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No Surprises Act Expert Panel: CMS Updates, Questions Answered, Solutions Discussed

Event Date: 8/12/2021

Event Overview

Thursday, 8/12/2021
1:00 PM CT – 2:30 PM CT (90 minutes)
Hosted by: ClearHealth Strategies and Change Healthcare

Join us for a candid (and timely) conversation about the No Surprises Act and Price Transparency Ruling. The Alliance has assembled experts who will share what they know and how they know it! Panel members representing Change Healthcare, ClearHealth, Cognizant, HealthSparq and Zelis will help guide health plans in making the right decisions for meeting requirements under a tight deadline.

Covered in this session will be:

  • Updates from CMS
  • Technology approaches the experts are seeing being deployed successfully 
  • Stumbling blocks to steer clear of 
  • Leveraging the solution for an improved member experience 
  • Lots of Q&A!

Bring your most pressing questions to this session. We will devote ample time for open discussion, and you will come away with insights that you can take back to your organization.


Audience

This session is designed for those involved in meeting the No Surprises Act requirements from technology, member experience, and strategic perspectives.


Stay connected with the CIO Network

In the CIO Private Group you'll find:

  • Contact information for all group members so you can easily connect by phone or email
  • Access to the private CIO discussion forum where you can quickly message the group with a question or information
  • Upcoming opportunities to collaborate with the group

Visit the CIO Network



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View the presentation materials from these recent events

 

 

Documents
8/31/2021

No Surprises Act and Price Transparency Q&A: Experts weigh in
Subject matter experts on the No Surprises Act and Price Transparency ruling answer the questions that were posted into chat during our August 12 event.

8/26/2021

Payer-to-Payer Interoperability: What Do the CMS Rules Require?
Change Healthcare provides a handy fact sheet explaining CMS requirements for Payer-to-Payer Interoperability.

8/12/2021

Recording: No Surprises Act Expert Panel: CMS Updates, Questions Answered, Solutions Discussed
A candid (and timely) conversation about the No Surprises Act and Price Transparency Ruling. The Alliance-assembled experts share what they know and how they know it! Panel members representing Change Healthcare, ClearHealth, Cognizant, HealthSparq and Zelis help guide health plans in making the right decisions for meeting requirements under a tight deadline.

8/12/2021

2021 Preparing for the No Surprises Act
Understanding new government regulations for Surprise Bills and Emergency Claims. Shared at the No Surprises Act Expert Panel on August 2021.

8/12/2021

Price Transparency Mandate Checklist
A guide with key deadlines and a checklist of compliance and transparency in coverage mandates to help members achieve less stress and improve the member experience.

8/12/2021

White Paper: Understanding the Transparency in Coverage Mandate
The final rules provide a jumping-off point for health plans to drive satisfaction, trust and ultimately greater market share.

8/12/2021

Solutions Innovation for No Surprises Act & Transparency In Coverage Compliance
The No Surprises Act and Transparency in Coverage rules have wide ranging implications to the care ecosystem. Beyond compliance, we see this legislation as an opportunity to innovate and improve the way we pay for care.

