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WEBINAR:

MEDICAID REDETERMINATION: 3 time-saving tactics to retain members before it's too late

Solutions

Providing solutions that enable exponential impact.

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Webinar Caring Smarter

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support.


Prepare your health plan now for the end of the PHE and the start of Medicaid redetermination
Recorded May 19, 2022

When the public health emergency (PHE) ends, states can enforce normal eligibility requirements shortly after. Nearly 80 million Medicaid recipients face redetermination. The good news: an estimated one-third of adults who lose Medicaid will be eligible for subsidized coverage through the marketplace.

But most MCOs are planning on manual, labor-intensive processes to contact every member, assess their eligibility, and navigate the application process for an Affordable Care Act plan. This approach will miss many members of this highly transient audience who are no longer at the same address or phone number. The result: huge losses for many payers.

This webinar will examine advanced AI predictive models that can give your health plan the advantage of scalable machine-learning approaches to:

  1. Narrow your efforts to those most likely to be ineligible for Medicaid
  2. Identify new plan options before making contact
  3. Leverage thousands of data points to learn more about your members and raise contact rates

By leveraging analytics to identify your members at greatest risk, you can achieve higher conversion rates by focusing proactively on a subset of your base. Join Jeff Hunt, Chief Product Officer at Boston Medical Center Health Plan; Jacob Luria, President & Co-Founder of Algorex Health; and Manik Bhat, Vice President of SDoH at WellSky, as they look at high-tech alternatives to protect your health plan once redetermination begins.


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MEDICAID REDETERMINATION:
3 time-saving tactics to retain members before it's too late

Revenue Cycle Management

Recorded Oct 23, 2018

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Jeff Hunt

Jeff Hunt

Chief Product and Marketing Officer at Boston Medical Center HealthNet Plan


Jeff joined BMC HealthNet Plan as Chief Product and Marketing Officer in September of 2020. Previously, Jeff was the SVP of the Direct-to-Consumer Division and Head of Enterprise Marketing Operations at Mutual of Omaha, where he led marketing, sales, operations and project management groups that supported life and health products.

Jacob Luria

Jacob Luria

CEO and Co-Founder of Algorex Health


Jacob started Algorex Health with a belief that population health is more than care management and that the orchestration of non-clinical interventions at scale is a core tenet of population health. Jacob is most excited about using Algorex Health assets to design and launch new, scaled social determinant programs that have a measured impact and improve outcomes in a big way.

Manik Bhat

Manik Bhat

Vice President of SDoH Operations at WellSky


Manik co-founded Healthify, a social care referral platform and services company that was acquired by WellSky in 2021. He is a thought leader in the social determinants space, an avid speaker, and an advocate for addressing the social determinants of health through equitable and collaborative partnerships between healthcare and social service organizations.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

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About WellSky

WellSky is a technology company advancing human wellness worldwide. Our software and professional services address the continuum of health and social care — helping businesses, organizations, and communities solve tough challenges, improve collaboration for growth, and achieve better outcomes through predictive insights. People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care. Informed by more than 30 years of providing software and expertise, our purpose is to empower care heroes with technology for good, so that together, we can realize care’s potential and maintain a healthy, flourishing world.


About WellSky

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.