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.
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Meet Debbie and Anna
Debbie Conboy is the Director of Risk Adjustment and Quality Product Strategy at Arcadia. Debbie has over 30 years of experience at Blue Cross Blue Shield of Massachusetts, with the last 11 years focused on directing Risk Adjustment strategy and operations across all lines of business. She brings her extensive knowledge to Arcadia to lead the Risk Adjustment and Quality product suite.
Debbie works collaboratively across the Arcadia organization to ensure that our Risk Adjustment/STARs/Quality suite of products meets and exceeds our customer expectations and continues to position Arcadia as the industry leader in population health management.
Anna Basevich is the Vice President of Partner Programs at Arcadia, where she is responsible for defining program direction and leading collaborative execution to expand the impact of Arcadia’s products. Anna has worked with Arcadia clients across the country to develop and execute strategies to succeed in value-based care. She has deep experience supporting healthcare organizations as they implement effective enterprise-level programs to improve quality, manage cost and utilization, and drive accuracy risk-adjusted payments. Anna has managed implementation and client services work at Arcadia and at Deloitte Consulting.