Attendees

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

  • Trisha Adams
  • ALLIANCE MEMBER
  • Director, Member Services at Physicians Health Plan
  • Robyn Anderson
  • ALLIANCE MEMBER
  • Delegation Oversight Auditor at Health Alliance Plan (HAP)
  • Melissa Anderson
  • ALLIANCE MEMBER
  • Director Provider Operations at Network Health
  • Ann Bain
  • ALLIANCE MEMBER
  • Compliance Coordinator & Privacy Officer at Avera Health Plans
  • Bethany Barry
  • ALLIANCE MEMBER
  • Director at Capital District Physicians' Health Plan (CDPHP)
  • Nicole Beadle
  • ALLIANCE MEMBER
  • Manager, Medicare Compliance at Paramount Health Care
  • Christine Blais
  • ALLIANCE MEMBER
  • Medicare Compliance Program Supervisor at Health New England
  • Misty Boyd
  • ALLIANCE MEMBER
  • Consultant - Compliance at IU Health Plans
  • David Brady
  • ALLIANCE MEMBER
  • Consultant at Geisinger Health Plan
  • Kristie Breunig
  • ALLIANCE MEMBER
  • Vice President, General Counsel and Secretary at Quartz Health Solutions
  • Walter Briggs
  • ALLIANCE MEMBER
  • Director of Implementation at Physicians Health Plan
  • Suzanne Brown
  • ALLIANCE MEMBER
  • Director, State Regulatory Coordinator at Baylor Scott & White Health Plan
  • Karen Brunton
  • ALLIANCE MEMBER
  • Project Manager at Medical Associates Health Plans
  • Drew Bryan
  • ALLIANCE MEMBER
  • Chief Information Officer at Providence Health Plan
  • Linda Burk
  • ALLIANCE MEMBER
  • Director at Health Alliance Medical Plans
  • Lisa Carlson
  • ALLIANCE MEMBER
  • Vice President, Operations at Avera Health Plans
  • Tammy Chadd
  • ALLIANCE MEMBER
  • Compliance Manager at IU Health Plans
  • Wynda Clayton
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Providence Health Plan
  • Elizabeth Cook
  • ALLIANCE MEMBER
  • Associate Benefit Manager at Providence Health Plan
  • Allen Cooley
  • ALLIANCE MEMBER
  • Director, Member Communications and Fulfillment at Presbyterian Health Plan
  • James Craig
  • ALLIANCE MEMBER
  • Portfolio Manager at Capital District Physicians' Health Plan (CDPHP)
  • Tina Crawford
  • ALLIANCE MEMBER
  • Provider Relations Specialist at Capital District Physicians' Health Plan (CDPHP)
  • Jacqueline Crews
  • ALLIANCE MEMBER
  • Director, Public Policy & Benefit Contracts at AvMed
  • Charline Darts
  • ALLIANCE MEMBER
  • Medicare Advantage Claim Manager at IU Health Plans
  • Christine Day
  • ALLIANCE MEMBER
  • Provider Data Quality Analyst at Health Alliance Plan (HAP)
  • Sherri Doebel
  • ALLIANCE MEMBER
  • Key Account Manager at Physicians Health Plan
  • Rebecca Downing
  • ALLIANCE MEMBER
  • Chief Legal Officer at Western Health Advantage
  • Ana Eberhard
  • ALLIANCE MEMBER
  • Vice President, Member Experience at AvMed
  • Elisabeth Fagan
  • ALLIANCE MEMBER
  • Director of Health Plan Operations at Aspire Health Plan
  • Jeremy Fejfar
  • ALLIANCE MEMBER
  • Pharmacy Director Government Programs at Quartz Health Solutions
  • Phyllis Fisher
  • ALLIANCE MEMBER
  • VP, Operations at Physicians Health Plan
  • Michael Frye
  • ALLIANCE MEMBER
  • Associate General Counsel at SummaCare
  • Stacy Grein
  • ALLIANCE MEMBER
  • Compliance Specialist at Denver Health Medical Plan
  • Jessica Grenier
  • ALLIANCE MEMBER
  • Director, Claim Operations at Community Health Options
  • Michelle Hack
  • ALLIANCE MEMBER
  • Senior Director of Configuration at Geisinger Health Plan
  • Elena Hafenbredl
  • ALLIANCE MEMBER
  • Supervisor, Compliance at Gundersen Health System, Inc.
  • Erica Hain
  • ALLIANCE MEMBER
  • Senior Director, Commercial Sales at Geisinger Health Plan
  • Syed Hamdani
  • ALLIANCE MEMBER
  • Claims and Provider Relations Director at Western Health Advantage
  • Christine Harder
  • ALLIANCE MEMBER
