360° Risk Adjustment: Using Technology to Drive Transformation

  • October 05, 2017
  • 3:00 PM – 4:00 PM ET
  • Online
about

Traditional risk adjustment is a resource-intensive program that is expensive, inefficient, and time-consuming. One of the gripes we often hear is the lack of visibility into accuracy and efficiency of risk adjustment. So, is there an alternative that can transform the entire process and help health plans get more for less?

Alan Chuang, Director of Pharmacy Services & Health Management, Chinese Community Health Plan will discuss his experience and learnings with using technology to transform their risk adjustment program – with better visibility, accuracy, efficiency, and tangible ROI.

Webinar participants will learn:

  • How technology can help automate and streamline the collection of data, identification of gaps, and distribution of actionable information
  • Using NLP and analytics to look at data more holistically and optimize for results
  • How using analytics in real-time can improve ROI and remove waste from the risk adjustment process
  • Examples of how embedding analytics into everyday processes can enable data-driven decision making
  • Importance of setting up an on-going feedback loop for continuous improvement

Who should attend: Managers, Directors, and Executives at health insurance plans and provider organizations


Speaker:


Alan Chuang, Director, Pharmacy Services & Health Management, Chinese Community Health Plan
Alan Chuang leads the Pharmacy Services & Health Management teams at Chinese Community Health Plan (CCHP), a San Francisco based health plan serving the community since 1986. The plan covers 25,000 lives across two counties in Commercial, Exchange, and Medicare Advantage lines of business. CCHP is part of an integrated delivery system with parent company Chinese Hospital and multiple independent practice associations. Alan leads the health plan’s risk adjustment strategy at both the federal and state levels and is responsible for the execution and oversight of Medicare and ACA encounter data submissions, intervention strategies, and financial analyses. Primary objectives of the Health Management team has been to improve accuracy and capture of risk scores in Exchange and Medicare Advantage populations, to streamline efficiency internally and with vendor partners, and to execute on long-term engagement strategies of CCHP’s contracted providers. Alan has extensive experience in pharmacy benefit management, quality metrics, physician reporting, and contracting. Alan Chuang has a PharmD from University of California, San Francisco and a Managed Care Pharmacy Practice residency from Hill Physicians Medical Group.