Optimizing Your ACA/3R Programs:

Lessons Learned from Across the Industry

Since the passage of the Affordable Care Act, Trexin’s 3R optimization teams have been working with health plans across the country to help them maximize their net revenue under the CMS Risk Adjustment and Reinsurance programs.

Ngan MacDonald Jim Benkovich
Healthcare Information Lead Healthcare Information Architect Lead

Trexin 3R program experts Ngan MacDonald and Jim Benkovich shared their experiences developing and implementing innovative and effective ways to optimize Risk Adjustment and Reinsurance performance.

Topics covered:

  • • Trexin’s ACA/3R Submission Framework
  • • Key Data and Process Challenges
  • • Looking Ahead to RADV Audits

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