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Avoiding every health plan's worst nightmares

Kristin Rodriguez, Health Plan Alliance

09/06/2018

 

The Health Plan Alliance convened leaders in Enterprise Risk Management, Compliance, Privacy and Information Security this August in San Francisco to tackle some of the toughest topics in health care.  Ironically, these topics are often discussed the least, probably because they don’t exactly capture the imagination—and yet these same issues become the stuff of nightmares when not executed competently by health plans.  Below we’ve compiled the case studies and subject matter experts’ presentations across the event’s three themes.

 

Enterprise Risk Management

Presentation: Enterprise risk management 2.0—Beyond the basics
Ankura Consulting shares best practices and solutions for challenging elements of interest to plans with solid existing ERM programs.

Presentation: Continuity Planning 2.0
Western Health Advantage with Avalution examine emerging best practices that Alliance members can take into account when reviewing and updating their own continuity plans.

Presentation: Risk-Based Security
Change Healthcare explores an organizational approach to risk-based security, a mindset in which the organization purposely identifies which risks are acceptable, and when a risk must be stopped, controlled, or transferred.

Presentation: Risk Management Survey and Working Group
EBG presents results of an Alliance survey on health plans' enterprise risk management programs. Topics cover competencies related to mitigating the risks facing managed care organizations.

 

 

Operationalizing a secure and compliant culture

Presentation: Structuring Risk, Compliance, Privacy, Security and Regulatory Affairs
SelectHealth with Western Health and Adventist examine operational structures, management and collaboration techniques for ensuring these critical components adhere to federal and state requirements, and work effectively together.

Presentation: Govt Audits of Managed Care Plans and Issuers - Best Practices
EBG discusses government audit experiences and expectations along with best practices to ensure health plans are ready to timely and effectively address incoming audit requests.

Presentation: Trends in Regulatory Oversight
MedHOK explores the areas of focus on regulator's minds plus emerging priorities in the current landscape.

Presentation: OCR Audits - Lessons from the Field
Health Alliance Medical Plans and SelectHealth present how health plans can learn from one another in preparation for their next OCR audit and strive to make it quick and painless.

Presentation: Managing a Breach - Preparation, Mitigation, Timeliness
Health Alliance Medical Plans shares their data security tools and processes.

 

 

Ensuring privacy and information security for your members

Presentation: HITRUST Certification - Master Class
Western Health Advantage shares about their journey to achieve HITRUST certification. HITRUST has thoughtfully eliminated ambiguity, inconsistencies, and wasted resources to assess risk and report compliance, by providing a unified, scalable, customizable, and certifiable Common Security Framework (CSF).

Presentation: The Qualities of a Strong Risk Assessment Process
Health Alliance Medical Plans presents their approach to assessing technical security risks to their environment and the process they use to answer these questions. 



 

Alliance members can access all the event presentations from the documents section of the 2018 Co-Located: Government Programs AND Risk, Compliance, Privacy & Security Value Visit event page. Have a question about a topic covered at the event? Ask you peers through the Alliance discussion forum or contact us and we'll connect you with the people and resources to get your questions answered.

 

 

 

 

Kristin Rodriguez

Kristin Rodriguez is the chief knowledge officer at Health Plan Alliance. Leveraging a decade of experience in managed care education and consulting, she supports provider-sponsored and regional health plans across the country with educational programming and consulting related to government-sponsored health care, compliance, risk adjustment, risk management, cybersecurity and information technology, as well as informatics. 

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