  • Senior Vice President, Provider Network Management at Health Alliance Plan (HAP)
  • Elizabeth Heying
  • ALLIANCE MEMBER
  • Counsel & Compliance Manager at Medical Associates Health Plans
  • Sandy Hopkins
  • ALLIANCE MEMBER
  • Director, Member/Provider Services at Cox HealthPlans
  • Dana Horner
  • ALLIANCE MEMBER
  • Provider Contract Manager at Quartz Health Solutions
  • Danielle Hunter
  • ALLIANCE MEMBER
  • Medicare Programs Implementation Program Manager at Samaritan Health Plans
  • Mary Alice Jamison
  • ALLIANCE MEMBER
  • Director - Program Integrity & Regulatory Operations at Presbyterian Health Plan
  • Mohsin Khan
  • ALLIANCE MEMBER
  • Manager - PMO at IU Health Plans
  • Bruce Kissinger
  • ALLIANCE MEMBER
  • Solution Architecture Director at Network Health
  • Brooke Klingbeil
  • ALLIANCE MEMBER
  • Supervisor Provider Relations at Capital District Physicians' Health Plan (CDPHP)
  • Dan Klopfenstein
  • ALLIANCE MEMBER
  • Director of Government Relations at Health Alliance Medical Plans
  • Dustin Knotts
  • ALLIANCE MEMBER
  • Director, Claims & Network Operations at IU Health Plans
  • Barb Koerperich
  • ALLIANCE MEMBER
  • Director of Health Care Services at Medical Associates Health Plans
  • Stacy Kreller
  • ALLIANCE MEMBER
  • Senior Director, Client Services at Geisinger Health Plan
  • Michelle Lang
  • ALLIANCE MEMBER
  • Vice President, Operations at CommunityCare
  • Amanda Lay
  • ALLIANCE MEMBER
  • Supervisor, Grievance and Appeals at CommunityCare
  • Thomas Leon
  • ALLIANCE MEMBER
  • Director of Solutions Delivery at Western Health Advantage
  • Holly Loomis
  • ALLIANCE MEMBER
  • Sr Business Analyst and Systems Coordinator, Formulary Management Team at Providence Health Plan
  • Rachel Louis
  • ALLIANCE MEMBER
  • Manager, Benefit Configuration at Quartz Health Solutions
  • Cynthia Major
  • ALLIANCE MEMBER
  • Director, Claims at Cox HealthPlans
  • Annette Marcath
  • ALLIANCE MEMBER
  • Chief Information Officer at Health Alliance Plan (HAP)
  • Tara Marshall
  • ALLIANCE MEMBER
  • Senior Program Manager at Providence Health Plan
  • Sandra Mayock
  • ALLIANCE MEMBER
  • Sr. Project Manager at Health New England
  • Shelly McCombs
  • ALLIANCE MEMBER
  • Quality and Accreditation Manager at Health New England
  • Mitchelle McKay
  • ALLIANCE MEMBER
  • Manager - Business Configuration Team at Health Alliance Plan (HAP)
  • Bess Ann Mckillop
  • ALLIANCE MEMBER
  • Product Development Supervisor at Physicians Health Plan
  • Nick Minale
  • ALLIANCE MEMBER
  • Data officer & Sr. Director BI at Johns Hopkins Health Plans
  • Karen Moffre
  • ALLIANCE MEMBER
  • Director, Claims Operations at Capital District Physicians' Health Plan (CDPHP)
  • Steve Morton
  • ALLIANCE MEMBER
  • Senior Manager of Government Programs at Piedmont Community Health Plan
  • Sandra Nary
  • ALLIANCE MEMBER
  • Clinical Auditor at Neighborhood Health Plan of Rhode Island
  • Barb Nash
  • ALLIANCE MEMBER
  • Director Client/ Provider Relations at Piedmont Community Health Plan
  • Adrienne Neaderhiser
  • ALLIANCE MEMBER
  • Director, Member Experience Design at Presbyterian Health Plan
  • Jodi Nitti
  • ALLIANCE MEMBER
  • Manager, Quality Audit at Quartz Health Solutions
  • Leslie Pels-Beck
  • ALLIANCE MEMBER
  • Chief Operations Officer at Sharp Health Plan
  • Charles Perez
  • ALLIANCE MEMBER
  • Manager, Pharmacy Services at CommunityCare
  • Kerri Petersen
  • ALLIANCE MEMBER
  • Manager, Clinical Configuration at Capital District Physicians' Health Plan (CDPHP)
  • Connie Petras
  • ALLIANCE MEMBER
  • Senior Quality Analyst at Quartz Health Solutions
  • Michael Polsinelli
  • ALLIANCE MEMBER
  • Manager, Claims Operations at Capital District Physicians' Health Plan (CDPHP)
  • Nicole Pugh
  • ALLIANCE MEMBER
  • Manager Grievance and Appeals at CommunityCare
