Risk adjustment is a critical component of any value-based contract — and both health plans and providers need to build effective risk adjustment programs to succeed under value-based care. Plans and providers have typically managed risk adjustment and quality initiatives separately, but a shared understanding and better collaboration can improve the work done on both sides.
In a recent webinar, risk adjustment experts Debbie Conboy and Anna Basevich explained:
- Risk adjustment: important for both plans and providers, but in different ways
- Areas of opportunity for providers, from pre-visit planning to population stratification — and for plans, from more accurate chase lists to reduced provider abrasion
- Dangers to watch out for as you build your risk adjustment strategy
- Plan-provider collaboration case studies with broadly applicable lessons, and the effective use of technology and data to support initiatives
You’ll come away from their recorded session with new ideas for plan-provider collaboration on risk adjustment and quality as you plan for 2020.