Executive Panel: Key strategies for risk adjustment leadership in 2025
Session Topics:
Risk Adjustment & Mitigation
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Wednesday, 5 Feb, 202508:00Registration09:00am09:45am
Navigating Compliance Across the Payer-Provider System
- Best practices for ensuring compliance within risk adjustment processes
- Provider education and accurate reporting to drive better outcomes
- Addressing compliance challenges within different organizational structures
Session Topics:Risk Adjustment & Mitigation10:30amNetworking Break11:30amTechnological Advancements in Risk Adjustment
- Leveraging EMR, NLP, and AI to optimize risk adjustment and mitigation
Session Topics:Risk Adjustment & Mitigation12:00pmCase studies of successful implementation of AI-driven solutions and saving potentials
- Addressing integration challenges between payers and providers
Session Topics:Risk Adjustment & Mitigation12:30pmLunch Break02:15pmPreparing for RADV Extrapolation Changes and Audit Impacts
- Understanding RADV extrapolation changes and implications for audits going into 2025
Session Topics:Risk Adjustment & Mitigation02:45pmStrategies for mitigating audit risk in light of forecasted changes
- Lessons learned from recent audit cases
Session Topics:Risk Adjustment & Mitigation03:15pmNetworking Break03:45pmReviewing Recent Guideline Updates from OIG and CMS
- Key changes and updates from OIG and CMS for 2025
Session Topics:Risk Adjustment & Mitigation04:30pmAddressing guideline changes and impact on compliance strategies and reporting
- Preparing your team and operations for upcoming regulatory shifts
Session Topics:Risk Adjustment & Mitigation05:00pmClosing Remarks for Day 1 -
Thursday, 6 Feb, 202509:30am
Team Structure and Governance for Optimal Risk Adjustment
- Defining roles and responsibilities for risk adjustment success
- Governance models that enhance collaboration between payers and providers
- Scaling risk adjustment teams for growth
10:15amBreak11:15amOptimizing Data Sourcing for Risk Adjustment
- Identifying key data sources for accurate risk adjustment
12:15pm1:30pmTechnological Innovations in Risk Adjustment – Deep Dive
- Exploring the latest advancements in NLP and AI for data capture
- Future trends in technological solutions for risk adjustment
- Panel discussion: How to future-proof your technology stack
3:00pmClosing Remarks and Next Steps
- Summary of key takeaways
- Future opportunities for collaboration and knowledge sharing
Jump to: Wednesday, 5 Feb | Thursday, 6 Feb