SAN MATEO, Calif.–(BUSINESS WIRE)–Health Fidelity Inc., a provider of innovative technologies for the value-based care era, today announced its participation in a panel with one health plan and two providers relating real-world examples of how NLP can optimize risk adjustment. The discussion takes place on Monday, March 18 at the RISE Nashville Summit at 1:40 PM local time.
The session, “360º Risk Adjustment: Health Plan and Provider Perspectives,” will be moderated by Steve Whitehurst, Chief Executive Officer at Health Fidelity. Panelists will be Wynda Clayton, MS, RHIT, Risk Adjustment Manager, Providence Health Plan; Mari Finley, Executive Vice President, Silverback Care Management, North Texas Specialty Physicians BOD; and Dr. Adele Towers MPH, FACP, Director Risk Adjustment, UPMC Enterprises.
“The days of payers and providers working from different data sets, drawing different conclusions about care optimization are ending,” Whitehurst said. “The forward-thinking organizations on this panel know that how you exchange intelligence with your partners is critical to improving outcomes and getting better results for patients. They’ve seen how NLP can circumvent interoperability issues to harness vast amounts of administrative, clinical, and unstructured data to better identify, prioritize, and confirm population risk.”
Panelists will share their experiences with NLP-enabled payer-provider collaboration tools in pursuit of risk adjustment optimization – prospectively, at the point of care, in pre-claim billing, and via retrospective reviews. They will address how AI and analytics impacts risk adjustment ROI through the improvement of clinical, financial, and operational outcomes.
A RISE Platinum Sponsor, Health Fidelity will also offer demonstrations of its risk adjustment solutions at Booth 66. Health Fidelity offers the industry’s leading NLP-powered risk adjustment and compliance application to help risk-bearing organizations improve performance through more insightful and accurate risk identification and management.
About Health Fidelity
Health Fidelity delivers comprehensive, scalable risk adjustment solutions for risk-bearing entities that participate in Medicare Advantage, ACA, Medicaid and Medicare ACO programs. With a combination of machine learning and natural language processing (NLP) technology, Health Fidelity’s modern risk adjustment approaches extract valuable insights from medical charts, changing the way risk is identified, quantified, and managed for enhanced operational, clinical, and financial outcomes.
Health Fidelity is a registered trademark of Health Fidelity, Inc.