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TMCNet:  Outcomes Health Information Solutions, Windsor Health Plan to Speak on Calculating Expected Reimbursement at RISE Summit

[February 26, 2013]

Outcomes Health Information Solutions, Windsor Health Plan to Speak on Calculating Expected Reimbursement at RISE Summit

ALPHARETTA, Ga. --(Business Wire)--

Outcomes Health Information Solutions, LLC (Outcomes Health), a leading healthcare analytics and services provider, today announced members of the senior leadership team along with Windsor Health Plan will speak about new diagnostic profiling tools to help Medicare Advantage (MA) plans more accurately calculate expected reimbursement at the 7th Annual Risk Adjustment Initiative & Society for Education's (RISE) Summit.

The session, Diagnostic Profiling for Accurate Calculation of Expected Reimbursement, will take place on Monday, March 11 and will feature Chris Rigsby, vice president, quality at Winsdor Health Plan; Chris Yindra, chief tehnology officer at Outcomes Health; and Rolland Ho, senior vice president, Medicare Advantage at Outcomes Health. The speakers will focus on new actuarial and financial tools which can help stratify the population based on diagnosis. This new profiling method will help plans more accurately identify and prioritize opportunities within its membership, which can help improve care and also provide more accurate expected reimbursement. In addition, this model can help across a spectrum of business processes including future bid rates, expected medical cost and reimbursement confidence.


"Medicare Advantage plans are inundated with declining benchmarks, an increasing coding intensity factor and accelerating medical costs," said Doug Duskin, chief administrative officer at Outcomes Health. "It is crucial that health plans be able to accurately calculate their reimbursement so they can plan for the year ahead. The goal of this new model is to give plans a leg up on these calculations so they can effectively meet the challenging demands of the healthcare risk adjustment environment."

RISE was the first association dedicated to helping healthcare professionals meet the challenges of risk adjustment and has grown to include a strong focus on education, networking and industry intelligence, especially through its annual summits.

Outcomes Health is a gold sponsor for this year's conference, which is March 10-12, 2013, in Nashville, Tenn. For additional information, visit their booth at the show or their website at www.outcomes-health.com.

About Outcomes Health Information Solutions

Outcomes Health is a technology-enabled healthcare services provider focused on advancing data to improve care, quality, information accuracy and security, and financial performance for its healthcare partners. A recognized domain expert in risk adjustment, HEDIS®/Stars, and payment integrity, Outcomes Health leverages its national footprint, targeted analytics, superior clinical abstraction and coding capabilities, and unmatched transparency to advance its mission of providing better data for better decisions.


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