This webinar is presented by Insight Exchange Network and Health Fidelity.
With COVID-19 jobless claims exceeding 62 million Americans, Medicaid enrollment is expected to swell in the coming year. Both payers and providers must prepare now for the coming shift in their revenue mix as commercial membership declines. Risk adjustment, a process for fully representing the risk in a covered population, is often ignored or de-prioritized in Medicaid business lines given the zero sum nature of reimbursements. In this webinar, see how UPMC overcame the complexities of adjusting for Medicaid risk with a provider-focused capture strategy at the point-of-care and post-encounter, while improving compliance and performance measures.
• Learn how COVID-19 is affecting enrollment patterns and increasing the demand for Medicaid coverage
• Understand how Natural Language Processing technology can be used to interpret unstructured clinical data like physician notes from the EMR and why that is critical to accurately identifying population risk
• Discover how UPMC leveraged technology to help the care team drive documentation gap closure and deliver value without disrupting their existing patient-centered workflow
• Uncover the lessons learned, outcomes attained, and roadmap utilized for implementing a successful Medicaid risk capture program alongside adjacent at-risk populations
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