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Nuance and Talix Team to Improve Care Quality and Risk Adjustment at the Point of Decision Making

New Quality and Risk Adjustment Solution from Nuance Combines AI and Coding to Deliver Context-Aware, Personalized Clinical Guidance to Providers BURLINGTON, Mass. and SAN FRANCISCO, October 11, 2017 – Nuance Communications, Inc. and Talix, Inc. today announced a reseller agreement to deliver a new patient-focused solution to support better outcomes and risk adjustment through decision support and automation. As a result of this agreement, Nuance introduced a new Nuance Quality and Risk Adjustment solution that combines Talix’s risk adjustment coding technology with Nuance’s artificial intelligence (AI)-powered Computer-Assisted Physician Documentation (CAPD) solutions. This new offering from Nuance will enable population health specialists, care providers and coders to quickly and easily find and close coding gaps at the point of care, and properly code high value risk adjustment opportunities. With the emergence of new care and payment models, providers are shouldering an increasing amount of accountability and financial risk while also needing to provide comprehensive care and disease management across the continuum of care in a dynamic, value-based environment. As care increasingly shifts toward an ambulatory setting, effective population health management strategies that proactively identify and assess high-risk patients, and improve...
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Episource Acquires Peak Payer Solutions, Expanding Capabilities into Health Risk Assessments and Clinical Services

Acquisition brings together Peak’s prospective in-home health assessments and retrospective chart audit capabilities with Episource’s best-in-class Risk Adjustment and HEDIS/Stars services and technology offerings LOS ANGELES, CA., September 25, 2017 – Episource announced today that it has signed a definitive agreement to purchase Peak Payer Solutions, a provider of risk adjustment chart audits, and in-home health risk assessments for health care payers. Peak has a nationwide network of over 750 healthcare providers across all 50 states....
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Upcoming Conference

 

The Risk Adjustment Forum: Operational Integration and Compliance 

This is your can't-miss opportunity to gain proven strategies for enhancing the compliance of your coding and risk adjustment data. You also will get unparalleled insight and tools to help streamline the integration of risk adjustment and quality initiatives, and take away critical lessons learned from plans breaking down operational silos. You will also hear directly from CMS! 

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Upcoming Webinar

Quality Visits: Closing Gaps in Care to Meet Your Quality Performance Goals

Meeting and exceeding quality standards has never been more important for health plans as reimbursement is increasingly linked to specific quality goals. This informative webinar will help you understand how to gain control over meeting your quality goals by executing targeted interventions for those members with gaps in care. You’ll get a glimpse of how to coordinate everything from member outreach and engagement, to actual gap closure and reporting to the member, their primary care provider and the health plan.

 

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