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Automate Provider Lifecycle Management

Event Date: 3/15/2022

Event Overview

Tuesday, 3/15/2022
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Simplify Healthcare

This vendor spotlight is hosted on our BigMarker platform you must use Google Chrome or Firefox when participating in the webinar.

 

The No Surprises Act (NSA) has exposed the issue in many payers that there is not a solution that integrates provider data and processes across the multiple needs that a payer has. Payers have an effective point solution, but these are typically stitched together and supported by extensive manual processes. With the advent of the NSA, these manual processes are becoming untenable.


Simplify Healthcare's eProviderSync can deliver the solution to these challenges. By creating the single master provider record where all updates are ingested and pushed to downstream systems, much of the manual work is eliminated and compliance with NSA becomes possible. eProviderSync can manage enrollment, provider contracts, and ensure that directories and other systems are kept updated as provider information changes.

You will learn the following:

  • The challenges that many payers face in managing provider data and contracts.
  • How to automate the management of provider data.
  • How to automate the management of provider contracts.
  • How to provide various views of provider data based on need including, enrollment, claims, credentialing, fees and rates, and more.
  • How to ensure compliance with the No Surprises Act.

 

About Simplify Healthcare

Simplify Healthcare is a rapidly growing healthcare enterprise solutions company that offers a unique platform that solves a number of pain points for healthcare payers. Simplify Healthcare is the leading player in the benefit plan management vertical with deep expertise for Large Group, Small Group, and Individual Benefit Plan Management across all lines of business (Commercial, Medicaid, Medicare, and ACA QHPs). 

The company is quickly emerging as a leading player in other areas including Provider Data, Directory, and Contract Management; Client Setup, Onboarding, and Enrollment Management; Member and Provider Benefit Inquiry; Claims Configuration; and Value-Based Payment Reconciliation. 

The company has consistently seen an increase in PBPs filed with CMS using the Medicare Advantage plan management solution, eMedicareSync™, currently accounting for 1 in 4 individual PBPs submitted to CMS. The company ranked 38 in the 2021 Inc. 5000 Regionals list of the fastest-growing private companies in the Midwest region and 700 in the 2021 Inc. 5000 America’s fastest-growing private companies list. The company ranked 239 on the 2021 Deloitte’s Technology Fast 500™ list.


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.


 

Thank you to our event sponsors


Silver

 

 

Documents
3/16/2022

Recording: Automate Provider Lifecycle Management
In this video presentation attendees will see a solution that can address your No Surprises Act (NSA) needs by providing a master provider record and contract repository that can keep downstream systems updated.

3/15/2022

Presentation: Automate Provider Lifecycle Management
Join this webinar as you will see a solution that can address your No Surprises Act (NSA) needs by providing a master provider record and contract repository that can keep downstream systems updated.

Attendees

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

  • Chevonna Bechtel
  • ALLIANCE MEMBER
  • Manager of Provider Data and Reporting at Providence Health Plan
  • Jennifer Brousseau
  • ALLIANCE MEMBER
  • Interim Manager Provider Data Quality at Health Alliance Plan (HAP)
  • Bethany Carter
  • ALLIANCE MEMBER
  • Director of Operations Provider Services and Claims at HealthTeam Advantage
  • Jacqueline Crews
  • ALLIANCE MEMBER
  • Director, Public Policy & Benefit Contracts at AvMed
  • Stefani Geter
  • ALLIANCE MEMBER
  • AVP, Compliance and Privacy at Ochsner Health Plan
  • Holly Hall
  • ALLIANCE MEMBER
  • Provider Reimbursement Analyst I at Health Alliance Plan (HAP)
  • Patricia Hsing
  • ALLIANCE MEMBER
  • AVP of Core Operations at Texas Children's Health Plan
  • Cynthia Huhn
  • ALLIANCE MEMBER
  • Provider Support Service Rep at SummaCare
  • Donna Jennings
  • ALLIANCE MEMBER
  • Vice President, Operations at Ochsner Health Plan
  • Karla Lord
  • ALLIANCE MEMBER
  • Assistant Vice President, Operations at Quartz Health Solutions
  • Erin Malone
  • ALLIANCE MEMBER
  • Director - Customer Care at Alliant Health Plans
  • James Maronde
  • ALLIANCE MEMBER
  • Director of Operations at Prominence Health Plan
  • Glenn Matsushima
  • ALLIANCE MEMBER
  • Manager, Application and Development at Quartz Health Solutions
  • Patti Miller
  • ALLIANCE MEMBER
  • Director of Applications, Information Systems at Quartz Health Solutions
  • Ivy Noffke
  • ALLIANCE MEMBER
  • Quality Management & Population Health Specialist at Quartz Health Solutions
  • Tina Outzen
  • ALLIANCE MEMBER
  • Program Manager III at Valley Health Plan
  • Celeste Richards
  • ALLIANCE MEMBER
  • Chief Operating Officer at Alliant Health Plans
  • Stephanie Wiegman
  • ALLIANCE MEMBER
  • Customer Experience Coordinator at Samaritan Health Plans
Speakers