analytics and Reporting, Cotiviti, Inc.

Jonas Foit is an experienced analytics leader with over 15 years’ experience developing, managing, and executing highly successful analytics and operational programs for health plans and leading healthcare technology vendors. He specializes in creative solutions focused on complex healthcare datasets and product development. Previously, Jonas served as vice president of risk adjustment for Molina Healthcare.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

 

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