Discover How AI Continues to Transform and Improve Health Care

Mar 30, 2021 10:05am ‐ Mar 30, 2021 10:50am

Identification: TUE04

  • Review how AI is making a difference in health outcomes for seniors, women, and other populations
  • Discuss how more advanced technologies can help reduce barriers of diversity, social and cultural factors
  • Learn new strategies to improve patient outcomes and reduce cost possible through the use of AI

Telehealth is Here to Stay: The New Path Forward

Mar 30, 2021 10:05am ‐ Mar 30, 2021 10:50am

Identification: TUE05

  • Lessons learned from a year of telehealth and telemedicine, and living the new normal
  • Discuss telehealth in the areas of risk adjustment, coding, digital quality measures and member experience
  • Utilizing technology to enhance care delivery and patient engagement

Driving Results by Understanding your Data

Mar 30, 2021 10:05am ‐ Mar 30, 2021 10:50am

Identification: TUE06

  • Collecting actionable data that drives results
  • Using data as a tool that team members can use
  • Identifying potential data issues – if it looks wrong, it just might be

Digital Innovations Provide Hospital Solutions and Enhanced Patient Experience

Mar 30, 2021 11:05am ‐ Mar 30, 2021 12:00pm

Identification: TUE07

A pioneer in the use of the digital space to provide humanistic doctor-patient information, Dr. Swanson speaks to how the new tech landscape offers outstanding, innovative opportunities for efficient, yet humanistic, exchange of information in the hospital environment. Drawing on her experiences as Chief of Digital Innovation for Seattle's Children's Hospital, as well as her broader observations, Dr. Swanson shows how technology can create efficient communication solutions while enhancing patient care and caretaker experience.

Take a Differentiated Approach to Pre-Chase and Performance Analytics by Leveraging Experiential Data from Providers

Mar 30, 2021 1:00pm ‐ Mar 30, 2021 1:45pm

Identification: TUE08

  • Identifying and prioritizing member/HCCs
  • Learn chart acquisition prioritization
  • Discuss in-flight suspect analytics to improve outcomes
  • Review post-campaign performance evaluation

Member Engagement Initiatives, What is Working and What is Not

Mar 30, 2021 1:00pm ‐ Mar 30, 2021 1:45pm

Identification: TUE09

  • Share best practices on effective communication and innovative avenues for reaching members, including barriers such as language, literacy, and implicit bias
  • Address successful community outreach programs including homelessness, mental health and substance use disorders, disability, and loneliness
  • Utilize existing resources and possible technologies for geographically remote populations

The Data Lag Problem and How to Overcome It

Mar 30, 2021 1:00pm ‐ Mar 30, 2021 1:45pm

Identification: TUE10

  • Discuss solutions to the lack of patient data from 2020 and its impact on revenue in the upcoming years
  • Explore strategies around costs related to the lack of adherence due to COVID-19
  • Prepare for upcoming audits utilizing the data collected in 2020
  • Examine the consequences of data gaps when it comes to interoperability

Compliance and Regulatory Update for the ACA Market

Mar 30, 2021 1:00pm ‐ Mar 30, 2021 1:45pm

Identification: TUE11

Discuss recent ACA transformation issues - both quantifying the impact of the conventional reforms, like removing the 400% FPL cap, and breaking down some of the novel reforms such as enhancing subsidy value through AV recalibration, age adjustment of APTC, or how silver loading dynamics interact with legislative budget reconciliation and risk adjustment.


PCP-Centric Approach to Risk Adjustment And Quality – The Key to Unlocking Value in Value-Based Care

Mar 30, 2021 2:00pm ‐ Mar 30, 2021 2:45pm

Identification: TUE12

  • Learn how to create better collaboration and alignment between health plans and providers to significantly improve financial and clinical performance
  • Discuss why it is critical to engage PCPs in risk adjustment and quality of care initiatives to achieve success in VBC arrangements
  • Discover why you do not need to sacrifice yield to reduce compliance risk by implementing a PCP-centric risk adjustment program

Tackling the Member Experience for Positive, Measurable Results

Mar 30, 2021 2:00pm ‐ Mar 30, 2021 2:45pm

Identification: TUE13

• Discuss resource allocation, vendor management, and innovative approaches impacting member experience measures
• Discuss the member journey, focusing on customer service and training for a true cultural shift
• Deep dive into benefit satisfaction, utilization, and what to do when benefits cause member abrasion