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NCQA Health Plan Accreditation - 2020 Update

Event Date: 9/11/2019

Event Overview

Wednesday, September 11, 2019
1:00 CT – 2:30 CT (90 minutes)

This event is hosted on our ReadyTalk platform

NCQA sets and regularly updates its standards for HEDIS measures and its NCQA Accreditation program. Join your peers for an overview of final changes for 2020 Health Plan Accreditation.  During this call, Karen Comes, RN, Senior Clinical Consultant with Gorman Health Group will share an overview of the changes and facilitate a discussion regarding the potential implications for your plan as it relates to the revised standards.  She will also share recommendations for your plan to consider as you explore the need to refine your internal processes to meet the standards.    

  • Overview of Final Changes for 2020 Health Plan Accreditation 
  • Accreditation Status
  • Retirement/Reduction in Health Plan Standard
  • NCQA Health Plan Renewal Process
  • Significant Changes to Health Plan Standards
  • GHG Recommendations for 2020 Health Plan Standards
     

Audience

Executive stakeholders involved with the management and oversight of NCQA accreditation.   Those involved with the evaluation of changes to the standards and with the implementation of operational processes designed to assist in meeting these standards will also benefit from participation in this webinar.   


 

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Documents
9/11/2019

Presentation: NCQA Health Plan Accreditation - 2020 Update
Karen Comes of Gorman Health Group shares an overview of the final 2020 changes for NCQA Health Plan Accreditation standards.

9/11/2019

Recording: NCQA Health Plan Accreditation - 2020 Update
Karen Comes of Gorman Health Group shares an overview of the final 2020 changes for NCQA Health Plan Accreditation standards.

