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The Medicaid Managed Care Leadership Summit A RISE Health …

WEBThe Medicaid Managed Care Leadership Summit provides essential tools to help Medicaid managed care organizations, providers, community-based organizations, and other Medicaid leaders strengthen member engagement, comply with ever-changing state and federal regulations, overcome financing challenges, and improve the quality of care and …

Actived: 7 days ago

URL: https://mmc.risehealth.org/

Medicaid Managed Care Leadership Summit

WEBMeaghan Baier Director of Health Innovation McSilver Institute for Poverty Policy & Research at NYU . As the Director of Healthcare Innovation, Meaghan Baier manages ongoing projects and partnerships supporting healthcare transformation, some of which include initiatives related to payment reform, organizational readiness, and the design …

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The Medicaid Managed Care Leadership Summit

WEBThe Journey to Carve-In Financing of Medicaid Behavioral Health Services: A Case Study . Hear Washington, D.C.’s story of implementing a carve-in model for Medicaid coverage of behavioral health services

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RISE Events Upcoming Conferences, Webinars, and User Groups

WEBUpcoming Events. Over 17,000 health care professionals have attended a RISE event. Enjoy top-notch content and networking opportunities virtually and in-person and experience the #1 conference experience in the industry.

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Risk Adjustment Practitioner, RAP: Certification

WEBThe Benefits. The RAP Certification indicates an in-depth comprehension achieved by a professional of best practices, processes and strategies for risk-based payment programs including health plans, ACA issuer, providers and ACOs.

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The “H” in SDOH Also Stands for “HIE”

WEBSDOH Tools Connecting to HIEs •Screen for social needs to address barriers to care and increase health equity. •Easily refer and connect patients to local services they need, and the data is NOT siloed. •Improve collaboration with a wide array of community partners (Health Plans, Hospitals,

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The Complete Member Picture

WEBConnecting All Sources of Clinical Data • Data interoperability ensures that healthcare systems can seamlessly share and use patient data for better care coordination and decision-making.

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How To Tackle the Medically Complex with Innovative, Holistic …

WEBSponsored by Signify Health. Join Signify Health to discuss tactics to resolve fragmented care and improve member outcomes. You will learn three critical elements for a successful complex care management (CCM) program. We will dive deeper into the details of these elements and uncover the challenges we are facing and ways to overcome them.

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Leveraging Data Science and AI to Improve Care Management

WEBAI has reached an inflection point in healthcare 1) "U.S. Healthcare Insurance Payer Trends: Imperatives for Intelligent Health," Bishop, M., Gartner, March 6, 2024

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Leveraging SDOH Data to Improve Care Management and …

WEB120+ Health plans served 50M+ health information requests fulfilled annually 3 out of 4 Top U.S. hospitals served with embedded HIM experts 40+ years of health information

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Managing Risk Adjustment in Light of the Pandemic: A Focus …

WEB© 2020 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 2

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RISE The Dr. Martin L. Block Award Nomination and Submission

WEBDr. Amy Boutwell. The 2024 award recipient is Dr. Amy Boutwell, f ounder and president of Collaborative Healthcare Strategies. She was chosen for her work and commitment to transform health care delivery, developing models to reduce readmissions, accelerate the development of community hospitals’ ability to transition to value-based payment …

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Overcoming Geographic Barriers to Care

WEBPresented By: Overcoming Geographic Barriers to Care Explore strategies for expanding care access in rural areas Addison Giannini, MBA, SVP Payor Solutions -LetsGetChecked Robert Mordkin, MD, FACS, Chief Medical Officer -LetsGetChecked

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A Patient Driven HCC Process

WEB3M Confidential. 8 Background and history –HCC models •Developed by the Department of Health and Human Services (HHS) •Designed for the commercial payer population

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Halftime for AEP! Making Adjustments Using Data

WEBSponsored by Engagent Health. As we approach the halfway point of the current AEP season, a good practice is to take a step back and evaluate your progress. The best way to gauge this progress is by utilizing data to identify areas of success and opportunity. Perhaps some of the strategies implemented in the beginning of the AEP …

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It Matters To This One

WEBPresented By: It Matters To This One: Achieving Better Health Outcomes Through Social Determinants of Health Julie H. Goldberg, PhD, Product Delivery Manager –Centauri Health Solutions Dawn R. Carter, Director of Product Strategy –Centauri Health Solutions

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How NLP with AI complimented by Professional Human …

WEBPresented By: How NLP with AI Complemented by Professional Human Coders Improves Risk Adjustment Coding and Reduces Cost Carey Ketelsen, SVP, Risk Adjustment & Coding Operations –Ciox Health Andy Kumar, VP Product Management & …

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Sponsors Medicaid Managed Care Leadership Summit

WEBMaven is a women’s and family healthcare company that reaches over 17 million people around the world. Our 24/7 platform provides clinical, emotional, and financial support all in one place.

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Connecting Neighbors for Better Health

WEBHow we do it •Data science team combines eligibility and claims metrics to group population into separate cohorts •Group individuals by shared life experience and current health challenges •Member cohorts engage in more health-focused gatherings to address issues such as cardiovascular disease, chronic kidney disease, COPD, dementia, exercise, diet,

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