Welcome to the Talix Blog

The Hub that Powers Intelligent Conversations
Author:
Dean Stephens
Date:
March 7, 2017

It’s a new month and we have another new face at Talix! Today I’m happy to welcome Paul Brocato, our new senior sales manager, to the Talix team. Before coming to Talix, Paul was a field success manager for laboratory analytics at Viewics. Keep reading to find out a little more about him! What brought…

Author:
Dean Stephens
Date:
February 28, 2017

The gender gap plaguing the tech industry is a well-known issue. There have been many attempts to solve the problem, from campaigns focused on getting tech companies to change their cultures, to those that encourage girls to pursue STEM fields (and supports them throughout their education and careers), to non-profit organizations like Code.org and Girls…

Author:
Dean Stephens
Date:
February 16, 2017

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…

Author:
Shahyan Currimbhoy
Date:
February 14, 2017

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…

Author:
Shahyan Currimbhoy
Date:
February 9, 2017

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…

Author:
Shahyan Currimbhoy
Date:
February 7, 2017

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…

Author:
Shahyan Currimbhoy
Date:
February 2, 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…

Author:
Dean Stephens
Date:
January 27, 2017

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…

Author:
Dean Stephens
Date:
January 5, 2017

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…

Author:
Dean Stephens
Date:
December 22, 2016

I’m very excited to announce a new member of the Talix team! Today, we’re welcoming Namrata Mehta, our new full stack software engineer. Namrata made the jump to Talix from Orange County-based Artigen Corporation, where she was a software engineer developing a web-based and mobile app used in educational testing. Here’s a little more about…

Author:
Dean Stephens
Date:
December 22, 2016

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…

Author:
Dean Stephens
Date:
December 19, 2016

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…

Author:
Dean Stephens
Date:
December 13, 2016

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…

Author:
Dean Stephens
Date:
December 6, 2016

As the healthcare industry continues to shift from volume-based to value-based reimbursement, health plans are moving to change the way they do business. Recognizing that the cost of and incentives associated with traditional fee-for-service care are unsustainable, they are expanding their risk-based contracting efforts and seeking out more innovative ways to help providers deliver better…

Author:
Dean Stephens
Date:
November 15, 2016

Today, Talix announced our new customer, Geisinger Health Plan. The innovative, not-for-profit insurance organization serves approximately 554,000 members in Pennsylvania, Delaware and Maine and its HMO, PPO and Geisinger Gold’s HMO are among the highest-rated private and Medicare health plans in the nation. GHP is implementing Talix’s Coding Insight for Payers application to automate and…

Author:
Dean Stephens
Date:
November 9, 2016

After 18 months that felt like an eternity, the most contentious election in recent memory has finally come to an end. The results are in and the voters have spoken: On January 20, 2017, Donald Trump will be sworn in as the 45th President of the United States. Buckle up folks, changes are coming. Having…

Author:
Dean Stephens
Date:
November 1, 2016

The year may be winding down, but Talix is keeping up the momentum! Next week, Talix is heading to Miami, Fla. for the Risk Adjustment Forum, taking place November 10-11. The Forum is another one of the events we’re sponsoring through RISE, and the planners are promising an outstanding curriculum focused on revenue management and…

Author:
Dean Stephens
Date:
October 20, 2016

On October 14, the Centers for Medicare & Medicaid Services (CMS) released the final MACRA rule that physicians had been fearfully waiting on pins and needles for. It’s nearly 2,400 pages long – though CMS acting director Andy Slavitt was quick to point out that the comments and feedback section takes up about 80 percent…

Author:
Dean Stephens
Date:
October 6, 2016

In a new case study, we detail how Village Family Practice, a Houston-based multi-specialty practice with 45 providers across seven locations, implemented our analytics-driven Coding InSight solution to tackle the challenges of risk adjustment and risk-based contracting. It’s no secret that value-based care is quickly becoming the industry mainstay. Leading this shift are the Centers…

Author:
Dean Stephens
Date:
October 5, 2016

Exactly one year ago today, on October 5, 2015, the Talix brand launched at the Health 2.0 conference in Santa Clara. Following the conference we celebrated with a launch party at a local winery in San Francisco, where we all raised a glass to the new, exciting adventure in front of us. Talix Launch Party…

