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Survey Says: FWA Benchmarking 2021 Results and Discussion

Event Date: 7/27/2021

Event Overview

Tuesday, 7/27/2021
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Quartz Health, Prominence Health Plan, Scott and White Health, Neighborhood Health Plan

Alliance member health plans initiated this first of its kind benchmarking survey on all things FWA and SIU. In this session, you will hear the results and compare your plan to others and learn best practices and innovative approaches. 

The survey covers a latitude of topics:

 

  • FWA organizational and reporting structure
  • Staffing, FTE ratios, roles, and responsibilities
  • Processes, analytics, and reporting
  • Recovery methods, metrics, and goals
  • Use of committees and workgroups
  • Use of vendors to support FWA efforts

Audience

Those involved in FWA and SIU and provider relations will find this session insightful. Also, those in finance, legal, compliance are encouraged to attend.


 

Ask your peers a question or share a resource anytime through the Alliance discussion forum

You can visit the discussion forum and post a question anytime. It's only available to Alliance members, so your question is private and secure. When submitting a question, you can select which topics your question is related to. Individuals who have indicated in their Alliance profile they are interested in those topics and are opted in to discussion forum emails will receive your question. You can also add an attachment to your question or reply, making this tool another great resource for sharing best practices with your peers.

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Documents
7/29/2021

Recording: Survey Says: FWA Benchmarking 2021 Results and Discussion
Alliance member health plans initiated this first of its kind benchmarking survey on all things FWA and SIU. In this session the results are shared. Plans discuss the implications and learn best practices and innovative approaches.

7/27/2021

Presentation: Survey Says: FWA Benchmarking 2021 Results and Discussion
Alliance health plan members participated in an FWA benchmarking survey. The results of this survey are shared in this session. Covered are organizational structure and staffing, processes and procedures, recovery, metrics, and more!

Attendees

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

  • Trisha Adams
  • ALLIANCE MEMBER
  • Manager of Compliance, Appeals & Grievances at Physicians Health Plan
  • Robyn Anderson
  • ALLIANCE MEMBER
  • Compliance Analyst at Health Alliance Plan (HAP)
  • John Baker
  • ALLIANCE MEMBER
  • Director, Program Integrity Department at Geisinger Health Plan
  • Pat Bremer
  • ALLIANCE MEMBER
  • Supervisor, Special Investigation Unit at Paramount Health Care
  • Ngoc Bui-Tong
  • ALLIANCE MEMBER
  • Vice President, Strategies and Analytics at Santa Clara Family Health Plan
  • Janet Bylow
  • ALLIANCE MEMBER
  • Senior FWA Investigator at Paramount Health Care
  • Dotha Canning
  • ALLIANCE MEMBER
  • Director of Service Operations at Samaritan Health Plans
  • Lisa Denney
  • ALLIANCE MEMBER
  • FWA Supervisor at Johns Hopkins HealthCare
  • Netra Desai
  • ALLIANCE MEMBER
  • IT Applications Director at CCHP
  • Keimi Dragovich
  • ALLIANCE MEMBER
  • Manager of Compliance at Community Health Plan of Washington
  • Kathleen Durham
  • ALLIANCE MEMBER
  • Senior SIU Investigator at Paramount Health Care
  • Miles Glew
  • ALLIANCE MEMBER
  • FWA Program Manager at Community Health Plan of Washington
  • Jessica Grenier
  • ALLIANCE MEMBER
  • Director, Claim Operations at Community Health Options
  • Kristin Griego
  • ALLIANCE MEMBER
  • Payment Integrity Unit Supervisor at Prominence Health Plan
  • Holli Hansen
  • ALLIANCE MEMBER
  • Contracting Analyst at Avera Health Plans (DAKOTACARE)
  • Jill Henrich
  • ALLIANCE MEMBER
  • Investigator at Geisinger Health Plan
  • Elizabeth Heying
  • ALLIANCE MEMBER
  • Counsel & Compliance Manager at Medical Associates Health Plans
  • Barbara Hoyt
  • ALLIANCE MEMBER
  • Contract Specialist at Paramount Health Care
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Lisa Jensen
  • ALLIANCE MEMBER
  • Director Payment Integrity at Providence Health Plans
  • Julie Kasik
  • ALLIANCE MEMBER
  • HealthCare Compliance Analyst at Valley Health Plan
  • Susan Kerrigan
  • ALLIANCE MEMBER
  • Operations Business Process Analyst at Health First Health Plans
  • stephani keyser
  • ALLIANCE MEMBER
  • Medicare Sustainment Program Manager at Samaritan Health Plans
  • Flora Lewis
  • ALLIANCE MEMBER
  • Sr. Investigative Analyst at MediGold
  • Mai-Phuong Nguyen
  • ALLIANCE MEMBER
  • Oversight Manager at Santa Clara Family Health Plan
  • Lisa Odom
  • ALLIANCE MEMBER
  • CFO at Cox HealthPlans
  • Carol Pawlosky
  • ALLIANCE MEMBER
  • RN, BSN, SIU Program Manager at MediGold
  • Leslie Pels-Beck
  • ALLIANCE MEMBER
  • Chief Operations Officer at Sharp Health Plan
  • Connie Petras
  • ALLIANCE MEMBER
  • Senior Quality Analyst at Quartz Health Solutions
  • Cindy Ramos
  • ALLIANCE MEMBER
  • Health Care Investigator at MetroPlusHealth
  • Katherine Ross
  • ALLIANCE MEMBER
  • SIU Investigator at Paramount Health Care
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Director, Claims and BPO Operations at SummaCare
  • Jeanne Skinner
  • ALLIANCE MEMBER
  • Manager, Payment Integrity & Recovery at Network Health
  • David Stuart
  • ALLIANCE MEMBER
  • Assistant Vice President, Operations at Community Health Options
  • Arnold Stueber
  • ALLIANCE MEMBER
  • VP Payment Integrity at Network Health
  • Jesse Warner
  • ALLIANCE MEMBER
  • Director of Internal Audit at Network Health
  • John Waugh
  • ALLIANCE MEMBER
  • Director - SIU at Johns Hopkins HealthCare
  • Sephora White
  • ALLIANCE MEMBER
  • SIU Manager at Sentara Health Plans (Optima)
  • Todd Williams
  • ALLIANCE MEMBER
  • SIU Manager at Capital District Physicians' Health Plan (CDPHP)
  • Stephanie Young
  • ALLIANCE MEMBER
  • HR Business Partner II at Scott & White Health Plan
Speakers