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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
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
  • Stephanie Belue
  • ALLIANCE MEMBER
  • Director of Quality Assurance & Privacy Officer at Alliant Health Plans
  • Stacie Bleeker
  • ALLIANCE MEMBER
  • Coordinator, Quality, HEDIS at Avera Health Plans
  • Barbara Boardman
  • ALLIANCE MEMBER
  • Medicare Quality Manager at Samaritan Health Plans
  • Melanie Boyles
  • ALLIANCE MEMBER
  • Manager, Partners in Pregnancy Case Management team at Sentara Health Plans (Optima)
  • Karen Brana
  • ALLIANCE MEMBER
  • Manager, Quality Performance at AvMed
  • Tonia Bridges
  • ALLIANCE MEMBER
  • Manager -Quality Improvement at Cook Children's Health Plan
  • Jennifer Brousseau
  • ALLIANCE MEMBER
  • Manager Provider Data Quality at Health Alliance Plan (HAP)
  • Amanda Chin
  • ALLIANCE MEMBER
  • Program Manager, Quality Performance at Community Health Plan of Washington
  • Alisa Cocozza
  • ALLIANCE MEMBER
  • Vice President of Product at MetroPlusHealth
  • Shannon Coleman
  • ALLIANCE MEMBER
  • Compliance Integrity Analyst I at Samaritan Health Plans
  • Linda Cummings
  • ALLIANCE MEMBER
  • Lead Clinical Quality Examiner at MetroPlusHealth
  • Charline Darts
  • ALLIANCE MEMBER
  • Medicare Advantage Claim Manager at IU Health Plans
  • Ruth Donaldson
  • ALLIANCE MEMBER
  • Director Population Health/Medical Management at Sharp Health Plan
  • Vivian Dulce
  • ALLIANCE MEMBER
  • Quality Improvement Manager at Sentara Health Plans (Optima)
  • Jan Elion
  • ALLIANCE MEMBER
  • Quality Improvement Manager at Sentara Health Plans (Optima)
  • Tara Estes
  • ALLIANCE MEMBER
  • Clinical Review Department; Manager at Sentara Health Plans (Optima)
  • Lisa FitzPatrick
  • ALLIANCE MEMBER
  • Manager, Marketing Production at Santa Clara Family Health Plan
  • Joan Francisco
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Mary Good
  • ALLIANCE MEMBER
  • Sr. Provider Communications Administrator at Health Alliance Plan (HAP)
  • Nancy Grenier
  • ALLIANCE MEMBER
  • Senior Accreditation Specialist 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
  • Vendor Management Analyst at Quartz Health Solutions
  • Laurie Hawks
  • ALLIANCE MEMBER
  • Clinical Appeals Nurse at Health First Health Plans
  • Dannelle Howard
  • ALLIANCE MEMBER
  • RN- Behavioral Health Team lead at Promedica Health System
  • Clayton Johnson
  • ALLIANCE MEMBER
  • Star Rating Manager at Health Alliance Medical Plans
  • Debra Kalis
  • ALLIANCE MEMBER
  • Quality Management Program Supervisor at Physicians Health Plan
  • Tamika Lane
  • ALLIANCE MEMBER
  • Director, Clinical Innovation and Client Relationships at Sentara Health Plans (Optima)
  • Brenda Lee
  • ALLIANCE MEMBER
  • Manager of Claims Contracts-Customer Service at Baylor Scott & White Health Plan
  • Claudia McClure
  • ALLIANCE MEMBER
  • Director Quality Management at Presbyterian Health Plan
  • Shelly McCombs
  • ALLIANCE MEMBER
  • Quality and Accreditation Manager at Health New England
  • Tamara Migut
  • ALLIANCE MEMBER
  • Director of Quality Management at Health Alliance Medical Plans
  • Robert Minnon
  • ALLIANCE MEMBER
  • NCQA Compliance Auditor at Health New England
  • Marilyn Minor
  • ALLIANCE MEMBER
  • TC Integrated Care Management, Behavioral Health at Sentara Health Plans (Optima)
  • Jennifer Morris
  • ALLIANCE MEMBER
  • Provider Data Management and Credentialing Manager at Health New England
  • Kelly Paul
  • ALLIANCE MEMBER
  • Auditor at SelectHealth
  • Jennifer Polello
  • ALLIANCE MEMBER
  • Director of Quality and Clinical Integration at Community Health Plan of Washington
  • 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
  • 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
  • Sharon Saravia
  • ALLIANCE MEMBER
  • Health Services Director Appeals and Grievances at Baylor Scott & White Health Plan
  • Kristi Schmidley
  • ALLIANCE MEMBER
  • Director, Integrated Healthcare Services at PreferredOne
  • Stephanie Schoeffler
  • ALLIANCE MEMBER
  • Accreditation & Standards Program Manager at Samaritan Health Plans
  • Jeff Schultz
  • ALLIANCE MEMBER
  • Quality Department Lead Program Manager at Presbyterian Health Plan
  • Julie Sich
  • ALLIANCE MEMBER
  • Director, Quality and Clinical Improvement at SummaCare
  • Susan Taylor
  • ALLIANCE MEMBER
  • Director, Quality Management at Presbyterian Health Plan
  • Elaine Taylor
  • ALLIANCE MEMBER
  • Compliance Consultant at IU Health Plans
  • Angela Thomas
  • ALLIANCE MEMBER
  • Director, Quality & HEDIS at 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
  • Director, Stars & Accreditation 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 Member Engagement Program Manager at Health First Health Plans
  • Jennifer Yates
  • ALLIANCE MEMBER
  • Manager, Health & Wellness at SummaCare
  • Theresa Zhang
  • ALLIANCE MEMBER
  • Operations Project Manager at Santa Clara Family Health Plan
  • Holly Zorz
  • ALLIANCE MEMBER
  • Quality Improvement Team Lead, Medicare at Paramount Health Care
  • Karen Comes
  • SPEAKER
  • Senior Clinical Consultant at Gorman Health Group
Speakers