Clinical document collaboration between health systems and health insurance providers is essential for maximizing care quality, HEDIS scores, and risk adjustment factors. And now, the 21st Century Cures ACT requires health insurance providers and health systems to collaborate more tightly or risk being accused of information blocking. As a result of the regulation, providers should expect to receive an increasing number of clinical records requests from health insurance providers in the coming year.
Chronic conditions require long-term evaluation and management. After just one year, coding drops by 84% on average. When this happens, individual health plans miss millions of dollars in risk adjustment revenue, resulting in greater than $26 billion in missed revenue annually nationwide.
This webinar will address the importance of sharing patient clinical data and will introduce Change Healthcare’s new electronic clinical document collection platform. It is designed to foster required collaboration between health systems and health insurance providers by creating a mutually favorable two-sided value chain at a fraction of the cost, time and effort versus traditional methods.
When health systems and health insurance providers collaborate electronically, improvements are seen in quality, risk adjustment, and STAR ratings. Providers benefit by spending significantly less time manually fulfilling payer/health plan records requests.
Senior Director of Clinical Interoperability
Genevieve Morris is Senior Director of Clinical Interoperability Strategy at Change Healthcare. She previously worked as a healthcare IT and policy consultant and advisor, and worked on the development of regulations at the U.S. Office of the National Coordinator for Health Information Technology.
Vice President Business Development – Provider Network
Robert is a dynamic, results-driven technology entrepreneur and business executive experienced in building, incubating, and bringing innovative healthcare information technology products and services to market for over 19 years, resulting in 3 successful acquisitions. As an entrepreneurial technologist turned growth executive, Robert’s mission is focused on scaling our provider network business, seeing product, innovation, and strategy as key drivers.
General Manager/Vice President of Clinical Interoperability Solutions
Steve Dean is the GM/VP of Clinical Interoperability Solutions at Change Healthcare and has a proven track record of delivering innovative strategies and solutions to enhance market competitiveness by designing, developing, and implementing agile products and solutions. Mr. Dean has a unique ability to bridge technology with business objectives, flawlessly execute large, complex projects, and deliver sustainable business solutions. He has been focused on Clinical Interoperability Solutions across multiple markets for the past 8 years.