The Chart Chase Era Is Over.
Here’s What Comes Next.

Health plan leaders from Community Health Choice, Community Health Plan of Washington, and Clear Spring Healthcare discuss why retrospective risk adjustment is no longer sustainable — and what organizations must do before the next RADV audit cycle escalates the pressure even further.

CMS is auditing six years of Medicare Advantage payments in the next 13 months. Extrapolation risk is back on the table. And the retrospective chart chase model that health plans have relied on for decades is no longer keeping pace with the scale of operational and financial scrutiny plans now face.

In this candid Becker’s Healthcare discussion, risk adjustment, clinical, and interoperability leaders share:

• what’s breaking,
• what’s creating the greatest exposure,
• and what a clinical-first risk adjustment model looks like when it’s actually working.

The conversation goes beyond coding workflows and chart retrieval tactics to address a much larger issue: whether current operating models can withstand continuous audit scrutiny at enterprise scale.

What You’ll Learn
Watch this on-demand session to explore:

• Why retrospective chart chase is becoming a financial liability — not just an operational inefficiency
• How RADV audits and extrapolation are changing enterprise risk exposure
• What “clinical-first” risk adjustment actually looks like in practice
• How leading plans are shifting capture closer to the point of care
• The role CCDs, ADT feeds, and EHR-integrated decision support play in proactive workflows
• Why provider abrasion has become a growing operational concern
• How organizations are aligning risk adjustment, quality, care management, and clinical operations
• What health plan leaders should be discussing now at the CFO and board level

Featured Speakers

• John Murtha, Health Plan Executive, InterSystems
• Lisa Parnell, Director of Risk Adjustment, Community Health Choice
• Mark Dabney, Director of Risk Adjustment, Community Health Plan of Washington
• Dr. John Mazzutti, Chief Medical Officer, Clear Spring Healthcare
• Moderated by Lucas Vos, Becker’s Healthcare