LAS VEGAS, June 12, 2013 /PRNewswire/ -- Today MedeAnalytics, a leading provider of healthcare performance management solutions, introduced its new Provider Engagement solution, a dynamic tool that helps improve operational efficiency for health plans and hospitals, and positions health plans to successfully participate in the Affordable Care Act's (ACA) permanent risk adjustment program for qualified health plans' individual and small group members, both inside and outside health insurance exchanges. The solution was introduced at America's Health Insurance Plans (AHIP) Institute 2013 in Las Vegas, Nev.
Powerful Marketplace Advantage
"By enabling financial and operational transparency, MedeAnalytics' Provider Engagement solution helps improve communication between health plans and providers," said Michelle Sieling, MedeAnalytics' senior director of product marketing. "The solution addresses providers' and health plans' need to have a view into the claims life cycle, risk scores, and management of value-based contracts. Bottom line, it creates a powerful marketplace advantage that sets the foundation for improved operational efficiency and successful participation in the ACA's permanent risk adjustment program." Sieling noted that the solution calculates and predicts the risk score for ACA permanent risk adjustment program populations by using the federally certified risk adjustment methodology or the alternative certified risk adjustment model chosen by a state health insurance exchange and Medicare Advantage.
ACA Risk Adjustment Program Participation: Solution's Core Drivers of Value
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