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Looking Ahead to RISE Nashville

In just a few short weeks, the Talix team will be heading to Nashville for the 11th Annual RISE Nashville Summit. This year’s conference runs from March 6 – 8 at the Omni National Hotel, and with an expanded agenda covering more than 40 risk and quality-related topics – plus an outdoor networking event encompassing…

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Impacts of the 2018 Advanced Notice: What Health Plans Should Know

  On February 1, the Centers for Medicare & Medicaid Services published its 2018 Advance Notice laying out planned changes to Medicare Advantage (MA) and Part D payments and the risk adjustment methodology for CY 2018. Health plans and other stakeholders have 30 days to comment on the Advanced Notice. CMS will publish the Final…

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Get Ready for HIMSS17!

Believe it or not, the 2017 HIMSS Annual Conference is just over one week away! This year, more than 45,000 health IT professionals, clinicians, executives and vendors from around the world will gather at the Orange County Convention Center in Orlando, Florida to attend their choice of more than 300 workshops, thought leader sessions, round…

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Talix Launches Commercial Risk Adjustment Support for Coding InSight

This morning, Talix proudly announced that our Coding InSight solution now supports commercial risk adjustment for health plans and providers participating in the Affordable Care Act (ACA) health insurance exchanges.  Throughout 2016, several high-profile insurers struggled with their ACA lines of business, leading some to reduce their exchange plan offerings and others to exit the…

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What is the point of NLP in 2017?

We have all seen natural language processing (NLP) in workflow management, but now Talix is bringing the technology to risk adjustment, point of care, and quality programs. Our platform creates a streamlined process to aid certified clinical coders in finding ICD-10 diagnoses and helps physicians document conditions more completely and more compliantly. Our customers are…

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Meet Marilyn Garry, Talix’s New Senior Director, Risk Adjustment & Quality

We’re less than one month into 2017 and the Talix team is already expanding! I’m very excited to welcome Marilyn Garry, our new senior director of risk adjustment & quality. Prior to joining Talix, Marilyn lent her risk adjustment and quality expertise to major health plans, including Anthem, Optum, HealthSpring and Aetna, as well as…

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Providers Will Continue to Shift to Value-Based Care in 2017, but Challenges Remain

The transition to the Trump administration is just weeks away and the healthcare industry is bracing for major changes – including the possible repeal of at least some of the major portions of the Affordable Care Act.  Despite facing many unknowns, a survey of the membership of the American Medical Group Association (AMGA) reveals that…

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Meet Justin Lien, Talix’s New Full Stack Software Engineer

I’m happy to welcome yet another new member to the Talix team! Meet Justin Lien, our new full stack software engineer. Prior to coming on board at Talix Justin was a web developer at the California Water Service Company, where he honed his experience in building custom applications from the ground up. I asked Justin…

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Meet Ravi Venkatesan, Talix’s New Senior QA Engineer

I’m proud to welcome another member to the rapidly growing Talix team!  Meet Ravi Venkatesan, our new senior QA engineer. Before joining Talix, Ravi was at Hewlett Packard Enterprise. We’re so excited to have him here! Read on to find out a little more about him: What brought you to Talix? I found the job…

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Mastering Risk Adjustment: Technology Best Practices for Health Plan Executives

Last week, I discussed some of the key challenges payer organizations face with risk-based contracting. Now I’ll share some steps health plans can take to master risk adjustment through improved coding efficiency, productivity and accuracy. Effectively addressing the challenges of risk adjustment starts with improving coder productivity and accuracy. Payers should leverage the new breed…

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