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Healthcare Quality and Compliance Landscape

Event Date: 11/14/2018

Event Overview

Wednesday, November 14, 2018
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: MedHOK

This vendor spotlight is hosted on our ReadyTalk platform

 

This session will provide a snapshot of key healthcare trends to watch for in Medicare, Medicaid and commercial health plans. In addition to general healthcare trends, we will cover compliance trends, as well. We will also review the 2016/2017 CMS compliance overviews and audit results and the emerging landscape of quality. We will also shed some light on the CMS STAR program.orate your speaker into this area if you want the company or person to show up on the email.  This is an introductory sentence or two for the upcoming event, yet to be confirmed.

  • Learn about the most recent CMS Medicare audit findings impacting plans.
  • Learn about new regulatory trends that will challenge  Medicare compliance over the next few years. 
  • Learn about the major new Star requirements that will challenge plans looking to become highly rated and maintain high star scores.

 

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.

Documents
  • 11/14/2018
  • Presentation: Healthcare Quality and Compliance Landscape
  • MedHOK provides a snapshot of key healthcare trends to watch for in Medicare, Medicaid and commercial health plans. In addition to general healthcare trends, they cover compliance trends and review the 2016/2017 CMS compliance overviews and audit results and the emerging landscape of quality.
  • 11/14/2018
  • Recording: Healthcare Quality and Compliance Landscape
  • MedHOK provides a snapshot of key healthcare trends to watch for in Medicare, Medicaid and commercial health plans, as well as compliance trends, 2016/2017 CMS compliance overviews and audit results and the emerging landscape of quality.
Attendees

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

  • Olamide Akanbi
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Coordinator at Paramount Health Care
  • Terrie Anello
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Coordinator at Paramount Health Care
  • Sarah Anzick
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Damien Banks
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Star Rating Manager at Health Alliance Medical Plans
  • Stephanie Belue
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Regulatory Compliance Officer at Alliant Health Plans
  • Jessica Bilius
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Regulatory Compliance at Paramount Health Care
  • Craig Bogner
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Pharmacist at Paramount Health Care
  • Pamela Bower
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Manager, Risk Adjustment at Presbyterian Health Plan
  • Melissa Byrd
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Supervisor of Medical Management at Health First Health Plans
  • Amanda Chin
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Manager, Quality Performance at Community Health Plan of Washington
  • Brian Crocker
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Regulatory Compliance Administrator at Network Health Plan
  • Tracy Croxon
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Manager at Prominence Health Plan
  • Danielle Daly
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Star Ratings Coordinator at Health Alliance Medical Plans
  • Rebecca Downing
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Legal Officer at Western Health Advantage
  • Charissa Drake
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Manager at Sentara Health Plans (Optima)
  • Sarah Ebben
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Government Programs Compliance at Health Alliance Plan (HAP)
  • Brianna Eighmey
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy at Paramount Health Care
  • Jamie Forrest
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP Regulatory Affairs & Product Management at Health First Health Plans
  • Christine Freehill
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Quality Management at Health Alliance Medical Plans
  • Julia George
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Manager at Sentara Health Plans (Optima)
  • Jaime Gonzalez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Business Development Officer at Health Plan Alliance
  • Patricia Goodreau
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Coordinator at Health First Health Plans
  • Brooke Haycraft
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SIU Analyst at Quartz Health Solutions
  • Tim Jackson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Population Health at Quartz Health Solutions
  • Kimberly Jorgensen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Operational Consultant at SelectHealth
  • Vaish Katarey
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Commercial Compliance Project Coordinator at Sharp Health Plan
  • Yvonne Krashkevich
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director Quality & Accreditation at Geisinger Health Plan
  • Denise Krassel
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Sr Business Analyst at Health First Health Plans
  • Joanna Kubes
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Product Development Coordinator at Samaritan Health Plans
  • Ryan Lafond
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Healthcare Informatics Analyst at Health New England
  • Sabrina LeBeau
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Human Resources Manager and Compliance Officer at Alliant Health Plans
  • Sarah Litchfield
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Goverment Program Coordinator at Geisinger Health Plan
  • Ronald McGrier
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Pharmaceutical Services at Health First Health Plans
  • Briana Merrill-Belval
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Director at Western Health Advantage
  • Terrica Miller
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP, Chief Compliance & Risk Officer at Health Alliance Medical Plans
  • Marilyn Minor
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Michael Mustard
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Research Specalist at Health First Health Plans
  • Janine Nunez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Regulatory Compliance Coordinator at AvMed
  • Arik Olson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director at Samaritan Health Plans
  • Pavel Pechenov
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Program Manager, Care Improvement at Community Health Plan of Washington
  • Dipali Portwood
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Compliance Auditor at Scott & White Health Plan
  • Karlyn Raddatz
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Care Management at Network Health Plan
  • Sinead Rice Madigan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SVP, Government Relations & Business Operations at Health Alliance Medical Plans
  • Melissa Rusk
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Claims and BPO Operations at SummaCare
  • Marie Salas
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Nurse at Presbyterian Health Plan
  • Amie Schippa
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Program Manaer at Community Health Plan of Washington
  • Renee Sims
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Operations Supervisor at Health First Health Plans
  • Sarah Sorenson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Wellness Account Service Coordinator at Samaritan Health Plans
  • Erica Stanley
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Lead- Delegation/Oversight at Sharp Health Plan
  • Emily Tonkovich
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Specialist at Health Alliance Plan (HAP)
  • Debra Tracy
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Business Analyst at Health First Health Plans
  • Becky Turner
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • QI Compliance Analyst at Scott & White Health Plan
  • Megan Underwood
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • QI Data Analyst at Samaritan Health Plans
  • Kristin Van Dusen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Officer at Health Alliance Plan (HAP)
  • Andrea Van Goethem
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Quality Management at Health Alliance Plan (HAP)
  • Emily Wells
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Star Ratings Coordinator at Health Alliance Medical Plans
  • Hollie Wilson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Compliance Manager at Health Alliance Medical Plans
  • Christopher Zapart
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Investigator at Geisinger Health Plan
  • Holly Zorz
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Project Coordinator III at Paramount Health Care
  • Marc Ryan
  • SPEAKER
  • Chief Strategy and Compliance Officer at MedHOK
Speakers