• 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.