Next Generation of Risk Adjustment Uniting Health Plans and Providers
With an advanced approach to risk adjustment, health plans can now provide tools to help providers make better-informed choices
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With an advanced approach to risk adjustment, health plans can now provide tools to help providers make better-informed choices
by Trey Keller, VP of Product Management & Aaron Fulner, Sr. Director at Edifecs Trey Keller, VP of Product Management at Edifecs Aaron Fulner, Sr. Director at Edifecs With a new administration looking to reshape healthcare policy and additional special enrollment periods already underway, now is the time to ensure Medicare enrollment systems are ready for the unpredictability, and potential opportunities, ahead. While Medicare is the fastest growing segment of the healthcare industry, it is also highly competitive, expensive to operate in, and riddled with complexities and regulations to nav...
Aaron Fulner Aaron Fulner is a senior director at Edifecs focused on insurers involved in commercial, managed Medicaid, Medicare Advantage, and dual eligible programs. His expertise also spans insurers of all sizes and types ranging from small, regional plans, large, national plans, and Blue Cross/Blue Shield organizations.