RADV Best Practices User Group Meeting 10/29

Minutes of the First Meeting of the RISE RADV User Group:  October 29, 2014

The first meeting took place, setting in motion a forum for exploring and sharing best practices regarding RADV programs.  The scope of the user group embraces everything from risk mitigation, program design and strategies, to preparation and execution of the business plan when undergoing an audit and pursuing appeals.  The first session concentrated on agreement around an anti-trust policy, updates on the current state of RADV audits and future topics.  The attached document displays the minutes of the meeting.  Additionally, the RISE Anti-Trust Agreement is also posted.  

This group is composed mostly of healthplan representatives but also includes several individuals representing provider groups that are operating at-risk under Medicare Advantage agreements.  While the initial thrust of this group concentrates on Medicare Advantage, it is expected that the future scope will be extended to also include the RADV program on the HIX marketplace side, as well.  This group welcomes new members at any time. 

Contact:  Kevin Mowll, Executive Director / RISE  kmowll@risehealth.org 

 

 https://www.healthcare-conferences.com/pdf/RADV_UG_2014.10.29.pdf

https://www.healthcare-conferences.com/pdf/RISE AntiTrust Agreement.pdf

 

 


Tags: RADV, Risk adjustment

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