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Risk Adjustment Gets Usable Data at Last

Dec 19, 2023
1:00 pm EST
Presented by abacus insights
Register Now Registration takes place at a third-party website.

About This Webinar

Overcoming the challenge of getting usable data for your Risk Adjustment team is a far too familiar challenge for payers, but it doesn’t have to be that way. While risk adjustment is estimated to represent one-third of payer revenues and is, therefore, a pressing priority – especially with the advent of Medicare Advantage Plans – more urgent technology and data needs often take precedence.

In this session, Blue Cross of Idaho (BCI) and Abacus Insights will show you how they moved Risk Adjustment to the front of the line with the backing of BCI’s IT Department. They will also talk about how this data transformation for Risk Adjustment became a lever to a bigger enterprise solution including other use cases – all achieved with IT support.

We'll also offer guidance on navigating technology approvals and standing up a technology solution to get usable data as told through the efforts of BCI’s Risk Adjustment team. At the bedrock of this solution is a core partnership and a mutually beneficial relationship between BCI's Risk Adjustment and Technology Departments and Abacus Insights that produced the usable data itself.

Attendees Will Learn About

  • Usable data, which is complete, accurate, timely, relevant, versatile and use case and application agnostic
  • How obtaining usable data allowed BCI to manage risk, for example, by reducing financial impact by capturing certain conditions, correcting data errors, and providing the opportunity to clean up compliance as well
  • Building on the foundation of this usable data to ensure that Risk Adjustment can access this data with self-service, alleviating the constant stress and burden of reliance on IT


Leah Hannum

Director, Government Funding

BlueCross of Idaho

As Director of Government Funding, Leah Hannum played a pivotal role in the planning, creation, oversight and strategic objectives of the risk adjustment department at Blue Cross of Idaho. She is responsible for overseeing activities related to Medicare and ACA risk adjustment programs in support of payment accuracy. With 15+ years’ experience in government programs, Leah’s current focus is to…

Learn more about Leah Hannum

Jonathan (JT) Thompson

Head of Analytic Solutions

Abacus Insights

Jonathan Thompson (JT) is the Head of Analytic Solutions at Abacus Insights. With over a decade of experience in the payer and provider space, JT is responsible for overseeing the design, implementation, and maintenance of the company's various data solutions and analytic services. Since 2014, he has been an Associate of the Society of Actuaries (ASA) and a Member of the American Academy of…

Learn more about Jonathan (JT) Thompson