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No Surprises Act and Price Transparency Ruling Peer Group - September 2021

Event Date: 9/21/2021

Event Overview

Tuesday, 9/21/2021
1:00 PM CT – 2:00 PM CT (60 minutes)

Join your Alliance peers for monthly discussion around the No Surprises Act and Price Transparency Ruling. In this call we will spend the first portion diving into a discussion about how plans that have capitation are valuing the encounter for the transparency reuirements. This series provides an open format for plans to share interpretations and understanding, hear from the experts, and ask your most pressing questions. 

 

PLATFORM NOTES: The roundtable discussion will be hosted on BigMarker.  Please test your computer speed, microphone and camera in advance to ensure the best experience:

BigMarker system check - https://www.bigmarker.com/system_check

Audience

This series of calls is designed for anyone involved in meeting the requirements for the No Surprises Act and Price Transparency Ruling for their organization. Topics to be covered may include:

  • Interpreting the rulings and updates from CMS
  • Determining the contracted rate 
  • Gathering and maintaining data - processes, and resources
  • Investment strategies for system changes and ongoing vendor support
  • Roundtable on 2022 planning and focus areas for continued conversations

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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
  • Nicole Beadle
  • ALLIANCE MEMBER
  • Manager, Medicare Compliance at Paramount Health Care
  • Magaly Brito
  • ALLIANCE MEMBER
  • Director Claims at Denver Health Medical Plan
  • Lisa Carlson
  • ALLIANCE MEMBER
  • Vice President, Operations at Avera Health Plans
  • Tammy Chadd
  • ALLIANCE MEMBER
  • Compliance Manager at IU Health Plans
  • Jacqueline Crews
  • ALLIANCE MEMBER
  • Director, Public Policy & Benefit Contracts at AvMed
  • Deb Curry
  • ALLIANCE MEMBER
  • Director Risk Adjustment & Recoveries at Paramount Health Care
  • Mechelle Decoteau
  • ALLIANCE MEMBER
  • Senior Stop Loss Administrator at Health New England
  • JoAnna DiDonna
  • ALLIANCE MEMBER
  • Vice President, Claims and Configuration at Capital District Physicians' Health Plan (CDPHP)
  • Sherri Doebel
  • ALLIANCE MEMBER
  • Key Account Manager at Physicians Health Plan
  • Rebecca Downing
  • ALLIANCE MEMBER
  • Chief Legal Officer at Western Health Advantage
  • Karen Faxon
  • ALLIANCE MEMBER
  • Senior Clinical Configuration Analyst at Capital District Physicians' Health Plan (CDPHP)
  • Jennifer Garibaldo
  • ALLIANCE MEMBER
  • Systems Administration Senior Manager at Providence Health Plan
  • 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
  • Elizabeth Heying
  • ALLIANCE MEMBER
  • Counsel & Compliance Manager at Medical Associates Health Plans
  • Dana Horner
  • ALLIANCE MEMBER
  • Provider Contract Manager at Quartz Health Solutions
  • David Hurst
  • ALLIANCE MEMBER
  • Chief Business Development Officer at Valley Health Plan
  • Bess Jacobo
  • ALLIANCE MEMBER
  • Provider Contracting Director at Providence Health Plan
  • Mary Alice Jamison
  • ALLIANCE MEMBER
  • Director - Program Integrity & Regulatory Operations at Presbyterian Health Plan
  • Christine Jensen
  • ALLIANCE MEMBER
  • Privacy and Information Security Manager at Western Health Advantage
  • Eda-Marie Johnson
  • ALLIANCE MEMBER
  • Program Manager Commercial Compliance at Providence Health Plan
  • Michelle Lang
  • ALLIANCE MEMBER
  • Vice President, Operations at CommunityCare
  • Thomas Leon
  • ALLIANCE MEMBER
  • Director of Solutions Delivery at Western Health Advantage
  • Gregory Limon
  • ALLIANCE MEMBER
  • Director of Revenue Cycle and Data Management at Sharp Health Plan
  • Jill Long
  • ALLIANCE MEMBER
  • Compliance consultant at Providence Health Plan
  • Cynthia Major
  • ALLIANCE MEMBER
  • Director, Claims at Cox HealthPlans
  • Fran McMaster
  • ALLIANCE MEMBER
  • Compliance Consultant at Piedmont Community Health Plan
  • Jonathan Moody
  • ALLIANCE MEMBER
  • Director of ACA Products and Government Affairs at Quartz Health Solutions
  • Jennifer Nguyen
  • ALLIANCE MEMBER
  • Staff Attorney at Western Health Advantage
  • Moon Nguyen
  • ALLIANCE MEMBER
  • Program Manager, Compliance at Valley Health Plan
  • Chris Norman
  • ALLIANCE MEMBER
  • AVP-SHP Compliance Officer at Samaritan Health Plans
  • Darcie Paz
  • ALLIANCE MEMBER
  • Contracts Manager at Sharp Health Plan
  • Wade Penner
  • ALLIANCE MEMBER
  • Manager Revenue-Risk at Samaritan Health Plans
  • Charles Perez
  • ALLIANCE MEMBER
  • Manager, Pharmacy Services at CommunityCare
  • Kerri Petersen
  • ALLIANCE MEMBER
  • Manager, Clinical Configuration at Capital District Physicians' Health Plan (CDPHP)
  • Rachel Quiroz
  • ALLIANCE MEMBER
  • Business Systems Analyst Sr at Samaritan Health Plans
  • Danielle Reed
  • ALLIANCE MEMBER
  • Systems Administration Analyst Lead at Providence Health Plan
  • Mary Reffner
  • ALLIANCE MEMBER
  • Manager, Reimbursement Services at Geisinger Health Plan
  • Rachel Reimann
  • ALLIANCE MEMBER
  • AVP Regulatory Compliance at SelectHealth
  • James Roy
  • ALLIANCE MEMBER
  • Senior Business Analyst at Community Health Plan of Washington
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Mike Takach
  • ALLIANCE MEMBER
  • Pharmacy Director at Community Health Options
  • Julie Werstler
  • ALLIANCE MEMBER
  • Director, Healthcare Economics & Government Programs Finance at SummaCare
  • Garren Wood
  • ALLIANCE MEMBER
  • IS Platform Manager at Samaritan Health Plans
  • Rachael Wright
  • ALLIANCE MEMBER
  • Operations Analyst at IU Health Plans
  • Peter Trask
  • SPONSOR
  • Healthcare Consultant at Optum Advisory
  • Brenda Turner
  • SPONSOR
  • Director, Product Consulting - Provider Solutions at MedeAnalytics, Inc
  • Brian Wroblewski
  • SPONSOR
  • Executive Vice President at ClearHealth Strategies, LLC
Speakers