Over the past few years CMS has focused on addressing social determinants of health for all members. This shift may affect risk and quality success and requires an evolution in coding capabilities within existing documentation systems.
Join us for this webinar to learn more about the future of identifying and documenting social determinants of health (SDOH). Hear about the importance of proper documentation in addressing SDOH, and the impact it has on patient and health insurance provider outcomes. Plus learn about initial steps to help address this challenge.
Dr. Tania Miedico, MD, CRC
Clinical Performance National Medical Director
Dr. Tania Miedico is a Board-Certified Family Medicine Physician and a Certified Risk Adjustment coder. She currently has responsibility for risk adjustment programs as a Medical director with Optum. Previously, she led the Optumcare Clinical Performance Education Solutions team where she developed coding and documentation education initiatives and provided clinical insight for the development of data analytics programs. Formerly, Dr Miedico served as the Associate Medical Director for ACE and Health Informatics at Southwest Medical where she worked to integrate Lean principles into physician workflows and optimization of EMRs. She graduated from the University of Puerto Rico Medical School and completed her residency in Family Medicine at Florida Hospital (now AdventHealth) in Orlando.
Jim Dolstad, ASA, MAAA
Vice President, Actuarial Consulting
Jim is a Vice President in Optum’s Payer Actuarial team. The industry leading team provides a wide range of actuarial services to health plans, providers, employers and government entities. In addition to traditional actuarial work, his expertise includes population health management, program valuation, performance management, underwriting analytics, social determinants of health, predictive modeling and risk adjustment.
Jim has more than 30 years of industry experience working with payers, providers and employers. Prior to joining Optum, Jim was the Chief Actuary for a global operations management and analytics company. He also has served as Chief Actuarial Officer for a population health management company. These two roles enabled him to develop actionable analytics for internal and external customers based on a value chain approach designed to more clearly illustrate cause and effect. Jim began his career providing actuarial and employee benefit consulting for nearly 20 years where he ultimately led a regional practice for a national consulting firm.
Jim is an Associate of the Society of Actuaries and a Member of the American Academy of Actuaries. He graduated from the University of Puget Sound with Bachelor of Science degrees in both Mathematics and Economics. In addition, he has published several white papers, and he is a frequent speaker at industry conferences and webinars.