Conquering Medicare Part C's Evolving Landscape: How to Prioritize and Execute New Strategies
Event Date: 7/9/2024
Event Overview
Tuesday, 7/9/2024
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Health Plan Alliance and Healthmine
Join us for an exciting webinar discussing the multiple changes CMS has presented related to the Star Rating program. As part of this session, you will understand all the new measures impacting Stars, retirement of movement of measures to display, and methodology changes. Topics to include the following:
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Past Performance Changes
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Universal Measure Set
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Removal of Stand-Alone MRP Measure
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Updated Colorectal Cancer Screening Measure (Legacy COL measure to remain while updated measure is on display)
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Update Part C Care of Older Adult-Functional Status Assessment Measure
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Scaled Reductions for Part C Appeals Measures
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Update on how CAI and HEI will be calculated for Contract Consolidations
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Revised aspects of the Quality Performance Bonus Appeals Process
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Non-substantive Changes to Web-based Mode of CAHP survey
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Return and Weighting of HOS 3x-weighted Measures
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KED Addition for 2024MY
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Retirement of Care of Older Adult-Pain Screen for 2025MY
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Updated Codes for CDC-Eye Exam for 2025MY
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Reduction in CAHP and Administrative Weight to 2x for 2024MY
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Registration
ALLIANCE MEMBER | |||
Fee End Date | Description | Amount | |
7/9/2024 | Exclusive to Alliance Partner or Shareholder organizations | FREE |
Attendees
Below is a list of all delegates registered to date for this event
- Carrie Abenante
- ALLIANCE MEMBER
- Manager, Special Investigations Unit at Sentara Health Plans (Optima)
- Andres Aguirre
- ALLIANCE MEMBER
- QI Director at Sharp Health Plan
- Amanda Akiens
- ALLIANCE MEMBER
- Sr. Compliance Consultant at Health Alliance Plan (HAP)
- Lara Anzalone
- ALLIANCE MEMBER
- Director, Integrated Care Program at Health First Health Plans
- Sarah Anzick
- ALLIANCE MEMBER
- Manager, Quality Improvement at Sentara Health Plans (Optima)
- Kieley Arakelian
- ALLIANCE MEMBER
- Director - Quality Management at Physicians Health Plan
- Marsha Barlocker
- ALLIANCE MEMBER
- Senior Director Quality and Case Management at HealthTeam Advantage
- Brit Ben-Zikri
- ALLIANCE MEMBER
- SIU Supervisor at Quartz Health Solutions
- Traci Biondi
- ALLIANCE MEMBER
- Chief Medical Officer at Prominence Health Plan
- Barbara Boardman
- ALLIANCE MEMBER
- Medicare Quality Manager at Samaritan Health Plans
- Brittany Booker
- ALLIANCE MEMBER
- Program Manager III, Quality Analytics at Community Health Plan of Washington
- Cortney Borba
- ALLIANCE MEMBER
- Quality Program Manager at Providence Health Plan
