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First Health User Group 2021 Quarterly Meeting - October

Event Date: 10/14/2021

Event Overview

Thursday, 10/14/2021
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
10/18/2021

Recording: First Health User Group 2021 Quarterly Meeting - October
First Health User Group 2021 Quarterly Meeting - October

9/15/2021

Agenda: First Health User Group October 14th Call
Agenda for the October 14, 2021 First User Group call

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

  • Rick Koven
  • ALLIANCE GUEST
  • Koven Consulting and Coaching at Health Plan Alliance
  • Melissa Anderson
  • ALLIANCE MEMBER
  • Director Provider Operations at Network Health
  • Jill Archer
  • ALLIANCE MEMBER
  • VP Network Management at PreferredOne
  • Michael Balakier
  • ALLIANCE MEMBER
  • Director, Vendor Relations at Geisinger Health Plan
  • Dennis Bolin
  • ALLIANCE MEMBER
  • Consultant at Health Plan Alliance
  • Gerald Bradford
  • ALLIANCE MEMBER
  • Chief Financial Officer at Health Alliance Medical Plans
  • Timothy Chrystal
  • ALLIANCE MEMBER
  • Director of New and Existing Business Sales at Health New England
  • Brian Collien
  • ALLIANCE MEMBER
  • VP Product Development at Quartz Health Solutions
  • Danielle Cox
  • ALLIANCE MEMBER
  • Manager at Quartz Health Solutions
  • Shawn Decker
  • ALLIANCE MEMBER
  • Claims Production Manager at Health New England
  • Christina Dorsett
  • ALLIANCE MEMBER
  • Provider Data Specialist at Health Alliance Medical Plans
  • Elizabeth Eichfeld
  • ALLIANCE MEMBER
  • Vice President, Facility Contracting, Healthcare Network Strategy at Capital District Physicians' Health Plan (CDPHP)
  • Colton Erickson
  • ALLIANCE MEMBER
  • Manager of Provider Contracting at Providence Health Plan
  • Katie Fleming
  • ALLIANCE MEMBER
  • Vice President, Provider Operations and Engagement at Health First Health Plans
  • Michael Gauvin
  • ALLIANCE MEMBER
  • Director of Business Development at Health New England
  • Jaime Gonzalez
  • ALLIANCE MEMBER
  • Chief Business Development Officer at Health Plan Alliance
  • Elizabeth Heying
  • ALLIANCE MEMBER
  • Counsel & Compliance Manager at Medical Associates Health Plans
  • Dana Horner
  • ALLIANCE MEMBER
  • Provider Contract Manager at Quartz Health Solutions
  • Dustin Knotts
  • ALLIANCE MEMBER
  • Director, Claims & Network Operations at IU Health Plans
  • Joe Lastinger
  • ALLIANCE MEMBER
  • President at Health Plan Alliance
  • Cynthia Major
  • ALLIANCE MEMBER
  • Director, Claims at Cox HealthPlans
  • Sean Noone
  • ALLIANCE MEMBER
  • Senior Director of Operations at Health New England
  • Connie Ryder
  • ALLIANCE MEMBER
  • Director, Ancillary Contracting & Network Operations at Capital District Physicians' Health Plan (CDPHP)
  • Susan Sanchez
  • ALLIANCE MEMBER
  • Chief Information Officer at Cox HealthPlans
  • Randy Walker
  • ALLIANCE MEMBER
  • Vice President, Provider Network Management and Partnerships at Health Alliance Medical Plans
  • Scott Wille
  • ALLIANCE MEMBER
  • VP, Network Development at Network Health
  • 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