Geisinger Health Plan Case Study

Driving Coder Transformation

Geisinger Health Plan (GHP) Boosts Coding Accuracy and Productivity in Risk Adjustment Programs

In 2016, GHP, a 560,000 member, not-for-profit health plan, deployed Coding InSight, Talix’s NLP-enabled, integrated workflow application, to gain more control of their risk adjustment process and improve the accuracy and productivity of their in-house coding team. The health plan achieved outstanding results, including:

Improved coding efficiency

4X

Increase in productivity

$8 M

Administrative savings

$3 M

Revenue increase due to accuracy improvements