- Kathryn Brisson
- ALLIANCE MEMBER
- Medicare Stars Program Manager at Capital District Physicians' Health Plan (CDPHP)
- David Broccoli
- ALLIANCE MEMBER
- Manager of Regulatory Pharmacy and Oversight at Neighborhood Health Plan of Rhode Island
- Sara Beth Brown
- ALLIANCE MEMBER
- Clinical Pharmacist at HealthTeam Advantage
- Jeannine Bumford
- ALLIANCE MEMBER
- Director of Risk Adjustment Operations at CHRISTUS Health Plan
- Lisa Carlson
- ALLIANCE MEMBER
- Vice President, Product Strategy & Development at Avera Health Plans
- Bethany Carter
- ALLIANCE MEMBER
- Director Provider Services and Network at HealthTeam Advantage
- Marty Cerier
- ALLIANCE MEMBER
- Director Regulatory Audits and Investigations at Health Alliance Plan (HAP)
- Cailey Chrissinger
- ALLIANCE MEMBER
- Manager of Government Products (Medicare) at Denver Health Medical Plan
- Heather Clay
- ALLIANCE MEMBER
- Product Manager - Medicare at Avera Health Plans
- Michelle Coberly
- ALLIANCE MEMBER
- Vice President, Medicare at Physicians Health Plan
- Brian Collien
- ALLIANCE MEMBER
- VP Product Development at Quartz Health Solutions
- Janese Crawford-Chriscoe
- ALLIANCE MEMBER
- Risk Adjustment Coder & Documentation Specialist at Sentara Health Plans (Optima)
- Janice Crayk
- ALLIANCE MEMBER
- Manager, Sales and Business Development at Samaritan Health Plans
- Sherry Cross
- ALLIANCE MEMBER
- Technical Project Coordinator at Sentara Health Plans (Optima)
- Patricia Darnley
- ALLIANCE MEMBER
- Senior Vice President, Government Programs at Sentara Health Plans (Optima)
- Ron Davis
- ALLIANCE MEMBER
- Director Vendor Management at Health Alliance Plan (HAP)
- Shirley Doyle
- ALLIANCE MEMBER
- Sr. Director, Medicare Revenue Mgmt at Sentara Health Plans (Optima)
- Kathy Edmonds
- ALLIANCE MEMBER
- Risk Adjustment Coding & Documentation Specialist at Sentara Health Plans (Optima)
- Angel Ems-McLaren
- ALLIANCE MEMBER
- Director, Government & Commercial Product at Health Alliance Plan (HAP)
- Ronald Encinares
- ALLIANCE MEMBER
- Lead, Project Coordinator at Health Alliance Plan (HAP)
- Shelby Esposito
- ALLIANCE MEMBER
- Stars and Accreditation Program Manager at Health First Health Plans
- Stephen Evans
- ALLIANCE MEMBER
- Medical Director at HealthTeam Advantage
- JoMarie Faulkerson
- ALLIANCE MEMBER
- Quality Manager at Aspire Health Plan
- Jeremy Fejfar
- ALLIANCE MEMBER
- Pharmacy Director Government Programs at Quartz Health Solutions
- Maura Fitzgerald
- ALLIANCE MEMBER
- Senior Associate, Managed Care Contracting at IU Health Plans
- Rasheeda Flesch
- ALLIANCE MEMBER
- Medication Adherence Specialist at CommunityCare
- Deb Foster
- ALLIANCE MEMBER
- Executive Director Population Health Care Management/Utilization Management at IU Health Plans
- Rocki Gaab
- ALLIANCE MEMBER
- QHI Program Coordinator at Network Health
- HIRIT GETACHEW
- ALLIANCE MEMBER
- Manager, Quality Program Performance at Baylor Scott & White Health Plan
- Jason Grattini
- ALLIANCE MEMBER
- Director of Customer Experience at Prominence Health Plan
- Lindsey Griffin
- ALLIANCE MEMBER
- Marketing Operations Specialist at Physicians Health Plan
- Christina Griffith
- ALLIANCE MEMBER
- Performance Improvement Coordinator at Prominence Health Plan
- Mardelle Gustilo
- ALLIANCE MEMBER
- Quality Program Coordinator, Medicare Advantage at Sharp Health Plan
- Robin Haehlke
- ALLIANCE MEMBER