Attendees

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

  • Kieley Arakelian
  • ALLIANCE MEMBER
  • Director - Quality Management at Physicians Health Plan
  • John Balangue
  • ALLIANCE MEMBER
  • Program Manager, Quality Performance at Community Health Plan of Washington
  • Damien Banks
  • ALLIANCE MEMBER
  • Star Rating Manager at Health Alliance Medical Plans
  • Stephanie Belue
  • ALLIANCE MEMBER
  • Manager of Quality Assurance, RIsk Management, and Training at Alliant Health Plans
  • Stacie Bleeker
  • ALLIANCE MEMBER
  • Coordinator, Quality, HEDIS at Avera Health Plans (DAKOTACARE)
  • Lisa Boucher
  • ALLIANCE MEMBER
  • Accreditation Program Manager at Network Health
  • Melanie Boyles
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Karen Brana
  • ALLIANCE MEMBER
  • Manager, Quality Performance at AvMed
  • Ethan Braught
  • ALLIANCE MEMBER
  • Operations Coordinator at Samaritan Health Plans
  • Tonia Bridges
  • ALLIANCE MEMBER
  • Manager -Quality Improvement at Cook Children's Health Plan
  • Nichole Brigham
  • ALLIANCE MEMBER
  • Manager, Case Management at Scott & White Health Plan
  • Jennifer Brousseau
  • ALLIANCE MEMBER
  • Provider Data Quality Admin at Health Alliance Plan (HAP)
  • Amanda Chin
  • ALLIANCE MEMBER
  • Program Manager, Quality Performance at Community Health Plan of Washington
  • Alisa Cocozza
  • ALLIANCE MEMBER
  • Associate Director, Finance at MetroPlus Health Plan
  • Shannon Coleman
  • ALLIANCE MEMBER
  • QI Project Coordinator at Samaritan Health Plans
  • Linda Cummings
  • ALLIANCE MEMBER
  • Lead Clinical Quality Examiner at MetroPlus Health Plan
  • Charline Darts
  • ALLIANCE MEMBER
  • Medicare Advantage Claim Manager at Indiana University Health Plans
  • Olivia Derricks
  • ALLIANCE MEMBER
  • Quality Program Analyst at Network Health
  • Barbara Devries
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Valley Health Plan
  • Ruth Donaldson
  • ALLIANCE MEMBER
  • Manager Medical Management at Sharp Health Plan
  • Vivian Dulce
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Jan Elion
  • ALLIANCE MEMBER
  • Quality Improvement Manager at Sentara Health Plans (Optima)
  • Jamie Enke
  • ALLIANCE MEMBER
  • Manager, Process Improvement at Santa Clara Family Health Plan
  • Tara Estes
  • ALLIANCE MEMBER
  • Clinical Compliance Manager at Sentara Health Plans (Optima)
  • Rhonda Farrar
  • ALLIANCE MEMBER
  • Supervisor of HEDIS at Health First Health Plans
  • Lisa FitzPatrick
  • ALLIANCE MEMBER
  • Supervisor, Marketing Production at Santa Clara Family Health Plan
  • Joan Francisco
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Marina Genin
  • ALLIANCE MEMBER
  • Medicare Improvement Lead at MetroPlus Health Plan
  • Mary Good
  • ALLIANCE MEMBER
  • Sr. Provider Communications Administrator at Health Alliance Plan (HAP)
  • Nancy Grenier
  • ALLIANCE MEMBER
  • Manager, Quality and Accreditation at Community Health Options
  • Melissa Griffin
  • ALLIANCE MEMBER
  • UM Compliance RN at Quartz Health Solutions
  • Erin Griffith
  • ALLIANCE MEMBER
  • Director at Geisinger Health Plan
  • Elaine Haemmerle
  • ALLIANCE MEMBER
  • Performance Improvement Manager at Presbyterian Healthcare Services
  • Amy Hair
  • ALLIANCE MEMBER
  • HEDIS Coordinator at SelectHealth
  • Andrea Hale
  • ALLIANCE MEMBER
  • Quality Management & Population Health Specialist at Quartz Health Solutions
  • Charles Hanisch
  • ALLIANCE MEMBER
  • Accreditation Coordinator at Avera Health Plans (DAKOTACARE)
  • Laurie Hawks
  • ALLIANCE MEMBER
  • Interim Director, Case Management at Health First Health Plans
  • Jill Herr
  • ALLIANCE MEMBER
  • Manager of Quality Improvement at Medical Associates Health Plans
  • Dannelle Howard
  • ALLIANCE MEMBER
  • RN- Behavioral Health Team lead at Promedica Health System
  • Tim Jackson
  • ALLIANCE MEMBER
  • Director, Population Health at Quartz Health Solutions
  • Clayton Johnson
  • ALLIANCE MEMBER
  • Senior Case Manager at Health Alliance Medical Plans
  • Debra Kalis
  • ALLIANCE MEMBER
  • Quality Management Program Supervisor at Physicians Health Plan
  • Renee Kimm
  • ALLIANCE MEMBER
  • Compliance at Central Health Plan of California
  • Ryan Lafond
  • ALLIANCE MEMBER
  • Lead Healthcare Informatics Analyst at Health New England
  • Tamika Lane
  • ALLIANCE MEMBER
  • Director at Sentara Health Plans (Optima)
  • David Larsen
  • ALLIANCE MEMBER
  • Director, Quality Improvement at SelectHealth
  • Caleb Larson
  • ALLIANCE MEMBER
  • Business Analyst at Samaritan Health Plans
  • Brenda Lee
  • ALLIANCE MEMBER
  • Manager of Claims Contracts-Customer Service at Scott & White Health Plan
  • Stephanie Lin
  • ALLIANCE MEMBER