Author:
Dean Stephens
Date:
September 28, 2016

Happy National Health IT Week! Initiated in 2006 by the Healthcare Information and Management Systems Society (HIMSS), National Health IT Week has emerged as a landmark occasion for using health information technology as part of the overall solution to improve America’s healthcare as a bipartisan, federally led, market-driven initiative. Health IT improves the quality of…

Author:
Dean Stephens
Date:
September 27, 2016

Our CEO, Dean Stephens, recently sat down to give us a quick recap of his takeaways from the 2016 RISE West Summit in Scottsdale, AZ. He also shared his insights on the future of risk adjustment and the shift toward value-based care. Take a look! Dean Stephens Dean Stephens is the CEO of Talix.

Author:
Dean Stephens
Date:
September 15, 2016

The 2015 Medicare Accountable Care Organization (ACO) performance results are out and they are a decidedly mixed bag. In a press release, the Centers for Medicare & Medicaid Services (CMS) put a positive spin on the numbers, pointing to the increased cost savings of $466 million (up from $411 million in 2014) that the Medicare…

Author:
Dean Stephens
Date:
September 6, 2016

Talix is gearing up for the 2016 RISE West Summit, happening next week, September 15-16, in Scottsdale, AZ. The 6th Annual Summit is one of several RISE sponsors throughout the year, and as always, we’re looking forward to showcasing our core product, Coding InSight, on the exhibition floor. Coding InSight is the smart solution to…

Author:
Dean Stephens
Date:
August 23, 2016

The Centers for Medicare & Medicaid Services (CMS) introduced the first Accountable Care Organizations (ACOs) in 2012 with its flagship Medicare Shared Savings Program (MSSP). With CMS adding a variety of models to its program and an expansion into the commercial sector, the number of ACOs has grown rapidly. Current estimates place the number at…

Author:
Dean Stephens
Date:
August 17, 2016

This past Sunday, we hosted our first annual Talix summer picnic at the San Francisco Zoo. The thick fog didn’t come close to dampening anyone’s spirits, and it was a fun-filled day of face-painting, food, and of course, lots of wild animals for Talixers and their families. Check out our video recap of the day’s festivities!…

Author:
Dean Stephens
Date:
August 11, 2016

I am very excited to welcome Ashmi Shah, our new vice president of finance, to the Talix leadership team! Ashmi’s experience seems tailor-made for Talix, since it includes the worlds of SaaS applications, healthcare and data analytics. She comes to us from healthcare analytics company Viewics, where she was head of finance and operations. Previous…

Author:
Dean Stephens
Date:
August 3, 2016

If you haven’t already, commit this date to your memory: January 31, 2017. It’s the final deadline for Medicare Advantage Organizations (MAO) to submit RAPS and EDPS data to CMS for the 2016 payment year (so, the final reconciliation of 2015 dates of service). The deadline is the last chance to submit any codes for…

Author:
Shahyan Currimbhoy
Date:
July 27, 2016

As a data analytics company, Talix analyzes, well, a lot of data. So, it’s not surprising that we’re often asked what our Coding InSight application tells us are the top missed HCC (Hierarchical Condition Category) codes. We’ve seen macro trends across our customer base, which encompasses a range of different healthcare institutions. Based on data…

Author:
Dean Stephens
Date:
July 21, 2016

The team at Talix continues to grow! We recently rolled out the welcome mat for Sam Casciato, our new IT support engineer. Sam made the move to Talix from his own IT consulting firm, Concierge IT, which he opened right out of high school. He’s a San Francisco native with a deep interest in learning…

Author:
Dean Stephens
Date:
July 11, 2016

Unless it gets delayed (and it will very likely be delayed), the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is just six months away from the start of the first performance year. While the potential effects are being hotly debated – opponents think it’s an unmitigated mess that’s doomed to fail, while proponents…