- RN Clinical Quality Assurance Specialist at Quartz Health Solutions
- Kena Hahn
- ALLIANCE MEMBER
- Director- Medicare Stars and Outpatient Care Coordination at Health Alliance Medical Plans
- Kaitlyn Hammond
- ALLIANCE MEMBER
- Director of Government Programs at Cox HealthPlans
- Lori Heinssen
- ALLIANCE MEMBER
- Director Appeals and Grievances at Health First Health Plans
- Shawn Helms
- ALLIANCE MEMBER
- Manager, Member Engagement at SummaCare
- Sara Hicklin
- ALLIANCE MEMBER
- Regulatory Oversight & QA Specialist at Quartz Health Solutions
- Mandy Hill
- ALLIANCE MEMBER
- Director at Jefferson Health Plans
- Megan Holly
- ALLIANCE MEMBER
- Government Programs Coordinator at Cox HealthPlans
- Deanna Homer
- ALLIANCE MEMBER
- Chief Operations Officer at HealthTeam Advantage
- deb Hoover-McCoy
- ALLIANCE MEMBER
- Project support at Jefferson Health Plans
- Ashleigh Horton
- ALLIANCE MEMBER
- QI Program Specialist at CommunityCare
- David Hsieh
- ALLIANCE MEMBER
- Chief Financial Officer at Prominence Health Plan
- Mark Huizenga
- ALLIANCE MEMBER
- Director, Performance Measurement & Improvement at Health Alliance Plan (HAP)
- Zulma Ibarra
- ALLIANCE MEMBER
- Program Manager at Baylor Scott & White Health Plan
- Ifrad Islam
- ALLIANCE MEMBER
- VP, Analytics at Prominence Health Plan
- Patricia James
- ALLIANCE MEMBER
- SIU Team Coordinator at Sentara Health Plans (Optima)
- Clayton Johnson
- ALLIANCE MEMBER
- Star Rating Manager at Health Alliance Medical Plans
- Lisa Karasik
- ALLIANCE MEMBER
- Quality Assurance RN at Quartz Health Solutions
- Joleen Katula
- ALLIANCE MEMBER
- Interim Compliance Officer at HealthTeam Advantage
- Crystal Keelin
- ALLIANCE MEMBER
- Medicare Stars Program Manager at Samaritan Health Plans
- Sara Khwaja
- ALLIANCE MEMBER
- VBC Consultant at Health Alliance Plan (HAP)
- Chava Kintisch
- ALLIANCE MEMBER
- Senior Compliance Specialist at Jefferson Health Plans
- Tori Kirby
- ALLIANCE MEMBER
- Manager of Utilization Managment at Network Health
- Michelle Kirk
- ALLIANCE MEMBER
- Medicare Product Administrator at Avera Health Plans
- Anna Kirsch
- ALLIANCE MEMBER
- Regulatory Compliance Administrator I at Network Health
- Barb Koerperich
- ALLIANCE MEMBER
- Director of Health Care Services at Medical Associates Health Plans
- Tina Korty
- ALLIANCE MEMBER
- Vice President, Health Plans Legal, Compliance & Regulatory at IU Health Plans
- Martina Kuhar
- ALLIANCE MEMBER
- DSNP Program Manager at SelectHealth
- Brandy Lanns
- ALLIANCE MEMBER
- Director, Clinical Analytics at Baylor Scott & White Health Plan
- Jennifer Laszewski
- ALLIANCE MEMBER
- Manager, Quality Management and Population Health at Quartz Health Solutions
- Chia Lee
- ALLIANCE MEMBER
- Regulatory Support Admin at Network Health
- Chelsea Lewis
- ALLIANCE MEMBER
- Medicare Appeals Supervisor at Health Alliance Medical Plans
- Kirsten Lillegard
- ALLIANCE MEMBER
- Medicare at Medical Associates Health Plans
- Liz Lopez Cepero
- ALLIANCE MEMBER
- Chief Growth Officer at Baylor Scott & White Health Plan
- Cheryl Mah
- ALLIANCE MEMBER
- Star Ratings Coordinator at Health Alliance Medical Plans
- Kristen Mallon
- ALLIANCE MEMBER
- Product Design Manager at Geisinger Health Plan
- Shelly Marsh
- ALLIANCE MEMBER
- Quality Audit Manager at Physicians Health Plan
- Johanna Martinez
- ALLIANCE MEMBER
- VP of Performance Improvement at Prominence Health Plan
