Top six Health Plan Alliance presentations of 2016

Dennis Bolin, Health Plan Alliance

01/10/2017

 

Last year, the Health Plan Alliance coordinated more than 200 webinars and in-person presentations for Alliance members. The following is a list of the top six most downloaded presentations from 2016. This year, the Alliance is developing year-round programming focused around 16 industry areas of interest and we look forward to delivering even more programming to help our member plans navigate the ever changing demands of the managed care space.

#1: Presbyterian Health Plan Stars dashboard

Shared 8/4/2016 at the Government Programs 2016 Value Visit
This session combines the industry view of Wakely's experts with the real-world experience of Presbyterian Health Plan when it comes to monitoring Stars efforts. It discuss the KPIs plans use to inform decision-making and shares suggestions to improve Star dashboard development and use.
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#2: Case study: AvMed Medicare performance improvement plan

3/21/2016 Webinar presented by AvMed
Misty Saunders, VP of Health Care Economics with AvMed, shares the details of their Medicare Performance Improvement plan, which began in late 2014, steadily executed through 2015 and is showing promising results in 2016.
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#3: Access rules across markets – network adequacy standards in MA, Medicaid and the Exchanges

2/2/2016 webinar presented by Epstein Becker Green
This webinar discusses network adequacy rules for Medicare Advantage, federal access standards for Medicaid managed care and federal standards for Qualified Health Plans on the Exchanges. It also explores the National Association of Insurance Commissioners (NAIC) recent revision to its model network adequacy law, entitled the Health Benefit Plan Network Access and Adequacy Model Act and the impact this Act may have on state network adequacy standards.
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#4: Overview of CMS Star Ratings program and its impact on Medicare Advantage payment

4/21/2106 webinar presented by Epstein Becker Green
An overview of the CMS Star Ratings measures, the bases for those measures and the related timeframes; discussion on how Medicare Advantage payments are set and the impact of Star Ratings on those payments; and highlights from the CMS Final MA/PD Payment Announcement and Call Letter with a focus on payment, risk adjustment and Star Ratings.
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#5: Compliance and audit issues and trends for MA and Part D plans

6/24/2016 webinar presented by Dentons US LLP
Janice Ziegler of Dentons US LLP shares insights on timely trends impacting MA and MA-PD plans when it comes to audits and compliance.
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#6: Provider networks oversight trends across markets

5/31/2016 webinar presented by FaegreBD Consulting
Health plan networks are narrowing. While there are good reasons for this, regulators across markets are moving to check this trend. 2016 is likely to be a year of unprecedented regulatory activity regarding provider networks.
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