Author:
Dean Stephens
Date:
June 28, 2016

The Healthspottr Annual Retreat, sponsored by the Aspen Institute, is an annual event that brings together 150 leaders from a diverse array of fields and disciplines including innovators, investors, philanthropists and foundations, business and non-profit leaders, civic leaders and policy advocates who are dedicated to positive transformation of the healthcare industry. This was the first…

Author:
Dean Stephens
Date:
June 13, 2016

A new final rule that will change the way Medicare reimburses Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) provides stronger incentives for ACOs to participate in the program and better rewards providers for continuing to improve patient care and coordination. The Centers for Medicare & Medicaid Services (CMS) touted the…

Author:
Dean Stephens
Date:
May 17, 2016

At Talix, we truly believe that our employees are the heart and soul of the company. Their diverse backgrounds, unique personalities and array of skills are part of what make Talix a fun, challenging and engaging place to work. We’re pretty proud of the people who work here, and we think one of the best…

Author:
Dean Stephens
Date:
May 9, 2016

Like many of you, when I’m not eating, drinking and breathing healthcare, I have been riveted by the U.S. presidential primaries. I got to thinking – wouldn’t it be great to apply the same risk adjustment mechanism we use in healthcare to American Democracy? We’d score the relative impact of the outcome of the election…

Author:
Dean Stephens
Date:
May 4, 2016

Talix is pleased to welcome another talented staff member to our growing team! Yousef Qasem joins Talix as our new IT manager and comes to us from CSE Insurance, where he was a systems administrator II. We asked Yousef to tell us a little more about himself. Here’s what he had to say. What brought…

Author:
Dean Stephens
Date:
April 28, 2016

In an assessment of the impacts of the first year of risk adjustment programs on healthcare insurers, the American Academy of Actuaries (the Academy) published a report that concludes, in part, that coding accuracy is a key issue affecting an insurer’s success in risk adjustment programs. And while the Academy’s overall conclusion is that the…

Author:
Dean Stephens
Date:
April 21, 2016

In March 2016, the Centers for Medicare & Medicaid Services (CMS) concluded in published statements and at a public meeting that risk adjustment programs created under the aegis of the Affordable Care Act (ACA) are largely working according to plan. However, in a post published on the official CMS blog the day before the public…

Author:
Dean Stephens
Date:
March 23, 2016

Talix is growing! We’re very excited to welcome a new software engineer, Swati Garg, to our talented team. Swati comes to us from Transera, a cloud-based call center solution service based in Sunnyvale. We sat down with Swati to learn more about her. Here’s what she had to say about herself: What brought you to…

Author:
Shahyan Currimbhoy
Date:
March 21, 2016

Hello from Nashville! We’re at the Gaylord Opryland Resort & Conference Center for the 10th Annual RISE Nashville Summit, where the exhibit hall is full, the energy level is high, and we’re looking forward to two action-packed days filled with speaking sessions, panel discussions, networking opportunities and, of course, showing attendees what our Coding InSight…

Author:
Dean Stephens
Date:
March 18, 2016

A few days ago, we sat down with Derek Gordon, our SVP of sales, marketing and customer success, to get his insights on the 2016 HIMSS Annual Conference. In this second installment of our look back at HIMSS16, we wanted to get a different perspective, so we asked Murray Brozinsky, Talix’s chief strategy officer, to…

Author:
Dean Stephens
Date:
March 16, 2016

It’s been a little over a week since the 2016 HIMSS Annual Conference came to a close. Because this was our first HIMSS as Talix, we thought it would be interesting to reflect on what we saw and learned at HIMSS16 in Las Vegas. We sat down with Derek Gordon, SVP of sales, marketing and…

Author:
Dean Stephens
Date:
March 9, 2016

The HIMSS16 conference is wrapped up and in the books, and it was certainly one for the ages; Talix has exhibited at HIMSS for three years now, and this year was better than the last two combined. Now, after a very successful week in Las Vegas, Talix is turning our attention to Nashville, home of…

Author:
Dean Stephens
Date:
March 1, 2016

The 2016 HIMSS Annual Conference is underway! We’re at the Las Vegas Sands Expo and Convention Center along with more than 40,000 others from the health IT world. And, as if all the HIMSS16-related excitement weren’t enough, we also had some big news to share. We launched Talix last October with the wind at our back…