  • Marketing Coordinator at Santa Clara Family Health Plan
  • Johanna Liu
  • ALLIANCE MEMBER
  • Director of Quality & Process Improvement at Santa Clara Family Health Plan
  • Claudia McClure
  • ALLIANCE MEMBER
  • Manager Quality Operations at Presbyterian Health Plan
  • John Meier
  • ALLIANCE MEMBER
  • Sr Medical Director at Paramount Health Care
  • Tiffany Menard
  • ALLIANCE MEMBER
  • Clinical Planning Analyst II at CHRISTUS Health Plan
  • Tamara Migut
  • ALLIANCE MEMBER
  • Managed Care Pharmacist at Health Alliance Medical Plans
  • Robert Minnon
  • ALLIANCE MEMBER
  • NCQA Compliance Auditor at Health New England
  • Marilyn Minor
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Cresta Montgomery
  • ALLIANCE MEMBER
  • RN, BSN Regulatory Compliance Coordinator at Paramount Health Care
  • Jennifer Morris
  • ALLIANCE MEMBER
  • Provider Confguration Manager at Health New England
  • Mallory Mueller
  • ALLIANCE MEMBER
  • Supervisor, Clinical QI at Network Health
  • Kelly Paul
  • ALLIANCE MEMBER
  • Regulatory Compliance Consultant RN at SelectHealth
  • Pavel Pechenov
  • ALLIANCE MEMBER
  • Program Manager, Care Improvement at Community Health Plan of Washington
  • Sheryl Pierce
  • ALLIANCE MEMBER
  • Quality Improvement Program Manager (MAPD Stars) at Quartz Health Solutions
  • Jennifer Polello
  • ALLIANCE MEMBER
  • Director of Quality and Clinical Integration at Community Health Plan of Washington
  • Jean Rao
  • ALLIANCE MEMBER
  • Pharmacy Manager at Chinese Community Health Plan
  • Beverly Reed
  • ALLIANCE MEMBER
  • Customer Experience Program Manager at Community Health Plan of Washington
  • DAWN RENSHAW
  • ALLIANCE MEMBER
  • NCQA PROGRAM MANAGER at Presbyterian Health Plan
  • Liz Revada
  • ALLIANCE MEMBER
  • Manager of Operations at Prominence Health Plan
  • Devin Richardson
  • ALLIANCE MEMBER
  • Supvervisor- Specialty Care Coordination at Health Alliance Medical Plans
  • Amy Robbins
  • ALLIANCE MEMBER
  • Health Services Auditor and Documentation Specialist at SelectHealth
  • Diane Rowe
  • ALLIANCE MEMBER
  • Sr. Project Consultant at Health Alliance Plan (HAP)
  • Sharon Saravia
  • ALLIANCE MEMBER
  • Health Services Director Appeals, Grievances and Regulatory Oversight at Scott & White Health Plan
  • Amie Schippa
  • ALLIANCE MEMBER
  • Compliance Manager at Community Health Plan of Washington
  • Kristi Schmidley
  • ALLIANCE MEMBER
  • Director, Integrated Healthcare Services at PreferredOne
  • Jeff Schultz
  • ALLIANCE MEMBER
  • NCQA Accreditation Sr. Project Manager at Presbyterian Health Plan
  • Julie Sich
  • ALLIANCE MEMBER
  • Director, Quality and Clinical Improvement at SummaCare
  • Shelly Smith
  • ALLIANCE MEMBER
  • Quality Management Lead at Health New England
  • Sarah Sorenson
  • ALLIANCE MEMBER
  • Wellness Account Service Coordinator at Samaritan Health Plans
  • Katie Stanley
  • ALLIANCE MEMBER
  • Stars Program Manager at Network Health
  • Claudia Sumrall
  • ALLIANCE MEMBER
  • Director of Behavioral Health at Scott & White Health Plan
  • Susan Taylor
  • ALLIANCE MEMBER
  • Manager, NCQA Accreditation & Regulatory Operations at Presbyterian Health Plan
  • Elaine Taylor
  • ALLIANCE MEMBER
  • Quality Improvement Consultant at Indiana University Health Plans
  • Angela Thomas
  • ALLIANCE MEMBER
  • Manager, Quality & HEDIS at Mount Carmel Health Plan (MediGold)
  • Dawn Trevino
  • ALLIANCE MEMBER
  • Manager, Performance Improvement at Presbyterian Health Plan
  • Rayauna Urban
  • ALLIANCE MEMBER
  • Quality Program Manager Associate at Presbyterian Health Plan
  • Jules Vasquez
  • ALLIANCE MEMBER
  • Stars Analyst at Health First Health Plans
  • Nancy Weber
  • ALLIANCE MEMBER
  • Clinical Integration Program Manager at Network Health
  • Cynthia Weiss
  • ALLIANCE MEMBER
  • Director, Quality, Accreditation and Wellness at AvMed
  • Jennifer Williams
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Vivian Williams
  • ALLIANCE MEMBER
  • Manager of Care Management at Health New England
  • Jessica Woods
  • ALLIANCE MEMBER
  • STARS Improvement and Accreditation Coordinator at Health First Health Plans
  • Jennifer Yates
  • ALLIANCE MEMBER
  • Health Promotion Coordinator at SummaCare
  • Mansur Zahir
  • ALLIANCE MEMBER
  • Process Improvement Project Manager at Santa Clara Family Health Plan
  • Theresa Zhang
  • ALLIANCE MEMBER
  • Communications Manager at Santa Clara Family Health Plan
  • Bonnie Zito
  • ALLIANCE MEMBER
  • UM Regulatory Compliance Coordinator at Paramount Health Care
  • Holly Zorz
  • ALLIANCE MEMBER
  • Quality Improvement Project Coordinator III at Paramount Health Care
  • Karen Comes
  • SPEAKER
  • Senior Clinical Consultant at Gorman Health Group
Speakers