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Driving Success Through Understanding the Health Equity Index and Other Regulatory Updates

Event Date: 7/25/2024

Event Overview

Thursday, 7/25/2024
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Health Plan Alliance and Healthmine

Join us for a webinar to dive deeply into the Health Equity Index and how your plan can be successful in ensuring accuracy of date, improving your index score, and how to overcome the removal of the Reward Factor.  Topics to include the following:

  • Review and understanding of the Health Equity Index
  • How the Health Equity Index is calculated
  • Improving Access to Behavioral Health Providers
  • Annual Health Equity Analysis of UM Policies and Procedures
  • Replacement of the Reward Factor with the Health Equity Index
  • Distribution of Personal Beneficiary Data by Third Party Marketing Organizations
  • Establishing Guardrails for Agent and Broker Compensation
  • HRA Completion by Brokers
  • Broker Compensation Changes
  • Special Supplemental Benefits for the Chronically Ill
  • Amendments to the Part C and Part D Reporting Requirements
  • Enhancing Enrollee’s Rights to Appeal an MA Plan’s Decision to Terminate Coverage for Non-Hospital Provider Services
  • Changes to Resolution of CTMs
  • Increasing the Percentage of Dually Eligible Managed Care Enrollees who Receive Medicare and Medicaid Services for the Same Organization
  • For DSNP PPO Limit OON Cost-Sharing
  • Contracting Standards for Dual Eligible Special Needs Plan Look-Alikes
  • Overall SNP Impact Updates



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Documents
7/25/2024

Presentation: Driving Success Through Understanding the Health Equity Index
Delve into the Health Equity Index and how your plan can be successful in ensuring accuracy of date, improving your index score, and how to overcome the removal of the Reward Factor.

7/25/2024

Recording: Driving Success Through Understanding the Health Equity Index and Other Regulatory Updates
Join us for a comprehensive overview of the Health Equity Index and its significance in ensuring accurate data and improving plan scores. Healthmine also address strategies to overcome the removal of the Reward Factor.

