Return to search

How to adapt and thrive as HEDIS goes digital: An operational blueprint for health plan executives

Event Date: 10/13/2021

Event Overview

Wednesday, 10/13/2021
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Leverage Health Solutions & Astrata, Inc.

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

 

Quality measurement and reporting is undergoing a profound change, as CMS and NCQA move the industry to Digital Quality Measurement. These changes will produce significant challenges as well as new opportunities for health plans. Provider-sponsored health plans are uniquely positioned to succeed with technologies and workflows that drive new value for their members and their bottom-line. This webinar will provide NCQA’s vision of the future of HEDIS® and will showcase how UPMC, working with Astrata, operationalized this vision to increase efficiency, improve top-sight for difficult measures, and drive quality improvement.

During this webinar, attendees will:

 

  • Gain an understanding of NCQA’s strategic rationale, regulatory requirements, and high-level timeline for moving health plans to digital quality measurement
  • Learn how natural language processing can be used to reduce the impact of changes to the HEDIS® sample season, simultaneously moving you to a population-based approach to key measures
  • Discover the potential for these changes to put Quality professionals at the center of data-driven initiatives, transforming not just population health, but the reach and impact of Quality as a profession
  • Learn how to formulate a strategic plan for your organization, with insights and best practices from UPMC Health Plan’s implementation 
  • Learn how Astrata’s solutions can help your organization operationalize the future of HEDIS®

 

The move to Digital Quality Measurement has the potential to fundamentally transform health plan operations – bringing better, faster quality data that drive interventions, reduce provider abrasion, and increase member engagement. At the same time, the move to new data sources and the de-emphasis of the HEDIS® sample produces challenges to maintaining clinical quality rates, which impact value-based care contracts and quality bonus programs. Many health plans do not yet have strategies in place to prepare for these changes and to seize the opportunities that are coming. This presentation will help executives to connect the dots from vision to operationalization as they plan for new technologies and workflows.

 

Speakers include:

 

-         Brad Ryan, NCQA Chief Product Officer, who will discuss NCQA’s digital quality objectives, the technology behind the transition to digital HEDIS®, and a high-level roadmap for health plans to aim for.

 

-         Carrie Whitcher, UPMC Health Plan Vice President of Quality Improvement and Chief Quality Officer, who will share insights from UPMC’s investment in digital quality measurement over the past 4 years, our partnership with Astrata Technologies to develop products to support year-round and population-based HEDIS® review using natural language processing (NLP), as well as early results of UPMC’s implementation of full-scale year-round HEDIS® season (2021). 

 

-         Rebecca Jacobson, President of Astrata, Inc, who will dive deeper into technologies that support digital quality measurement, with demonstrations of two Astrata solutions: 

 

-         Chart Review: An application that helps HEDIS® medical record review teams move from samples to populations using NLP to triage their reviews. 

-         eMeasure: A next-generation HEDIS® engine for computing digital quality measures directly from EMR (as well as claims) data .  

 

An audience Q&A will follow. 

 

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).


About Astrata, Inc.

Astrata is a digital quality company, offering a full suite of products and services for health plans and value-driven providers who are moving from paper-based clinical quality measures to digital clinical quality measures. Astrata’s products make it possible to better measure and improve healthcare quality, a foundation for moving to value-based care. Astrata’s value propositions include dramatic efficiency gains, higher clinical rates, and increased quality bonus payments.


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


Sponsor

 

Documents
10/13/2021

Presentation: How to adapt and thrive as HEDIS goes digital: An operational blueprint for health plan executives
An informational webinar that provides NCQA's vision of the future and showcases how UPMC, working with Astrata, operationalized this vision to increase efficiency, improve top-sight for difficult measures, and drive quality improvement.

