Health First Health Plans and Talix to Present on Risk Adjustment Compliance Strategies at 2017 RISE West Summit

Presentation Will Cover Innovative Strategies and Tools for Ensuring Claims Accuracy
September 6, 2017

SAN FRANCISCO – September 6, 2017 – Talix, Inc., a premier provider of healthcare risk adjustment and quality analytics solutions, today announced it will partner with Florida-based Health First Health Plans to present a session on using analytics to improve coding compliance and reduce audit risk at the 2017 RISE West Summit. The summit takes place September 17-19, 2017 in Scottsdale, Ariz.

The session “Increasing Audit Confidence: Using Data Analytics to Improve Coding Accuracy and Compliance and Understand Financial Performance” will be held on Monday, September 18. Speakers Laura Breisch, director of government programs and risk adjustment at Health First Health Plans, and Stephen Gasiorek, director of sales and account management at Talix, will discuss the urgent need for risk-bearing health plans and provider organizations to ensure they are accurately and completely identifying, documenting and coding all HCC conditions to the right specificity. They will examine the key risk adjustment compliance challenges insurers face including retrospective claims reviews to identify past claims submissions risks, and present strategies and best practices for improving coding accuracy and reducing audit risk.

Laura Breisch is a risk professional with over a decade of experience. Her responsibilities include leading the regulatory and revenue oversight of the Health First Health Plan’s federal contract with the Centers for Medicare & Medicaid Services (CMS) to administer Medicare benefits as a Medicare Advantage, and QHP.  Stephen Gasiorek has more than 20 years of experience consulting and bringing solutions to a spectrum of healthcare industry sectors, including risk adjustment for payers and providers, quality, HEDIS, population health management, and care coordination.

What: “Increasing Audit Confidence: Using Data Analytics to Improve Coding Accuracy and Compliance and Understand Financial Performance.”

When: Monday, September 18, 2017, 3:10 p.m. – 3:55 p.m. PT

Where: Fairmont Scottsdale Princess, Scottsdale, Ariz.

Talix will be exhibiting its risk adjustment solutions at the RISE West Summit. To schedule a 10-minute product demo, please visit the Talix booth or book an appointment at

About Health First Health Plans

Health First Health Plans serves more than 160,000 members in Central Florida through a wide array of products and services including Commercial Group, Medicare Advantage and Individual product lines. Health First Health Plans is operated by Health First, a not-for-profit Integrated Delivery Network, which includes health insurance plans, hospitals, a multi-specialty medical group and outpatient and wellness centers. Visit for more information.

About Talix

Talix provides risk adjustment and quality solutions that help providers, payers and accountable care organizations take on financial risk and succeed in value-based healthcare. Our leading-edge SaaS applications leverage best in class, proprietary NLP, machine learning and advanced patient data analytics to transform complex data into actionable intelligence that drives improved coding efficiency and accuracy—leading to better patient outcomes, more accurate reimbursements and reduced costs.  For more information, please visit www.talix.comor follow @TalixHealth on Twitter.