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Medicare Advantage-Premium Integrity: Reconciling Reporting Complexities that Cost Plans Millions

Event Date: 3/11/2020

Event Overview

Wednesday, March 11, 2020
1:00 PM CST – 2:00 PM CST (60 minutes)
Hosted by: Pareto Intelligence

This event is hosted on our BigMarker platform

 

With an ever-increasing focus on ensuring the compliance and accuracy of revenues received and payments made by health plans, understanding both the key elements that influence appropriate payments and the most efficient path to resolution will continue to be market differentiator for plans. Pareto has partnered with over 25 plans to mitigate compliance risk and recoup lost revenue dollars from CMS, and will cover the following topics:

  • Factors influencing Medicare Advantage premiums
  • Prioritizing the factors with biggest impact
  • Navigating coordination with CMS
  • Maintaining accurate and compliant information

 


 

Audience

Managers and leaders in Medicare Advantage, compliance, and revenue reconciliation will benefit from this webinar. In addition, people who are responsible for data collection, analysis and compliance, as well as financial management will find this session useful.


 

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You can visit the discussion forum and post a question anytime. It's only available to Alliance members, so you question is private and secure. When submitting a question, you can select which topics your question is related to. Individuals who have indicated in their Alliance profile they are interested in those topics and are opted in to discussion forum emails will receive your question. You can also add an attachment to your question or reply, making this tool another great resource for sharing best practices with your peers.

 


 

 

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Documents
3/11/2020

Recording: Medicare Advantage-Premium Integrity - Reconciling Reporting Complexities that Cost Plans Millions
Pareto Intelligence describes how health plans have created market differentiation by making appropriate payments, mitigating compliance risk and recouping lost revenue dollars from CMS. In this session best practices for identifying and prioritizing factors driving MA premiums, navigating coordination with CMS, and maintaining accurate and compliant information are explained.

Attendees

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

  • Nicole Beadle
  • ALLIANCE MEMBER
  • Manager, Medicare Compliance at Paramount Health Care
  • Stephen Bush
  • ALLIANCE MEMBER
  • CFO at Baylor Scott & White Health Plan
  • Kevin Chi
  • ALLIANCE MEMBER
  • Assistant Compliance Counsel at Central Health Plan of California
  • Shawn Dewers
  • ALLIANCE MEMBER
  • Chief Executive Officer at Central Health Plan of California
  • Crystal Djordjevic
  • ALLIANCE MEMBER
  • Risk Adjustment Education Specialist at Health Alliance Medical Plans
  • Rudy Dominguez
  • ALLIANCE MEMBER
  • Population Health Managment Process Specialist at Community Health Plan of Washington
  • Elisabeth Fagan
  • ALLIANCE MEMBER
  • Director of Health Plan Operations at Aspire Health Plan
  • Melissa Hall
  • ALLIANCE MEMBER
  • Chief Operating Officer at Aspire Health Plan
  • Susan Herbert
  • ALLIANCE MEMBER
  • Director, Health Plan Integration & Development at AdventHealth (FHHS)
  • Cindy Krueger
  • ALLIANCE MEMBER
  • Director of Billing & Collections at Quartz Health Solutions
  • Matt Morgan
  • ALLIANCE MEMBER
  • Chief Financial Officer at Aspire Health Plan
  • Wade Penner
  • ALLIANCE MEMBER
  • Manager Revenue-Risk at Samaritan Health Plans
  • Brandy Rivera
  • ALLIANCE MEMBER
  • Executive Assistant to Melissa Hall & Liz Lorenzi at Aspire Health Plan
  • Petrina Russell
  • ALLIANCE MEMBER
  • Compliance Auditor at FirstCarolinaCare Insurance Company
  • Kathryn Serenbetz
  • ALLIANCE MEMBER
  • Principle, Insurance Products at Avera Health Plans
  • Kelly Skifton
  • ALLIANCE MEMBER
  • Assistant Vice President, Compliance & Government Regulatory Operations and Privacy at Quartz Health Solutions
  • Lynne Slack
  • ALLIANCE MEMBER
  • Senior Accountant at Community Health Plan of Washington
  • Sam Wu
  • ALLIANCE MEMBER
  • Manager, Actuarial Services at Health Alliance Medical Plans
  • Kristi Skowron
  • SPEAKER
  • Manager, Client Advisory  at Pareto Intelligence
Speakers