Meeting the Challenges of Payer Variability

Improve risk adjustment and quality

A positive aspect of Medicare Advantage is that risk adjustment and quality programs encourage greater collaboration between health plans and care providers. A recent survey conducted by Frost and Sullivan indicated that over 95% of health plan and care providers think their organizations work collaboratively in setting clinical and financial goals for risk adjustment and quality programs.

The same study also indicated the majority of health plans and care providers perceive the variation in payer processes and burden to clinician workload to be a challenge for providers to meet risk adjustment and quality program requirements.

Join experts from Frost & Sullivan and Optum. We’ll share insights about perceptions from health plan and care provider organizations along with practical recommendations for health plans to help providers meet and exceed risk adjustment and quality program requirements.

Speakers:

Stephanie Gardner, sr. vice president, Clinical Performance, Optum
Greg Caressi, sr vice president, global business unit leader - Transformational Health, Frost and Sullivan