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First Health User Group 2021 Quarterly Meeting - April

Event Date: 4/14/2021

Event Overview

Wednesday, 4/14/2021
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
4/12/2021

April 14th First Health User Group Meeting Agenda
April 14th First Health User Group Meeting Agenda

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

  • Melissa Anderson
  • ALLIANCE MEMBER
  • Director Provider Operations at Network Health
  • Jill Archer
  • ALLIANCE MEMBER
  • VP Network Management at PreferredOne
  • Stephanie Belue
  • ALLIANCE MEMBER
  • Manager of Quality Assurance, Risk Management, and Training at Alliant Health Plans
  • Laura Boge
  • ALLIANCE MEMBER
  • Member Services Manager at Medical Associates Health Plans
  • 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
  • Wynda Clayton
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Providence Health Plans
  • Danielle Cox
  • ALLIANCE MEMBER
  • Director at Quartz Health Solutions
  • Sara DeGrofft
  • ALLIANCE MEMBER
  • Manager, Provider Contracting at Health Alliance Medical Plans
  • Christina Dorsett
  • ALLIANCE MEMBER
  • Provider Data Specialist at Health Alliance Medical Plans
  • Elizabeth Eichfeld
  • ALLIANCE MEMBER
  • Vice President, Population Health Network Strategy at Capital District Physicians' Health Plan (CDPHP)
  • 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
  • Marjorie Henriksen
  • ALLIANCE MEMBER
  • Director of Operations, Prominence Heatlh Plan/CDS Group Health at Prominence Health Plan
  • Robert Hillman
  • ALLIANCE MEMBER
  • Senior Vice President & Chief Operating Officer at Community Health Options
  • Dana Horner
  • ALLIANCE MEMBER
  • Provider Contract Manager at Quartz Health Solutions
  • 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 Plans
  • Lisa Odom
  • ALLIANCE MEMBER
  • CFO at Cox HealthPlans
  • Samantha Radley
  • ALLIANCE MEMBER
  • Provider Data Coordinator at Health Alliance Medical Plans
  • Patrice Snowden
  • ALLIANCE MEMBER
  • Program Specialist at Health Plan Alliance
  • Michael Wagner
  • ALLIANCE MEMBER
  • Chief Operating Officer, Managed Care at Denver Health Medical Plan
  • Andrew Weintraub
  • ALLIANCE MEMBER
  • VP of Sales & Retention at Health Alliance Medical Plans
  • Scott Wille
  • ALLIANCE MEMBER
  • VP, Network Development at Network Health
  • Jered Wilson
  • ALLIANCE MEMBER
  • Chief Operating Officer at Paramount Health Care
  • Kara Dornig
  • SPONSOR
  • VP of Networks - First Health/Cofinity at First Health Network
  • Andrew Howard
  • SPONSOR
  • National Sales Director at First Health Network
  • Paul Lavin
  • SPONSOR
  • Executive Director at First Health Network
  • Gina Paglia
  • SPONSOR
  • Director of Account Management at First Health Network