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Transforming Risk Adjustment Through Insight, Transparency and Control
Transforming Risk Adjustment Through Insight, Transparency and Control
Transforming Risk Adjustment Through Insight, Transparency and Control
Call us today 412-608-4298
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3 Jan

KelseyCare Advantage Implements Babel and Gains Valuable Insight

Pittsburgh, PA – January 3, 2019—Babel Health, LLC, an innovative provider of an integrated, compliant ETL-based SaaS suite of data management and encounter submission software and services to government health plans, is pleased to announce that KelseyCare Advantage, a 5-star Medicare Advantage health plan serving members in the Houston area has implemented Babel’s fully integrated SaaS ETL data management platform for their EDPS submissions.

By engaging with Babel, KelseyCare was able to gain insight into key areas of their business, including their risk submission work process and staffing model. With Babel, they have a transparent and detail-rich view into their rejection rate, access to rejections and the ability to prioritize and work the rejections. This allowed them to make remarkable gains cleaning up both their historical and current missed or rejected submissions and improve their submission rates for 2015 and 2016 dates of service. Through the transition process, KelseyCare also determined they had not been appropriately staffed and needed additional dedicated staff to work on risk submissions. However, because the Babel interface is easy to use, less senior staff could be utilized, resulting in a cost savings. Additionally, the risk submissions team is now able to provide executive leadership with insight into their business through on demand reconciliation reports.

“For us to accomplish what we have in the last few months would have taken more highly skilled FTE’s than we require with Babel,” state Sarah Dixon, KelsyeCare’s Director of Healthcare Finance. “Prior to Babel, it was difficult to see that we were missing half a year of data, but once we started using the software this became clear immediately without having to do a lot of extra work.”

To read more about how KelseyCare Advantage gained key insight into their business with Babel, CLICK HERE.

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ABOUT BABEL HEALTH, LLC
Babel Health provides an innovative, customer-focused approach to the entire risk adjustment submission process for health plans. The company’s integrated SaaS ETL (extract-transform-load) data management platform provides health plans with full transparency and control of the underlying data for business insight and critical day-to-day business decision making across all lines of business. Unlike other solutions in the marketplace, Babel enables its customers to take control of an extraordinarily complex process and provides user-friendly access to the data in order to solve the business problems inherent to risk adjustment submissions. In addition, the Babel team is committed to continually improving our customer’s experience through product enhancements, streamlined processes, clear communication and ethical interactions.

ABOUT KELSEYCARE ADVANTAGE
KelseyCare Advantage is Medicare Advantage health plan serving eligible Houston-area residents in Fort Bend, Harris and Montgomery counties, as well as portions of Galveston county. First offered in 2008 as the vision of the doctors at Kelsey-Seybold Clinic, known as the nation’s first accredited Accountable Care organization by the National Committee for Quality Assurance (NCQA), the plan now manages care for more than 33,000 members. For nine consecutive years, KelseyCare Advantage has been one of the highest rated Medicare plans in the greater Houston area, and is currently rated 5 out of 5 stars by the Centers for Medicare and Medicaid Services (CMS) for the 2019 plan year.

Teig Boyle