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Fly-in: Reciprocity Provider Payment Benchmarking Project and National Networks

Event Date: 2/13/2019 - 2/14/2019

Event Overview

 


New strategies and options that could drastically change your network development, management and contracting in all lines of business—Medicare Advantage, Medicaid and Commercial

Attracting self-funded, multi-location employers and getting a fair deal with individual out-of-area and out-of-network providers has traditionally been a challenge for Health Plan Alliance members.  Shifts in the market—in particular a more mobile membership and employers that are open to using multiple health coverage plans—are creating new opportunities for Alliance members.  Hear about new strategies and national network options, and participate in an in-depth planning session on our 2019 Reciprocity Data Benchmarking Project.

 


Event Highlights

Launch of the Alliance 2019 Reciprocity Data Benchmarking Project
After analyzing data from 18 Alliance members last year, we are ready to move forward with implementation. All Alliance members—regardless of product line—are encouraged to participate.  An objective of the project will be to identify national providers—such as genetic testing companies, air ambulance services, and laboratory testing services, that are used may many Alliance members to determine if we can leverage collective contracting.  During this fly-in we will introduce the data collection tool, methodology and timelines.  

 

In addition to sharing strategies and experiences with your peers, presentations will also be provided by:

  • Centivo—a national network of community-based regional plans
  • Stonebrook Risk Solutions—a national network of community-based regional plans
  • MultiPlan

 


Who should attend

  • Executives and managers overseeing network development and management
  • Executives and managers in marketing and product development - in particular ASO business lines
  • Executives and managers with oversight for financial management of out-of-network and out-of-area costs and contracting
Venue

Las Colinas, TXHealth Plan Alliance Headquarters

290 E. John Carpenter Freeway
Irving, TX 75062

The hotel provides a shuttle to the Alliance office which is where the meeting will be held. 


Aloft Las Colinas

122 E John Carpenter Fwy
Irving, TX 75062
972.717.6100
Website

To book a room at our rate of $189 plus taxes/fees, call 972.717.6100 or click here to book online.

 

DRESS

Business casual attire is appropriate for the meeting.  Remember that the hotel meeting room temperatures vary, so we recommend that you layer clothing to be comfortable in case the room becomes either hot or cold.


GROUND TRANSPORTATION
Taxi from the Dallas/Ft Worth International airport and Love Field airport is approximately $25 one-way.  UberX is $17-20.  The hotel provides a shuttle to the Alliance office at 290 E John Carpenter Fwy, which is where the meeting will be held.


DALLAS WEATHER
View the latest weather forecast.

Documents
  • 2/14/2019
  • Presentation: Reciprocity Centivo
  • Centivo presents a model for their Local Excellence Network and options for plans' consideration to solve for their out-of-area network needs. Presented at the Reciprocity Provider Payment Benchmarking and National Networks Fly-in, February 13-14, 2019.
  • 2/14/2019
  • Presentation: Reciprocity MultiPlan
  • MultiPlan shares their Custom Network Development solution for products and with various features, and describes how it benefits health plans. Presented at the Reciprocity Provider Payment Benchmarking and National Networks Fly-in, February 13-14, 2019.
  • 2/14/2019
  • Presentation: Reciprocity Stonebrook Risk Solutions
  • Stonebrook Risk Solutions shares their Custom Network Development solution for products and with various features, and describes how it benefits health plans. Presented at the Reciprocity Provider Payment Benchmarking and National Networks Fly-in, February 13-14, 2019.
  • 2/13/2019
  • Presentation: Reciprocity Health Plan Alliance
  • Health Plan Alliance leads a detailed discussion of 2019 Reciprocity Benchmarking 2.0 project, timelines, and data submission process. Other topics covered include contracting with national providers, member-to-member contracting opportunities and national network strategies.
Attendees

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

  • Ashley Allen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President of Sales, Marketing & Business Development at Health New England
  • Judi Brawley
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Contracting at Care N' Care Insurance Company, Inc.
  • Brian Collien
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP and Chief Business Development Officer at Quartz Health Solutions
  • Russell Cooper
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Special Projects at Providence Health Plans
  • Scott Hancock
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP of Sales and Operations at Care N' Care Insurance Company, Inc.
  • Mariah Kachnik
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Provider Contracting Manager at Providence Health Plans
  • Wendy Karsten
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • CEO at Care N' Care Insurance Company, Inc.
  • Alexandra Leopold
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President of Operations, Health Plan Solutions at Healthy State
  • Gregory Limon
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Economics/ Contracting Director at Sharp Health Plan
  • David Lomellin
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Network Contracting & Strategy Development at Indiana University Health Plans
  • Thomas Lundquist
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SVP & Chief Medical Officer at Sentara Health Plans (Optima)
  • Mark Mixer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Executive Officer at Alliant Health Plans
  • Leigh-Ann Morgan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Network Contracting at Community Health Options
  • Lisa Odom
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • CFO at Cox HealthPlans
  • Kelly Ross
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Manager, Provider Services at CommunityCare
  • Pete Roverud
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP of Strategy and Development at PreferredOne
  • Josiah Sutton
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President, Marketing and Business Development at CommunityCare
  • Steve Tafoya
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Reimbursement and Provider Network Operations at Presbyterian Health Plan
  • Randy Walker
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President, Provider Network Management and Partnerships at Health Alliance Medical Plans
  • Scott Wille
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP, Network Development at Network Health
  • Jered Wilson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Operating Officer at Paramount Health Care
  • Mark Angard
  • SPEAKER
  • Managing Director at Stonebrook Risk Solutions
  • Eric Emrey
  • SPEAKER
  • Product Lead, Local Excellence Network at Centivo
  • Rick Koven
  • SPEAKER
  • Consultant at Koven Consulting and Coaching
  • James Sherry
  • SPEAKER
  • Vice President, Sales and Account Management at MultiPlan
  • Danielle Daly
  • VIRTUAL ATTENDEE
  • Star Ratings Coordinator at Health Alliance Medical Plans
Speakers