Attendees

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

  • Amanda Akiens
  • ALLIANCE MEMBER
  • Sr. Compliance Consultant at Health Alliance Plan (HAP)
  • Yessica Anguiano
  • ALLIANCE MEMBER
  • Health Equity Program Coordinator at CHRISTUS Health Plan
  • 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
  • Katrina Brent
  • ALLIANCE MEMBER
  • Senior Manager, Quality/Medicare Stars at HealthTeam Advantage
  • 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
  • Ben Cacckello
  • ALLIANCE MEMBER
  • Delegation and Data Specialist at Capital District Physicians' Health Plan (CDPHP)
  • Laura Campbell
  • ALLIANCE MEMBER
  • Director of Medical Management at Piedmont Community Health Plan
  • 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
  • Amy Cleary
  • ALLIANCE MEMBER
  • Director - Quality Management at Geisinger 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)
  • Audrey Croft
  • ALLIANCE MEMBER
  • Broker Commissions Program Manager at Health First 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)
  • Anna DeFord
  • ALLIANCE MEMBER
  • Medicare Quality Program Manager at Samaritan Health Plans
  • Shirley Doyle
  • ALLIANCE MEMBER
  • Sr. Director, Medicare Revenue Mgmt at Sentara Health Plans (Optima)
  • Alison Dunton
  • ALLIANCE MEMBER
  • Director of Practice Enhancement & Analytics at Aspire Health Plan
  • Kathy Edmonds
  • ALLIANCE MEMBER
  • Risk Adjustment Coding & Documentation Specialist at Sentara Health Plans (Optima)
  • Eric Ehrensing
  • ALLIANCE MEMBER
  • Chief Medical Officer at Ochsner Health Plan
  • Mary Eldridge
  • ALLIANCE MEMBER
  • General Counsel at Neighborhood Health Plan of Rhode Island
  • 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
  • Debra Feagins
  • ALLIANCE MEMBER
  • Director, Medicare Care Management at Sentara Health Plans (Optima)
  • 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
  • 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
  • Ben Hartmann
  • ALLIANCE MEMBER
  • Business Process Consultant II at CHRISTUS Health Plan
  • 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
  • Mark Huizenga
  • ALLIANCE MEMBER
  • Director, Performance Measurement & Improvement at Health Alliance Plan (HAP)
  • Clayton Johnson
  • ALLIANCE MEMBER
  • Star Rating Manager at Health Alliance Medical Plans
  • Nicolette Johnson
  • ALLIANCE MEMBER
  • Stars Program Manager at Community Health Plan of Washington
  • 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)
  • Barb Koerperich
  • ALLIANCE MEMBER
  • Director of Health Care Services at Medical Associates Health Plans
  • Joby Kolsun
  • ALLIANCE MEMBER
  • medical director at AvMed
  • Tina Korty
  • ALLIANCE MEMBER
  • Vice President, Health Plans Legal, Compliance & Regulatory at IU Health Plans
  • Jennifer Laszewski
  • ALLIANCE MEMBER
  • Manager, Quality Management and Population Health at Quartz Health Solutions
  • Charlotte Luebbert
  • ALLIANCE MEMBER
  • Director of Medicare Part D Pharmacy Services at Baylor Scott & White Health Plan
  • Cheryl Mah
  • ALLIANCE MEMBER
  • Star Ratings Coordinator at Health Alliance Medical Plans
  • 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
  • Erin Matteson
  • ALLIANCE MEMBER
  • Director of Medicare Marketing and Communications at Sentara Health Plans (Optima)
  • Tracey McCloy
  • ALLIANCE MEMBER
  • Director, Strategic Growth & Product Development at HealthTeam Advantage
  • Shelly McCombs
  • ALLIANCE MEMBER
  • Quality and Accreditation Manager at Health New England
  • 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
  • Tina Nguyen
  • ALLIANCE MEMBER
  • Pharmacy Manager at CHRISTUS Health 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
  • Austin Payne
  • ALLIANCE MEMBER
  • QI and Accreditation Coordinator at Cox HealthPlans
  • 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
  • Elizabeth Priller
  • ALLIANCE MEMBER
  • Director, Diversity, Equity, Inclusion, and Belonging at Quartz Health Solutions
  • Nicole Pulcini
  • ALLIANCE MEMBER
  • Quality Improvement Specialist at Jefferson Health Plans
  • Jessica Rainone
  • ALLIANCE MEMBER
  • Senior Quality Improvement Specialist at Neighborhood Health Plan of Rhode Island
  • Amy Rassas
  • ALLIANCE MEMBER
  • Medicaid Ancillary Services Team Lead at Jefferson Health Plans
  • Josh Reinhardt
  • ALLIANCE MEMBER
  • Healthcare Data Analyst at Network Health
  • Tammy Richardson
  • ALLIANCE MEMBER
  • Pharmacy Technician Specialist 3 at Baylor Scott & White Health
  • Denise Rigden
  • ALLIANCE MEMBER
  • Director, Clinical Services Regulatory Oversight and Quality Assurance at Quartz Health Solutions
  • Denise Roach
  • ALLIANCE MEMBER
  • Compliance Consultant at IU Health Plans
  • Casi Roethler
  • ALLIANCE MEMBER
  • Associate Principal at Vizient Inc.
  • Tammy Rolfe
  • ALLIANCE MEMBER
  • Manager Equity at Health First Health Plans
  • Juan Rosales
  • ALLIANCE MEMBER
  • Supervisor, Provider Data Management & Integrity at Presbyterian 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)
  • 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)
  • Michiru Shibata
  • ALLIANCE MEMBER
  • Consulting Actuary at Health First Health Plans
  • Julie Sich
  • ALLIANCE MEMBER
  • Director, Quality and Clinical Improvement at SummaCare
  • Kelly Simpson
  • ALLIANCE MEMBER
  • Business Analyst at Providence Health Plan
  • 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
  • Christine Stewart
  • ALLIANCE MEMBER
  • Sr. Quality Program Manager at Presbyterian Health Plan
  • Amy Stiles
  • ALLIANCE MEMBER
  • Coordinator of Quality Management at MediGold
  • Yuri Sung
  • ALLIANCE MEMBER
  • Senior Specialist, Programming at Health Plan Alliance
  • Eugene Terkoski
  • ALLIANCE MEMBER
  • Director of Pharmacy Care and Services at Health First Health Plans
  • Vera Tolbert
  • ALLIANCE MEMBER
  • Compliance Auditor at Jefferson Health Plans
  • Elaine Tucker
  • ALLIANCE MEMBER
  • Compliance Consultant at IU Health Plans
  • Valerie Van Buren
  • ALLIANCE MEMBER
  • Director, Quality Improvement and Performance at Jefferson Health Plans
  • Jules Vasquez
  • ALLIANCE MEMBER
  • Director, Stars & Accreditation at Health First Health Plans
  • Frederick Vines
  • ALLIANCE MEMBER
  • Reporting Manager at Sentara Health Plans (Optima)
  • Julie Wallace
  • ALLIANCE MEMBER
  • Quality Specialist at Quartz Health Solutions
  • Kelly Wallington
  • ALLIANCE MEMBER
  • Director of Utilization Management at Health First Health Plans
  • Rick Walters
  • ALLIANCE MEMBER
  • Quality Improvement Manager at Medical Associates Health Plans
  • Dana Warsh
  • ALLIANCE MEMBER
  • Senior QHI Coordinator at Network Health
  • 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
  • Gina Wenzl
  • ALLIANCE MEMBER
  • Quality Improvement at Sentara Health Plans (Optima)
  • Sephora White
  • ALLIANCE MEMBER
  • SIU Manager at Sentara Health Plans (Optima)
  • Jennifer Yates
  • ALLIANCE MEMBER
  • Manager, Health & Wellness at SummaCare
  • Elaine Zettel
  • ALLIANCE MEMBER
  • Lead MA Product Consultant at Health Alliance Plan (HAP)
Speakers