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Geisinger Health Plan Extends Partnership with MedAssurant

Prestigious Physician-led Health System and MedAssurant Continue Focus on Improving Disease and Comorbid Risk Score Accuracy for Medicare Advantage Members


News provided by

MedAssurant, Inc.

Nov 09, 2011, 08:00 ET

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BOWIE, Md., Nov. 9, 2011 /PRNewswire/ -- MedAssurant, Inc., a leading provider of data-driven healthcare solutions, today announced the extension of their relationship with Geisinger Health Plan for three additional years. MedAssurant and Geisinger will continue their work to improve disease, comorbidity and related risk score data accuracy for Medicare Advantage members through MedAssurant's Capitated Risk Adjustment (CARA™) solution, the industry's leading risk score data accuracy improvement solution for risk adjusted Medicare and Medicaid programs.  

CARA is a retrospective risk adjustment solution providing a clinically-driven approach to the efficient identification, determination and substantiation of disease and comorbid condition data.  Advanced analytics leverage insight gained from extensive clinical datasets of more than 5.2 billion medical events to identify potential gaps in disease and comorbidity data accuracy. A highly integrated platform designed to coordinate both EMR and paper-based medical record data aggregation thereafter facilitates a highly efficient process of "filling in the gaps" through the targeted abstraction of both discrete and non-discrete clinical data.  This process results in a more thorough understanding of each member and a more comprehensive risk score value to ensure significant improvement in healthcare data, quality insight and risk score accuracy.

"Geisinger Health Plan is very pleased to be working with trusted partners like MedAssurant to provide high-quality and cost effective care to our members," said Dudley Gerow, the Chief Government Programs Officer at Geisinger Health Plan. "Over the last four years, MedAssurant has consistently delivered a highly effective and valued program of disease and comorbid data accuracy improvement through their advanced risk adjustment processes. The partnership has become an important part of Geisinger's commitment to its members."

Keith Dunleavy, M.D., President and Chief Executive Officer of MedAssurant, said, "With an increasingly complex set of pressures upon the health care landscape, it is more important than ever to not only improve disease and comorbid risk score accuracy but to also use this insight to guide quality of care and cost of care strategies.  Geisinger Health Plan is known throughout the industry as a pioneer and leader in innovation and care delivery. We are very pleased to be part of the Geisinger success story in their dedication to providing superior care for their Medicare Advantage members."

About the Geisinger Health Plan

Geisinger Health Plan, begun in 1985, is headquartered in Danville, PA, and is one of the nation's largest rural HMOs. The plan serves almost 250,000 members in 42 counties. Coverage is available for businesses of all sizes, individuals and families and Medicare beneficiaries. As part of the Geisinger Health System, GHP has been recognized nationally as a model for health care reform with documented success in innovative programs such as the patient-centered medical home. For more information, please visit www.thehealthplan.com.

About MedAssurant, Inc.

MedAssurant, Inc. is a leading technology-enabled healthcare solutions provider focused on the importance of healthcare data and its ability to drive dramatic, objective improvement in clinical and quality outcomes, care management and financial performance throughout the healthcare community. Proprietary healthcare datasets, aggregation and analysis capabilities, combined with a national infrastructure of leading-edge technology, clinical prowess and deep human resources, empower MedAssurant's advanced generation of healthcare assessment and improvement through highly informed solutions. Driven by a mission to improve today's healthcare landscape, the employees of MedAssurant proudly apply care, ingenuity and dedication to delivering a new approach to healthcare touching more than 100 million Americans – one driven by data and insight – one resulting in meaningful action. Please visit www.medassurant.com for more information.

Contacts:

Russo Partners, LLC, on behalf of MedAssurant, Inc.
Tony Russo or Lena Evans
Phone: 212-845-4251
Phone: 212-845-4262
[email protected]
[email protected]

MedAssurant, Inc.
Jason Rose
Phone: 301-809-4000
[email protected]

SOURCE MedAssurant, Inc.

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