  • Rachel Reimann
  • ALLIANCE MEMBER
  • AVP Regulatory Compliance at SelectHealth
  • Dana Renicker
  • ALLIANCE MEMBER
  • Medicare Education Specialist at SummaCare
  • Eduardo Resendez
  • ALLIANCE MEMBER
  • Experience Designer - Intermediate at Presbyterian Health Plan
  • Celeste Richards
  • ALLIANCE MEMBER
  • Chief Operating Officer at Alliant Health Plans
  • Tim Riley
  • ALLIANCE MEMBER
  • Chief Information Officer at Network Health
  • Crista Roman
  • ALLIANCE MEMBER
  • Manager of Configuration, Pricing at Capital District Physicians' Health Plan (CDPHP)
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • christina salm
  • ALLIANCE MEMBER
  • Vice President of Medical Management Operations at Quartz Health Solutions
  • Susan Sanchez
  • ALLIANCE MEMBER
  • Chief Information Officer at Cox HealthPlans
  • Debra Schiffman
  • ALLIANCE MEMBER
  • Vice President, Operations at Quartz Health Solutions
  • Martha Schuller
  • ALLIANCE MEMBER
  • Director of Configuration and Support at Providence Health Plan
  • Shannon Schuster
  • ALLIANCE MEMBER
  • Director, Regulatory Affairs at Network Health
  • Kris Shopin
  • ALLIANCE MEMBER
  • Director BPO Operations at Community Health Plan of Washington
  • Erin Smalley
  • ALLIANCE MEMBER
  • Government Programs Account Manager at Cox HealthPlans
  • Shari Smith
  • ALLIANCE MEMBER
  • Member Experience Program Manager at Samaritan Health Plans
  • Amanda Spring
  • ALLIANCE MEMBER
  • Claims Operation Implementation and Audit Mgr at Capital District Physicians' Health Plan (CDPHP)
  • William Steinbock
  • ALLIANCE MEMBER
  • Senior Analyst, Compliance & Regulatory Affairs at Community Health Options
  • Dave Stuart
  • ALLIANCE MEMBER
  • Senior Vice President & Chief Operating Officer at Community Health Options
  • Katie Studer
  • ALLIANCE MEMBER
  • Director, Customer Experience at Avera Health Plans
  • Bonnie Swaney
  • ALLIANCE MEMBER
  • Sr. Project Manager at Samaritan Health Plans
  • Elaine Taylor
  • ALLIANCE MEMBER
  • Compliance Consultant at IU Health Plans
  • Loretta Teodecki
  • ALLIANCE MEMBER
  • Claims and Provider Relations Manager at Western Health Advantage
  • LaDonna Urquhart
  • ALLIANCE MEMBER
  • Claims/Provider relations Supervisor at Western Health Advantage
  • Jessica Warshaw
  • ALLIANCE MEMBER
  • Director Corporate Compliance at Western Health Advantage
  • Peter Watson
  • ALLIANCE MEMBER
  • Vice President, Care Management, Quality and Outcomes at Health Alliance Plan (HAP)
  • Stephanie Wiegman
  • ALLIANCE MEMBER
  • Customer Experience Coordinator at Samaritan Health Plans
  • Lucas Wilson
  • ALLIANCE MEMBER
  • Associate Chief Operating Officer at Denver Health Medical Plan
  • Rachael Wright
  • ALLIANCE MEMBER
  • Operations Analyst at IU Health Plans
  • Rusty Wyrick
  • ALLIANCE MEMBER
  • SVP & Chief Information Officer at CommunityCare
  • Lauren Zahn
  • ALLIANCE MEMBER
  • Process Eng at Johns Hopkins Health Plans
  • Holly Zorz
  • ALLIANCE MEMBER
  • Quality Improvement Team Lead, Medicare at Paramount Health Care
  • Josh Holte
  • PROFESSIONAL
  • Consultant at Denver Health Medical Plan
  • Ivano Iaia
  • PROFESSIONAL
  • Vice President, Utilization Management Operations at Capital District Physicians' Health Plan (CDPHP)
  • Phillip King
  • PROFESSIONAL
  • Senior Manager of Data Architecture, Analytics & Insights Consulting at Optum Advisory
  • Meghana Tulpule
  • PROFESSIONAL
  • Project Manager at Johns Hopkins Health Plans
  • Colin Hadican
  • SPONSOR
  • SVP, Business Development Health Plan Market at Zelis Healthcare, LLC
  • Andy Hoffmann
  • SPONSOR
  • National Director, Strategy & Business Development at Kyruus Health
  • Peter Trask
  • SPONSOR
  • Healthcare Consultant at Optum Advisory
Speakers