10/13/2021

Recording: How to adapt and thrive as HEDIS goes digital - An operational blueprint for health plan executives
During this video presentation, you will be joined with your Alliance peers for an informational webinar that provides NCQA’s vision of the future and showcases how UPMC, working with Astrata, operationalized this vision to increase efficiency, improve top-sight for difficult measures, and drive quality improvement.

Attendees

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

  • Ashley Andrade
  • ALLIANCE MEMBER
  • Coder Analyst at Avera Health Plans (DAKOTACARE)
  • Kieley Arakelian
  • ALLIANCE MEMBER
  • Director - Quality Management at Physicians Health Plan
  • Melissa Arana
  • ALLIANCE MEMBER
  • Director of Quality - BSWH at Scott & White Health Plan
  • Lucille Baxter
  • ALLIANCE MEMBER
  • Quality & Health Education Manager at Santa Clara Family Health Plan
  • Heather Brizendine
  • ALLIANCE MEMBER
  • Clinical Quality Improvement RN Coordinator at Providence Health Plan
  • Amanda Buck
  • ALLIANCE MEMBER
  • Manager, Quality at Avera Health Plans (DAKOTACARE)
  • John Bulger
  • ALLIANCE MEMBER
  • Chief Medical Officer, Insurance Operations and Strategic Partnerships at Geisinger Health Plan
  • Laura Campbell
  • ALLIANCE MEMBER
  • Director of Medical Management at Piedmont Community Health Plan
  • Angela Chen
  • ALLIANCE MEMBER
  • Interim Director, Case Management at Santa Clara Family Health Plan
  • Sherry Cross
  • ALLIANCE MEMBER
  • Technical Project Coordinator at Sentara Health Plans (Optima)
  • Netra Desai
  • ALLIANCE MEMBER
  • IT Applications Director at CCHP
  • Barbara Devries
  • ALLIANCE MEMBER
  • Quality Improvement Manager at Valley Health Plan
  • Ivy Douangphachanh
  • ALLIANCE MEMBER
  • Quality Improvement Analyst at Santa Clara Family Health Plan
  • Kia Dunbar-Harris
  • ALLIANCE MEMBER
  • Vice President of Clinical Care Services at Sentara Health Plans (Optima)
  • Alison Dunton
  • ALLIANCE MEMBER
  • Director of Practice Enhancement & Analytics at Aspire Health Plan
  • Thomas Edgerton
  • ALLIANCE MEMBER
  • Chief Medical Officer at FirstCarolinaCare Insurance Company
  • Leila Farivar
  • ALLIANCE MEMBER
  • Management Analyst at Valley Health Plan
  • Junalyn Francisco
  • ALLIANCE MEMBER
  • Manager, Administration & HR at Valley Health Plan
  • Nancy Grenier
  • ALLIANCE MEMBER
  • Senior Accreditation Specialist at Community Health Options
  • Elaine Haemmerle
  • ALLIANCE MEMBER
  • Performance Improvement Manager at Presbyterian Healthcare Services
  • Kena Hahn
  • ALLIANCE MEMBER
  • Director- Health Coaching, Consultative Services and Star Ratings at Health Alliance Medical Plans
  • Kaitlyn Hammond
  • ALLIANCE MEMBER
  • Director of Government Programs at Cox HealthPlans
  • Lori Harris
  • ALLIANCE MEMBER
  • Lead Health Risk Coding & Education Specialist at Health Alliance Plan (HAP)
  • Allison Hench
  • ALLIANCE MEMBER
  • Director, HEDIS and Provider Quality Incentives at Health Partners Plans
  • Jeremy Ho
  • ALLIANCE MEMBER
  • QI Coordinator at Valley Health Plan
  • Don Hufford
  • ALLIANCE MEMBER
  • Innovation Strategist at Western Health Advantage
  • Elizabeth Jurkowski
  • ALLIANCE MEMBER
