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  • Vast amounts of clinical data are generated daily, but traditional methods of collecting and making use of it are inadequate. Adam Gronsky explores options for risk-bearing entities to invest in technology-enabled solutions that require minimal maintenance and decrease the need for manual retrieval in this month's post.

  • Christina Sung sits down with Dr. Rob Kalfus, Health Fidelity’s Clinical Informaticist, to address some commonly asked questions about Natural Language Processing. Rob delves into the application of NLP technology in risk adjustment and explains how Health Fidelity's technology is uniquely suited to healthcare.

  • Given the imperative to modernize risk adjustment, organizations must first understand what gaps currently exist for achieving the full 360° view, set a baseline and plan a measurable path forward. Learn more about our Blueprint to 360° Risk Adjustment in our latest post.

  • Steve Whitehurst presents three reasons why the 360-Degree Risk Adjustment strategic framework for optimizing coding performance needs to be part of any risk-bearing organization's 2017 plans.

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  • Pressures on risk adjustment are signaling the waning utility of traditional approaches. Risk-bearing organizations need an integrated, comprehensive framework to address ongoing financial, patient care, and competitive challenges. In this RISE webinar, discover a fundamentally new way to perform risk adjustment that considers optimization from all angles.

  • In the zero sum ACA marketplace, properly identifying exchange members is critical to plan success and viability. With the right analytics, UPMC Health Plan has outperformed its competition, recording 18 percent higher average risk scores than the rest of the plans in its risk corridor. This presentation walks the audience through the steps UPMC underwent to achieve superior exchange outcomes. Attendees learn how UPMC was able to create a process to correctly identify, outreach, and engage high risk plan members.

  • On May 22-23 we'll be gold sponsors at the Fairmont Grand Del Mar in San Diego, California for the 10th Annual RISE Risk Adjustment Forum. Catch our discussion on Data Analytics on Tuesday morning, stop by our booth, view a demonstration and get to know our team.

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