- Isela Martinez
- ALLIANCE MEMBER
- Clinical Program Manager at Baylor Scott & White Health Plan
- Angela Martini
- ALLIANCE MEMBER
- Quality Improvement Coordinator at Sentara Health Plans (Optima)
- Joel Maycock
- ALLIANCE MEMBER
- Healthcare Market Analyst at Triad Healthcare Network - Cone Health at HealthTeam Advantage
- Tracey McCloy
- ALLIANCE MEMBER
- Director, Strategic Growth & Product Development at HealthTeam Advantage
- Taylor McInnis
- ALLIANCE MEMBER
- Health Equity Star Ratings Coordinator at Health Alliance Medical Plans
- Maria Menendez
- ALLIANCE MEMBER
- RN/CPC/CRC/CPMA -clinical reviewer at AvMed
- Tamara Migut
- ALLIANCE MEMBER
- Director of Quality Management at Health Alliance Medical Plans
- Heidi Mullenix
- ALLIANCE MEMBER
- Quality Improvement Coordinator at Sentara Health Plans (Optima)
- Nicolle Mustafa
- ALLIANCE MEMBER
- Manager of Compliance and Regulatory Affairs at Sharp Health Plan
- Joey Nguyen
- ALLIANCE MEMBER
- Medicare Stars Analyst at Denver Health Medical Plan
- Chris Norman
- ALLIANCE MEMBER
- AVP-SHP Compliance Officer at Samaritan Health Plans
- Romi Norton
- ALLIANCE MEMBER
- Strategic Marketing and Communications Manager at Network Health
- Adam Osborne
- ALLIANCE MEMBER
- Quality Operations Manager at SelectHealth
- John Osmond
- ALLIANCE MEMBER
- VP of Health Services at Prominence Health Plan
- Kari Pace
- ALLIANCE MEMBER
- Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
- Stephanie Passino
- ALLIANCE MEMBER
- Associate Director of Product at CCHP
- Deanna Pearson
- ALLIANCE MEMBER
- Medical Operations Manager at HealthTeam Advantage
- Jana Pennington
- ALLIANCE MEMBER
- Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
- Charles Perez
- ALLIANCE MEMBER
- Manager, Pharmacy Services at CommunityCare
- Jack Phillips
- ALLIANCE MEMBER
- Manager, Quality and Data Reporting at CommunityCare
- Shannon Picozzi
- ALLIANCE MEMBER
- Policy Analyst at Neighborhood Health Plan of Rhode Island
- Deborah Puckett
- ALLIANCE MEMBER
- Registered Nurse at SummaCare
- Jessica Rainone
- ALLIANCE MEMBER
- Senior Quality Improvement Specialist at Neighborhood Health Plan of Rhode Island
- Janeth Ramos
- ALLIANCE MEMBER
- Team Coordinator, Integrated Care Management at Sentara Health Plans (Optima)
- Penny Ransom
- ALLIANCE MEMBER
- Chief Administrative Officer at Network Health
- Josh Reinhardt
- ALLIANCE MEMBER
- Healthcare Data Analyst at Network Health
- Preston Renshaw
- ALLIANCE MEMBER
- Chief Medical Officer at Avera Health Plans
- Heather Richardson
- ALLIANCE MEMBER
- Sr. Medicare Compliance Analyst at Physicians Health Plan
- Denise Rigden
- ALLIANCE MEMBER
- Director, Clinical Services Regulatory Oversight and Quality Assurance at Quartz Health Solutions
- Casi Roethler
- ALLIANCE MEMBER
- Associate Principal at Vizient Inc.
- Angellynn Salcedo
- ALLIANCE MEMBER
- Product Manager at Sharp Health Plan
- christina salm
- ALLIANCE MEMBER
- Vice President of Medical Management Operations at Quartz Health Solutions
- Janice Sawyer
- ALLIANCE MEMBER
- Senior Regulatory Auditor at Health Alliance Plan (HAP)
- Brenda Schueller
- ALLIANCE MEMBER
- Regulatory Oversight & Quality Assurance Specialist at Quartz Health Solutions
- Shannon Schuster
- ALLIANCE MEMBER
- Director, Regulatory Affairs at Network Health
- Elizabeth Scott
- ALLIANCE MEMBER
- Compliance Director at Care N' Care Insurance Company, Inc.
