Currently, 36% of Medicare beneficiaries are enrolled in Medicare Advantage (MA), and the enrollment rate is set to reach 42% over the next 10 years. As health insurance providers prepare to support a growing membership or enter the MA market, a strong risk adjustment strategy is critical for success. Pandemic-driven issues have also required a shift in managing risk adjustment programs. Risk analytics can play a key role to support strategy, inform action, and deliver results.
Risk adjustment analytics are the cornerstone to most health plan’s risk revenue results. During this webinar, one health insurance provider will share how they re-entered the Medicare Advantage market, leveraged analytics to inform strategy, and continue to achieve better results through actionable business intelligence.
Manager, Risk Adjustment Programs Analytics
Medical Mutual of Ohio
In his role, Eric leads the effort to create data-driven solutions that help support the Medicare Advantage and Affordable Care Act businesses at Medical Mutual, which rely heavily on government risk adjustment revenue to maintain profitability. He helps detect data trends and patterns that will help form the strategy of future risk adjustment programs and identify key metrics and measurements that indicate program success.
Program Manager, Risk Adjustment
In his role, Jeff delivers daily client support, coordinating and leading all aspects of multiple, concurrent projects from inception through completion. He collaborates with health plan clients to clarify complexities and create clearly aligned goals to help ensure all objectives are met in every project and implementation.