Now that spring is officially here, your thoughts might be turning to America’s favorite pastime: baseball. Successful pitchers don’t throw the ball the same way every time and hope for the best. They carefully match each pitch to the batter in front of them, knowing that batter’s strengths and weaknesses in the hope of achieving a strikeout.
Unfortunately, many health plans approach retrospective chart review for their risk adjustment programs more like a pitching machine. When setting financial targets for the coming year, they simply consider the previous year’s results and anticipate achieving roughly the same return on investment.
Using financial analytics gives plans a way to sharpen their approach, which leads to stronger bottom-line performance.
I hope you’ll join me for Verscend’s upcoming webinar, where I’ll discuss how Verscend uses a combination of annual CMS model changes, member demographics, member health conditions, and provider mix to deliver better retrospective chart review program results for our customers. By the end of the webinar, you’ll understand:
The key drivers that help you set informed retrospective program financial targets
The ways in which analytics can reveal actionable patterns
The impact that chart and membership mix have on ROI
Don’t miss this opportunity to step up your risk adjustment game and watch your results improve.
As vice president of product at Verscend, Lesley drives the product strategy for Verscend’s end-to-end Risk Adjustment solutions, ensuring that we continue to deliver innovative and compliant solutions for our customers. She has more than 30 years’ experience in product and project management in the healthcare and pharmaceutical industries. Before joining Verscend, she served as senior vice president of product management at Halfpenny Technologies, a leading provider of clinical data exchange solutions for healthcare providers. She also previously served as senior vice president of care management products for TriZetto, where she was accountable for the quality, delivery, and support of the software solutions in the its care management portfolio, and she held multiple positions at Alere Health. Lesley is the co-author of 10 U.S. patents and has been published in 16 peer-reviewed scientific and clinical journals.