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First Health User Group 2021 Quarterly Meeting - January

Event Date: 1/19/2021

Event Overview

Tuesday, 1/19/2021
1:00 PM CT – 2:30 PM CT (90 minutes)

NOTE: You will receive login information from Health Plan Alliance for the Zoom meeting. If you do not receive an email confirmation contact Patrice Snowden at 972-830-0001

 

The Health Plan Alliance ( Alliance) entered a group purchasing arrangement (GPO) with First Health (FH).  The new GPO will give Alliance member plans the advantage of leveraged group purchasing of network access and related services.   Among the reasons the Alliance replaced Multiplan, which was our GPO partner for many years, was that members wanted more from the GPO relationship than simply reduced access fees.  Specifically, members identified the need for a forum in which to address the challenges of managing out of network (OON) claims.  

To that end, we are inviting your plans to join us for the Health Plan Alliance- First Health GPO User Group (UG).  The UG is formed on behalf of you, our members, that contract with FH for Network Access. The UG will create a forum to promote communication between your plan and other Alliance member plans that use FH as well as between plans and FH, itself, to address challenges and opportunities in managing OON claims.

The objectives of this initial meeting include:

Enhance communication with FH on all aspects of network performance and related services
Identify opportunities for FH network enhancements/refinements
Share common challenges/successes in managing OON claims
Identify cost containment opportunities and initiatives
Share relevant data
Monitor the GPO contract and advise on enhancements/refinements going forward
Other topics and efforts as designated by the UG
              
Membership in the UG is open to all Alliance member plans that purchase network access services through FH.  We are asking each plan to designate a representative and an alternate to the UG to ensure all member plans that are FH customers have the opportunity to engage in the UG and provide relevant feedback that will help to improve our overall relationship with FH.  All of the UG meetings are also open to other Alliance member plans  that  may wish to participate.

Contact Jaime González, our chief business development officer at 972-830-6355 or by email at jaime.gonzalez@healthplanalliance.org if you have questions.  

 

 

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Documents
1/18/2021

January 19, 2021 First Health User Group Meeting Agenda
January 19, 2021 First Health User Group Meeting Agenda

1/4/2021
1/4/2021

10.15.2020 Alliance - First Health User Group Meeting Agenda
October 15, 2020 First Health User Group Meeting Agenda

Attendees

Below is a list of all delegates registered to date for this event

  • Gina Paglia
  • ALLIANCE GUEST
  • Director of Account Management at First Health Network
  • Melissa Anderson
  • ALLIANCE MEMBER
  • Director Provider Operations at Network Health
  • Jill Archer
  • ALLIANCE MEMBER
  • VP Network Management at PreferredOne
  • Dennis Bolin
  • ALLIANCE MEMBER
  • Chief Experience Officer at Health Plan Alliance
  • Gerald Bradford
  • ALLIANCE MEMBER
  • CFO for IU Health Plans and Population Health at IU Health Plans
  • Rosecelia Carson
  • ALLIANCE MEMBER
  • Business Development Specialist at Health Plan Alliance
  • Danielle Cox
  • ALLIANCE MEMBER
  • Director at Quartz Health Solutions
  • Sara DeGrofft
  • ALLIANCE MEMBER
  • Manager, Provider Contracting at Health Alliance Medical Plans
  • Katie Fleming
  • ALLIANCE MEMBER
  • Vice President, Network Operation and Engagement at Health First Health Plans
  • Jaime Gonzalez
  • ALLIANCE MEMBER
  • Chief Business Development Officer at Health Plan Alliance
  • Anthony Hansen
  • ALLIANCE MEMBER
  • Sr. Medicare Compliance Coordinator at Providence Health Plans
  • Dana Horner
  • ALLIANCE MEMBER
  • Provider Contract Manager at Quartz Health Solutions
  • Tracy Jackson
  • ALLIANCE MEMBER
  • Contract Specialist at Health Alliance Medical Plans
  • Dustin Knotts
  • ALLIANCE MEMBER
  • Director, Claims Operations & Credentialing at IU Health Plans
  • Rick Koven
  • ALLIANCE MEMBER
  • Consultant at Koven Consulting and Coaching
  • Joe Lastinger
  • ALLIANCE MEMBER
  • President at Health Plan Alliance
  • Andy Marx
  • ALLIANCE MEMBER
  • Director, Provider Contracting at Health Alliance Medical Plan
  • Lisa Odom
  • ALLIANCE MEMBER
  • CFO at Cox HealthPlans
  • Patrice Snowden
  • ALLIANCE MEMBER
  • Program Specialist at Health Plan Alliance
  • Kenneth Walker
  • ALLIANCE MEMBER
  • Director of Network Services at Physicians Health Plan
  • Scott Wille
  • ALLIANCE MEMBER
  • VP, Network Development at Network Health
  • Andrew Howard
  • SPONSOR
  • Account Executive at First Health Network