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Mary Washington Health Plan Case Study: Making the most of provider partnerships

Event Date: 9/23/2021

Event Overview

Thursday, 9/23/2021
2:30 PM CT – 3:30 PM CT (60 minutes)
Hosted by: Mary Washington Health Plan

This encore presentation is part two of Mary Washington’s story about their journey: from starting a health plan in PY 2020 to their goal of 7K members by 2024. In Part 2 of this deep dive case study, we hear from the health plan’s Chief Medical Officer about how they are working with the health system and their ACO.  We all know our provider partners play a significant role in satisfaction and retention and can help with new growth, too. How is MWHP tackling this? Dr. Janus walks through the keystones of their provider relationships and shares what efforts are yielding big wins for the health plan and the providers, too.  Join us as he discusses their initiatives in these areas:

  • Partnering on population health and risk adjustment
  • Crafting agreements and paying for value in a way that makes sense to everyone
  • Leveraging the health system’s local brand to support the health plan’s growth goals
  • Making the most of CMS-allowed marketing opportunities that make partnering providers an invaluable channel for growth

Whether your health plan recently launched your MA product, are on the verge of your first AEP, or have been in MA for a while but are hitting a plateau in growth, this case study and discussion will bring a fresh perspective and fresh ideas from this new MA player and fellow Alliance member health plan.


 

Audience

Product line owners, design leaders, and those with responsibility for their organization's quality, STARS and NCQA measures. Additionally, leaders in sales and marketing or member experience will find this webinar beneficial.




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Documents
9/23/2021

Presentation: Mary Washington Health Plan Case Study - Making the most of provider partnerships
This encore presentation is part two of Mary Washington's story about their journey: from starting a health plan in PY 2020 to their goal of 7K members by 2024. In Part 2 of this deep dive case study, we hear from the health plan's Chief Medical Officer about how they are working with the health system and their ACO.

9/23/2021

Recording: Mary Washington Health Plan Case Study: Making the most of provider partnerships
This encore presentation is part two of Mary Washington’s story about their journey: from starting a health plan in PY 2020 to their goal of 7K members by 2024. In Part 2 of this deep dive case study, we hear from the health plan’s Chief Medical Officer about how they are working with the health system and their ACO.

Attendees

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

  • Lisa Alexander
  • ALLIANCE MEMBER
  • Senior Coding Analyst at Health Alliance Medical Plans
  • Ashley Andrade
  • ALLIANCE MEMBER
  • Coder Analyst at Avera Health Plans (DAKOTACARE)
  • Steve Ayotte
  • ALLIANCE MEMBER
  • Senior Risk Adjustment Analyst at Neighborhood Health Plan of Rhode Island
  • Gay BALL
  • ALLIANCE MEMBER
  • Risk Adjustment Program Manager, Cone Health at HealthTeam Advantage
  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Danielle Brinkley
  • ALLIANCE MEMBER
  • Director, Population Analytics at Community Health Plan of Washington
  • Deb Curry
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Paramount Health Care
  • Alison Dunton
  • ALLIANCE MEMBER
  • Director of Practice Enhancement & Analytics at Aspire Health Plan
  • Teya Enerson
  • ALLIANCE MEMBER
  • Sr. Claims Coding Associate Pop Health - Risk Adjustment at IU Health Plans
  • Jeremy Fejfar
  • ALLIANCE MEMBER
  • Pharmacy Director Government Programs at Quartz Health Solutions
  • Freda Hogan
  • ALLIANCE MEMBER
  • VP Network Development at Paramount Health Care
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Patricia Karam
  • ALLIANCE MEMBER
  • Risk Adjustment Specialist at Community Health Plan of Washington
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Matthew Kroeze
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment at Avera Health Plans (DAKOTACARE)
  • Jeanne Lui
  • ALLIANCE MEMBER
  • Risk Adjustment Coordinator at CCHP
  • Alyssa Mullen
  • ALLIANCE MEMBER
  • AVP, Quality Improvement and Performance at Health Partners Plans
  • Kari Pace
  • ALLIANCE MEMBER
  • Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
  • Wade Penner
  • ALLIANCE MEMBER
  • Manager Revenue-Risk at Samaritan Health Plans
  • Joyce Petermann
  • ALLIANCE MEMBER
  • Coding validator/risk adjustment specialist at Avera Health Plans (DAKOTACARE)
  • Kati Phillips
  • ALLIANCE MEMBER
  • Strategic Improvement Director at Valley Health Plan
  • Vijay Rajendran
  • ALLIANCE MEMBER
  • Senior Data Engineer at Neighborhood Health Plan of Rhode Island
  • Preston Renshaw
  • ALLIANCE MEMBER
  • Chief Medical Officer at Avera Health Plans (DAKOTACARE)
  • Ariana Ricci
  • ALLIANCE MEMBER
  • Data Scientist, Risk Adjustment at Neighborhood Health Plan of Rhode Island
  • Karen Rosen
  • ALLIANCE MEMBER
  • Manager, Government Revenue Analytics at Providence Health Plans
  • Robynn Roy
  • ALLIANCE MEMBER
  • Quality and Risk Adjustment Specialist at Avera Health Plans (DAKOTACARE)
  • Sandra Sanchez
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Consultant at Aspire Health Plan
  • Barb Smith
  • ALLIANCE MEMBER
  • Clinical Review Coder at Avera Health Plans (DAKOTACARE)
  • Kathleen Spaulding
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Quality Assurance at Capital District Physicians' Health Plan (CDPHP)
  • Bre Stark
  • ALLIANCE MEMBER
  • Population Health at Providence Health Plans
  • Diana Vasquez
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
  • Desiree Walke
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Kayla Walker
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor II at Scott & White Health Plan
  • Susan Waterman
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Scott & White Health Plan
  • Thomas Joyer
  • SPONSOR
  • Chief Commercial Officer at Altruista Health, Inc
  • Jeff Marwill
  • SPONSOR
  • VP, Government Health Plans at Onduo LLC
  • Brenda Turner
  • SPONSOR
  • Director, Product Consulting - Provider Solutions at MedeAnalytics, Inc
  • Duncan Wierengo
  • SPONSOR
  • Director - Business Development at MedeAnalytics, Inc
Speakers