  • Medical Records Review Manager at Health Alliance Medical Plans
  • Maggie Kelley
  • ALLIANCE MEMBER
  • Senior Vice President/Chief Clinical Officer at Community Health Options
  • Michelle Keyes
  • ALLIANCE MEMBER
  • Quality Audit Supervisor at Physicians Health Plan
  • Gina Kokinda
  • ALLIANCE MEMBER
  • HEDIS Coordinator at MediGold
  • Joby Kolsun
  • ALLIANCE MEMBER
  • medical director at AvMed
  • Gabriela Kula
  • ALLIANCE MEMBER
  • Compliance Extern at Central Health Plan of California
  • Sue Lajoie
  • ALLIANCE MEMBER
  • Pharmacy Coordinator at Community Health Options
  • Heidi Lower
  • ALLIANCE MEMBER
  • Manager of Quality Improvement and Care Access at Medical Associates Health Plans
  • Shelly Marsh
  • ALLIANCE MEMBER
  • Quality Audit Manager at Physicians Health Plan
  • Teresa McKeever
  • ALLIANCE MEMBER
  • Director, Quality Management at Health Partners Plans
  • Jamie McPherson
  • ALLIANCE MEMBER
  • Quality Executive at Sentara Health Plans (Optima)
  • Traci Meadows
  • ALLIANCE MEMBER
  • Quality Improvement and Accreditation Manager at Cox HealthPlans
  • Tamara Migut
  • ALLIANCE MEMBER
  • Director of Quality Management at Health Alliance Medical Plans
  • Soyal Momin
  • ALLIANCE MEMBER
  • SVP, Chief Analytics Officer at Presbyterian Healthcare Services
  • Alyssa Mullen
  • ALLIANCE MEMBER
  • AVP, Quality Improvement and Performance at Health Partners Plans
  • Katie Norton
  • ALLIANCE MEMBER
  • Program Manager - Medication Therapy Management and Transitions of Care at Providence Health Plan
  • Liza Paul
  • ALLIANCE MEMBER
  • Vice President of Health Services at MediGold
  • Wade Penner
  • ALLIANCE MEMBER
  • Manager Revenue-Risk at Samaritan Health Plans
  • Kati Phillips
  • ALLIANCE MEMBER
  • Strategic Improvement Director at Valley Health Plan
  • Philip Ramirez
  • ALLIANCE MEMBER
  • Chief Compliance Officer at Prominence Health Plan
  • Linda Richardson
  • ALLIANCE MEMBER
  • Quality Reporting Manager at Health Alliance Medical Plans
  • Paul Sherman
  • ALLIANCE MEMBER
  • Chief Medical Officer at Community Health Plan of Washington
  • Annie Shmookler
  • ALLIANCE MEMBER
  • Medical Quality and Data Analyst at MediGold
  • Julie Sich
  • ALLIANCE MEMBER
  • Director, Quality and Clinical Improvement at SummaCare
  • Kelly Simpson
  • ALLIANCE MEMBER
  • Business Analyst at Providence Health Plan
  • Eleanor Sorrentino
  • ALLIANCE MEMBER
  • Associate Executive Director, Quality Management at MetroPlusHealth
  • Amy Stiles
  • ALLIANCE MEMBER
  • Coordinator of Quality Management at MediGold
  • Jill Stone
  • ALLIANCE MEMBER
  • Health Plan Pharmacist at Geisinger Health Plan
  • Angela Thomas
  • ALLIANCE MEMBER
  • Director, Quality & HEDIS at MediGold
  • Nancy Weber
  • ALLIANCE MEMBER
  • Clinical Integration Program Manager at Network Health
  • Cynthia Weiss
  • ALLIANCE MEMBER
  • Director, Quality, Accreditation and Wellness at AvMed
  • Kelly Wright
  • ALLIANCE MEMBER
  • VP Consumer Operations at Health Alliance Plan (HAP)
Speakers
  • Carrie Whitcher
    Chief Quality Officer and Vice President of Quality Performance at University of Pittsburgh Medical Center (UPMC) Health Plan
    click here for full people profile