Risk adjustment was complex even before the pandemic. Now, more than ever, risk adjustment leaders need to plan for a future filled with uncertainty, driven in part by changes in the economy, emerging policy/regulatory considerations and more. Leveraging the latest advancements in technology and provider connectivity can help health insurance providers succeed and meet their risk adjustment goals. Central to the transformation is near real-time access to integrated data to help health insurance providers and health care providers collaborate to close gaps in risk adjustment, improve population health, and drive accurate claims processing.
Join us to learn how industry challenges and changes in policy are impacting effective risk adjustment strategies. Learn how this creates an opportunity for health insurance providers to address the challenges immediately by leveraging truly innovative solutions to transform risk analytics processes. Expert panelists will review the existing challenges tied to the connection between insurance providers and care providers, and the critical elements for an effective analytic-driven risk adjustment strategy.
Payment Innovation Consultant
With more than 20 years of experience, David’s knowledge in brings insight into risk adjustment and clinical outcomes. His has a proven track record optimizing healthcare operations by maintaining compliance, ensuring accurate revenue, and enhancing clinical quality using clinical and financial analytics.
Director, Risk Adjustment and Recovery
Capital District Physicians’ Health Plan (CDPHP)
Tom Nasadoski is currently serving as the Director, Risk Adjustment and Recovery after being named Manager, Risk Adjustment in February, 2011. In this position, he oversees Medicare Advantage, Commercial, and Medicaid risk adjustment initiatives, and CMS reimbursement.
Summerpal Kahlon, MD
Value Based Payments Evangelist
Summerpal serves as an advocate for the advancement of value-based care, engaging stakeholders across the healthcare continuum to promote adoption of advanced healthcare delivery models. With Change Healthcare’s vital role in enabling key elements of value-based care, Summerpal works with the entire Change Healthcare team to identify ongoing opportunities to change the status quo in healthcare.
Vice President, Risk Analytics
Jimmy is a risk adjustment industry thought leader who has been helping health plans nationwide to better understand and formulate their risk adjustment strategy for the past 12 years. He supports the Medicare, Medicaid, and Commercial ACA lines of business, with a focus on analytics, strategy, and innovation across the company.