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How Denver Health Medical Plan made smart investments to powerfully impact vulnerable populations

Event Date: 6/10/2021

Event Overview

Thursday, 6/10/2021
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Denver Health Medical Plan, Altruista Health

This vendor spotlight is hosted on our BigMarker platform you must use Google Chrome or Firefox when participating in the webinar.

Altruista Health and Denver Health Medical Plan teamed up to respond to a corrective action plan around reporting and eventually achieved a 99 percent pass rate in an audit. Speakers from the plan will talk about optimizing ODAG outcomes with smarter reporting. They will discuss how they incorporated clinical workflows and configurations into their application, rewrote their NCQA reports, and put frequent testing to work for them. Denver Health Medical Plan will explain how self-service, when combined with comprehensive datasets, can enable health plans to monitor programs for their internal needs. Also to be revealed are the plan’s secrets of success – including documenting the rationale for every business rule. Collaboration and teamwork between the plan and Altruista were vital.

 

Learning Objectives:


    • How DHMP went from corrective action plan to 99% audit passing rate
    • A streamlined approach to reporting, incorporating clinical workflows and configuration
    • Importance of collaboration and partnership
    • Testing the data – the right way
    • Challenges – how to avoid in the future

 

About HealthEdge

HealthEdge provides modern, disruptive healthcare IT solutions that health insurers use to leverage new business models, improve outcomes, drastically reduce administrative costs, and connect everyone in the healthcare delivery cycle. Its next-generation enterprise solution suite, HealthRules, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or onsite deployment.


Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.



 

Thank you to our event sponsors


Silver

 

Attendees

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

  • Geralynn Boone
  • ALLIANCE MEMBER
  • VP Medicare Clinical Programs at Health Partners Plans
  • Lisa Boucher
  • ALLIANCE MEMBER
  • Accreditation Program Manager at Network Health
  • Marya Choudhry
  • ALLIANCE MEMBER
  • Sr. Manager Health Equity at Providence Health Plans
  • Jennifer Chow
  • ALLIANCE MEMBER
  • Quality Manager at MetroPlusHealth
  • Shane Clemans
  • ALLIANCE MEMBER
  • Clinical Pharmacist at Providence Health Plans
  • Brittany Coyne
  • ALLIANCE MEMBER
  • Strategic Planning Specialist at Quartz Health Solutions
  • Corie Culter
  • ALLIANCE MEMBER
  • UM Operations Manager at Denver Health Medical Plan
  • Nancy Eberhard
  • ALLIANCE MEMBER
  • Consultant Medical Management at Denver Health Medical Plan
  • Jody Gross
  • ALLIANCE MEMBER
  • Vice President of Operations & Government Programs at Health New England
  • Sarah Harbin
  • ALLIANCE MEMBER
  • Clinical Quality Improvement Analyst at Health Alliance Medical Plans
  • Celeste Keeton
  • ALLIANCE MEMBER
  • Operations and Communications Specialist at Health Plan Alliance
  • Greg McCarthy
  • ALLIANCE MEMBER
  • CEO at Denver Health Medical Plan
  • Alicia Persich
  • ALLIANCE MEMBER
  • Marketing and Engagement Manager at Denver Health Medical Plan
  • Brennan Phelan
  • ALLIANCE MEMBER
  • Director, Community Health and Wellness at Aspire Health Plan
  • Philip Rossing
  • ALLIANCE MEMBER
  • Director - Strategy & PMO at Quartz Health Solutions
  • christina salm
  • ALLIANCE MEMBER
  • Director of Medical Management at Quartz Health Solutions
  • Steve Selinsky
  • ALLIANCE MEMBER
  • VP Product Strategy, Marketing and Community Outreach at Health Alliance Plan (HAP)
  • Margaret Solma
  • ALLIANCE MEMBER
  • Director of Plan Structure & Integrity at Avera Health Plans (DAKOTACARE)
  • Dustin VanDuine
  • ALLIANCE MEMBER
  • Director of New Business Sales at Health Alliance Plan (HAP)
  • Cathy Weber
  • ALLIANCE MEMBER
  • Quality Program Manager Sr. at Presbyterian Health Plan
  • Stephanie Wiegman
  • ALLIANCE MEMBER
  • Customer Experience Coordinator at Samaritan Health Plans
  • Meghan Soucy
  • SPONSOR
  • Demand Generation Manager at HealthEdge
Speakers