Fact Based List:
Government Health IT: 6 steps to prep for HIXs
Submitted by Charlene Ice on Wed, 09/18/2013 - 13:40
- Gain an understanding of the impact that members in current small group and individual products are likely to have on HIX products.
- Utilize pharmacy data to quickly understand the risk of new enrollees.
- Implement a risk-adjusted revenue management program focused on coding accuracy.
- Procure the infrastructure required for HHS to calculate risk scores.
- Develop operating procedures that allow for the separation of mother-infant claims, as well as the creation of masked enrollee IDs.
- Develop comprehensive tools to calculate and apply risk information on the 81% of adults, and the 91% of children, excluded from the risk-adjustment model.
Source: Government Health IT, August 29, 2013
Source URL: http://www.govhealthit.com/news/6-steps-prep-hixs
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