The 10 most downloaded Alliance resources and sessions of 2017

Dennis Bolin, Health Plan Alliance



This year, Health Plan Alliance members collaborated in-person and virtually on a wide variety of topics, including: changes in policy and regulations, value based care, government programs, ASO market opportunities, payer-provider collaboration, risk adjustment, quality, social determinants of health, enterprise risk management, cybersecurity, clinical informatics, and much more. That makes for a lot of sessions and resources. While I'm sure you didn't miss one piece of the action, the 2017 list of most downloaded resources and presentations is an interesting reflection of the priorities and topics of interest to Alliance members this year.

Don’t miss a thing in 2018! 

The Health Plan Alliance team is hard at work on the 2018 programming calendar and has already published most of the in-person meeting events to the member calendar. To make sure you don’t miss any of the shared resources and events on the topics you care about most, review and update your areas of interest in your profile today. 

You can also help us make 2018 the best year yet. We’re always looking for case studies, best practices, lessons learned, or topics you’re interested in learning more about. Contact us to share your ideas. Don’t forget, as an Alliance member you can also share your home-grown or favorite industry resources with your peers anytime and can ask and answer your peers' questions through the Alliance member-only online discussion forum

 2017 Most Downloaded Resources

2018 Star Ratings Comparative Benchmark Report
Download  |   Watch recording

HealthScape Value Based Payment Survey Summary
Download Listen to podcast

RADV master document
First shared in 2015, this continues to be a popular resource for member health plans.
Download  |  also download Health First RADV Workbook

Provider HEDIS Supplemental Data File Formats
John Hopkin's supplemental data file formats used to acquire data from providers to improve HEDIS results.

Preventative Health Services Policy
Shared on the Coding Work Group discussion forum. The coding within this policy is Physicians Health Plan's interpretation of the ACA. This policy (and other Benefit Coverage Policies) are the responsibility of the Physicians Health Plan Benefit Coverage Committee (BCC).


2017 Most Download Presentations

AHCA: What we know so far about the draft ACA repeal-replace legislation
Discussion focused on the March 6, 2017 release of the House's first draft of the ACA Repeal-Replace legislation, "The American Health Care Act" (AHCA), led by John Steele, Managing Partner at HealthScape and Eric Klein of Sheppard Mullin.
Download slides Watch recording

Leveraging the Alliance’s Network of Plans
Shared at the 2017 ASO Opportunities Value Visit, Alliance members discussed the objectives, opportunities and challenges in building an Alliance-wide reciprocity program. Rick Koven reviewed the results of the opportunity study completed 10 years ago with Alliance members and outlines a process for proceeding to identify the opportunity today.
Download slides  |  Visit the Reciprocity Work Group page  |  Register for the 2018 Reciprocity Fly-In

Medicare Advantage Plans Under Siege—Another Whistleblower Lawsuit
In April 2017, HealthScape Advisors provided an update on how recent regulatory actions represented a significant risk for Medicare Advantage Plans. This underscores the importance of completing a comprehensive review of your organization’s overall approach to the HCC-RAF risk adjustment process in order to understand potential exposure.
Download slidesWatch recording

GE Healthcare Camden Group: Population Health Management
Another go-to favorite for Alliance members this year was this presentation from 2015 which touches on healthcare updates and trends related to accountable care, clinical integration, and managing patient populations as the industry moves from volume to value.
Download slides  |  Watch recording

Engaging providers through data transparency and performance insights
Shared at the 2016 Risk Adjustment and Revenue Cycle Management Value Visit, this presentation continued to be a popular member resource this year. At the end of the day, success in risk adjustment all comes down to complete and accurate documentation. With this in mind, HNE has leveraged their risk adjustment partner, Altegra Health, to develop a brand new physician engagement approach when it comes to risk adjustment. With a much higher level of transparency and conversation around risk adjustment data trends at the group, practice and physician level, HNE is working to engage their provider partners in risk adjustment in new and exciting ways.
Download slides  |  Listen to podcast



What was your favorite resource or session of 2017? Let us know in the comments section below.

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