- Kirsten Selley
- ALLIANCE MEMBER
- Sr. Management Engineer at Health Alliance Plan (HAP)
- Jennifer Sheridan
- ALLIANCE MEMBER
- Manager Compliance & Training at Health Alliance Plan (HAP)
- Julie Sich
- ALLIANCE MEMBER
- Director, Quality and Clinical Improvement at SummaCare
- Michael Smith
- ALLIANCE MEMBER
- Chief Medical Officer at Health Alliance Medical Plans
- Amber Smits
- ALLIANCE MEMBER
- Health Equity and Quality Revenue Program Manager at Network Health
- Seth Sorkin
- ALLIANCE MEMBER
- Compliance Specialist at Paramount Health Care
- Sandy Spitale
- ALLIANCE MEMBER
- Chief Clinical Officer - Ochsner Health at Ochsner Health Plan
- Amy Stiles
- ALLIANCE MEMBER
- Coordinator of Quality Management at MediGold
- Patricia Suffern
- ALLIANCE MEMBER
- Chief Compliance Officer at MediGold
- Tonya Sundermann
- ALLIANCE MEMBER
- Sales Manager, Medicare at Physicians Health Plan
- Yuri Sung
- ALLIANCE MEMBER
- Senior Specialist, Programming at Health Plan Alliance
- Elaine Taylor
- ALLIANCE MEMBER
- Compliance Consultant at IU Health Plans
- Vera Tolbert
- ALLIANCE MEMBER
- Compliance Auditor at Jefferson Health Plans
- Charmalee Tulloch
- ALLIANCE MEMBER
- Director of Compliance at Health New England
- Valerie Van Buren
- ALLIANCE MEMBER
- Director, Quality Improvement and Performance at Jefferson Health Plans
- Cassie Vanderwall
- ALLIANCE MEMBER
- Director, Clinical Programs at Quartz Health Solutions
- Jules Vasquez
- ALLIANCE MEMBER
- Director, Stars & Accreditation at Health First Health Plans
- Jessica Vellinga
- ALLIANCE MEMBER
- Internal Audit Manager at SelectHealth
- Stephanie Villasis
- ALLIANCE MEMBER
- Clinical Pharmacist at Baylor Scott & White Health Plan
- Kayla Walker
- ALLIANCE MEMBER
- Manager of Risk Adjustment at Baylor Scott & White Health Plan
- Julie Wallace
- ALLIANCE MEMBER
- Quality Specialist at Quartz Health Solutions
- Rick Walters
- ALLIANCE MEMBER
- Quality Improvement Manager at Medical Associates Health Plans
- Susan Waterman
- ALLIANCE MEMBER
- Director, Risk Adjustment at Baylor Scott & White Health Plan
- Catherine Watts
- ALLIANCE MEMBER
- Director, Health Outcomes at CommunityCare
- Chelsea Webb
- ALLIANCE MEMBER
- Director, Clinical Excellence at Baylor Scott & White Health Plan
- Rebecca Welling
- ALLIANCE MEMBER
- VP Risk adjustment at SelectHealth
- Tosha Wetterneck
- ALLIANCE MEMBER
- Medical Director at Quartz Health Solutions
- Sephora White
- ALLIANCE MEMBER
- SIU Manager at Sentara Health Plans (Optima)
- JENNIFER WINEGEART
- ALLIANCE MEMBER
- PROJECT MANAGER at CHRISTUS Health Plan
- Lou Yacovoni
- ALLIANCE MEMBER
- Vice President Medicare & Individual Sales at Quartz Health Solutions
- Elaine Zettel
- ALLIANCE MEMBER
- Lead MA Product Consultant at Health Alliance Plan (HAP)
Speakers
- Mallory Mueller
Vice President of Population Health and Equity at Healthmine
click here for full people profile
- John Willis
Vice President of Consulting and Professional Services at Healthmine
click here for full people profile