In healthcare there are a few programs that become so fundamental to an organization that they impact just about every team. In the most successful organizations we work with, risk adjustment is one of those uniting programs. Clearly, roles involved in capturing HCC codes used in risk adjustment factor scoring have a vested interest, but they are not alone.
In the finance department, knowing what reimbursement amounts to expect is critical to managing the business. Quality teams use many of the same tactics as their risk adjustment peers to close care gaps so aligning efforts creates multiple efficiencies. Patients also appreciate the coordinated approach of their care teams that minimizes office visits and maximizes the quality of care they receive.
Register for our upcoming webinar to hear experts discuss how organizations can use risk adjustment programs to rally teams across the organization to work towards their tangentially aligned goals more efficiently. We’ll outline how to design a program that meets the needs of risk adjustment, finance, and quality departments, share best practices and real world examples, and set aside time to answer your specific questions as well.
SVP, Risk Adjustment
SCIO Health Analytics
Tom Peterson brings more than 25 years of experience in healthcare. Prior to joining the SCIO team, Tom was CEO and co-founder of Clear Vision Information Systems (acquired by SCIO® in 2016), which designed software and services to optimize care and revenue for plans and providers across the country. Tom brings a unique perspective to revenue and care optimization having held positions at major health plans including Blue Shield of California and Blue Cross of California, as well as providers such as Cedars-Sinai Medical Center.
His extensive background in clinical data related to risk adjustment, system design and analysis, provider outreach and training program development led to his involvement in the Industry Collaboration Effort (ICE), the development of training forums and best-practice presentations on risk adjustment for the industry. In his role with SCIO, Tom leads the operations in Westlake Village, California overseeing the strategic direction and IT innovation to ensure growth and alignment with evolving industry needs.