Author:
Dean Stephens
Date:
February 23, 2016

The 2016 HIMSS Annual Conference is less than a week away! This year, the conference will be held at the Sands Expo and Convention Center in Las Vegas. More than 40,000 health IT professionals, clinicians, executives and vendors from around the world will gather here to enjoy a range of speakers, thought leader sessions, roundtable…

Author:
Dean Stephens
Date:
February 2, 2016

On Thursday, January 28, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule aimed at improving the Medicare Shared Savings Program. The rule would strengthen the long-term incentives for Accountable Care Organizations (ACOs) to continue improving the care they provide to Medicare beneficiaries. “Medicare payments are an important catalyst to improving care…

Author:
Dean Stephens
Date:
January 20, 2016

Many accountable care organizations (ACOs) are achieving much of their potential, but many others still have a ways to go in order to reach hoped-for outcomes according to a new white paper. Published by the Center of Health Care Strategies with support from the Robert Wood Johnson Foundation, the paper summarizes a comprehensive assessment of…

Author:
Dean Stephens
Date:
January 11, 2016

Today marks a new, exciting chapter for Talix as the business spins off from Healthline Networks into a fully independent, standalone company. With $14 million in new financing from our investors to fund the growth of our core risk adjustment product, Coding InSight, and to support the development of future applications in our planned suite…

Author:
Dean Stephens
Date:
December 21, 2015

The healthcare industry saw some big changes in 2015 – the rise of value-based care, the release of Meaningful Use final rules, and of course, the monumental switch to ICD-10. As 2015 comes to a close, let’s take a look forward to 2016 and what new changes it will bring. We always like to make…

Author:
Dean Stephens
Date:
November 30, 2015

As the pharma industry faces mounting data generated for clinical studies and trials (patient data, regulatory compliance reports, meeting minutes, etc.), finding the right information among all this data has become like finding a needle in the haystack. Earlier this month, our Professional Services team launched a new custom search solution for Genentech, an advanced…

Author:
Shahyan Currimbhoy
Date:
November 19, 2015

Part 2 – Six Steps to Excel at Healthcare Risk Adjustment Last week, I discussed the state of healthcare risk adjustment and the risk adjustment challenges facing provider organizations. But an important and looming question remains: if high accuracy coding to support risk adjustment is critical to organizations, and existing processes are either retrospective, labor-intensive,…

Author:
Dean Stephens
Date:
November 11, 2015

Millions of people around the world are celebrating Diwali – the Festival of Lights – this week. It’s the biggest holiday of the year for Hindus, Sikhs and Jains. At Talix, we joined the exciting festivities today with a celebration in our office. Happy Diwali! Dean Stephens Dean Stephens is the CEO of Talix.

Author:
Shahyan Currimbhoy
Date:
November 10, 2015

Part 1 – The State of Healthcare Risk Adjustment We are in the midst of a seismic shift from a fee-for-service reimbursement model to a value-based one. In a historic announcement on January 26, 2015, U.S. Health and Human Services (HHS) set a goal of tying 30 percent of traditional, fee-for-service Medicare payments to quality…

Author:
Shahyan Currimbhoy
Date:
October 26, 2015

Now that ICD-10 is finally here, are you confident about your organization’s transition to the new ICD-10 coding system? If you answered “no,” you are not alone. Many elements of this monumental transition have dependencies on the software vendors, clearinghouses, payers and staff, but there is one thing you can control: your documentation of the…

Author:
Dean Stephens
Date:
October 12, 2015

The use of anesthesia eliminated one of humankind’s greatest fears – the pain of surgery. A young dentist and renowned surgeon made history on October 16, 1846 with the first successful surgical procedure performed with anesthesia. In the 1870s, healthcare was revolutionized by the germ theory of disease, which led to public health efforts and…

Author:
Dean Stephens
Date:
October 5, 2015

It’s opening day at Talix, a new company with some seriously impressive DNA. Our new company also comes into being with some equally serious wind in its sails. So, who is Talix? We’re 55 people with a mission to make the people of the world healthier through the power of information. Our first product, Coding…

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