CY2025 CMS Final Rule: UM Committee Annual Health Equity analysis of Prior Authorization Policies and Procedures

Event Overview

Attendees

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

• 
• OMAR AHMED
• ALLIANCE MEMBER
• Regulatory Operations Manager - Medicare at Presbyterian Health Plan

• 
• Andrew Amrhein
• ALLIANCE MEMBER
• Assistant Legal Counsel at University of Michigan Health Plan

• 
• Yessica Anguiano
• ALLIANCE MEMBER
• Health Equity Program Coordinator at CHRISTUS Health Plan

• 
• Kieley Arakelian
• ALLIANCE MEMBER
• Director - Quality Management at University of Michigan Health Plan

• 
• Lisa Arian
• ALLIANCE MEMBER
• Medical Director at Sharp Health Plan

• 
• Gabriel Ayerza
• ALLIANCE MEMBER
• VP, Medicare Programs at Presbyterian Health Plan

• 
• Marsha Barlocker
• ALLIANCE MEMBER
• Senior Director Quality and Case Management at HealthTeam Advantage

• 
• Traci Biondi
• ALLIANCE MEMBER
• Chief Medical Officer at Prominence Health Plan

• 
• Julie Boutwell
• ALLIANCE MEMBER
• Medicare Audit Analyst - Compliance at Providence Health Plan

• 
• Drew Breuckman
• ALLIANCE MEMBER
• Manager UM Operations and Analytics at Community Health Plan of Washington

• 
• Dean Cannon
• ALLIANCE MEMBER
• Chief Medical Director at CHRISTUS Health Plan

• 
• Mary Canton
• ALLIANCE MEMBER
• Program Manager I - Quality at Samaritan Health Plans

• 
• Jamie Carlton
• ALLIANCE MEMBER
• Director of Utilization/Case Managment at Ochsner Health Plan

• 
• Marty Cerier
• ALLIANCE MEMBER
• Director Regulatory Audits and Investigations at Health Alliance Plan (HAP)

• 
• Michelle Coberly
• ALLIANCE MEMBER
• Vice President, Medicare at University of Michigan Health Plan

• 
• Christian Corzine
• ALLIANCE MEMBER
• Vice President, Clinical Services & Operations at Medical Mutual

• 
• Kellie Crawford
• ALLIANCE MEMBER
• Assistant Vice President - Healthy Connections at SelectHealth

• 
• Penny Cross
• ALLIANCE MEMBER
• Nurse Informatics Specialist at CommunityCare

• 
• Linda Cummings
• ALLIANCE MEMBER
• Lead Clinical Quality Examiner at MetroPlusHealth

• 
• Sankirtana Danner
• ALLIANCE MEMBER
• Director of Health and Social Equity at Presbyterian Health Plan

• 
• Sarah Dencker
• ALLIANCE MEMBER
• Vice President, Care Services at Network Health

• 
• Jena Deschler
• ALLIANCE MEMBER
• Managed Care Pharmacist at Health Alliance Medical Plans

• 
• Jodi Digmann
• ALLIANCE MEMBER
• Medicare Compliance Analyst at Medical Associates Health Plans

• 
• Ruth Donaldson
• ALLIANCE MEMBER
• Director Population Health/Medical Management at Sharp Health Plan

• 
• Diya Doshi
• ALLIANCE MEMBER
• Senior Scientist at Presbyterian Healthcare Services

• 
• Molly Eickholt
• ALLIANCE MEMBER
• Manager, HFHP Integrity at Health First Health Plans

• 
• Jenifer Elinski
• ALLIANCE MEMBER
• Manager at Health Alliance Plan (HAP)

• 
• Ronald Encinares
• ALLIANCE MEMBER
• Lead, Project Coordinator at Health Alliance Plan (HAP)

• 
• Steve Estipona
• ALLIANCE MEMBER
• Director of Utilization Management at Prominence Health Plan

• 
• Jennifer Faries
• ALLIANCE MEMBER
• Director of Behavioral Health and Health Equity at CommunityCare

• 
• Hannah Ferrell
• ALLIANCE MEMBER
• Fraud Investigator, Associate at Sentara Health Plans

• 
• Christopher Ferrin
• ALLIANCE MEMBER
• Manager of Pharmacy Programs at Samaritan Health Plans

• 
• Maura Fitzgerald
• ALLIANCE MEMBER
• Senior Associate, Managed Care Contracting at IU Health Plans

• 
• Angela Forbes
• ALLIANCE MEMBER
• Corporate Integrity Specialist at Health First Health Plans

• 
• Jim George
• ALLIANCE MEMBER
• Director at Neighborhood Health Plan of Rhode Island

• 
• Maria Gomez
• ALLIANCE MEMBER
• Covered CA Analyst at CCHP

• 
• Patti Grady
• ALLIANCE MEMBER
• Director Medical Management at CHRISTUS Health Plan

• 
• Erin Griffith
• ALLIANCE MEMBER
• Director at Geisinger Health Plan

• 
• Kaitlyn Hammond
• ALLIANCE MEMBER
• Director of Government Programs at Cox HealthPlans

• 
• Valerie Headrick
• ALLIANCE MEMBER
• Director Compliance Business Integration at Providence Health Plan

• 
• Elizabeth Heying
• ALLIANCE MEMBER
• Counsel & Compliance Manager at Medical Associates Health Plans

• 
• Megan Holly
• ALLIANCE MEMBER
• Government Programs Coordinator at Cox HealthPlans

• 
• Melissa Janes
• ALLIANCE MEMBER
• Director Physician and Clinical Services at MediGold

• 
• Nicolette Johnson
• ALLIANCE MEMBER
• Stars Program Manager at Community Health Plan of Washington

• 
• Joyce Juan
• ALLIANCE MEMBER
• Pharmacist Managed Care at Baylor Scott & White Health Plan

• 
• Shauri Kagie
• ALLIANCE MEMBER
• UR/CM Director at SelectHealth

• 
• Joleen Katula
• ALLIANCE MEMBER
• Interim Compliance Officer at HealthTeam Advantage

• 
• LaSandra Keen
• ALLIANCE MEMBER
• Director of Care Management at HealthTeam Advantage

• 
• Susan Kerrigan
• ALLIANCE MEMBER
• Manager Integrity Auditing and Monitoring at Health First Health Plans

• 
• Barb Koerperich
• ALLIANCE MEMBER
• Director of Health Care Services at Medical Associates Health Plans

• 
• Nana Ama Kuffour
• ALLIANCE MEMBER
• Division AVP, SHP Clinical Services at Samaritan Health Plans

• 
• Karina Li
• ALLIANCE MEMBER
• Government Programs Manager at CCHP

• 
• Kyle Lieneck
• ALLIANCE MEMBER
• Regulatory Affairs Manager at Johns Hopkins Health Plans

• 
• 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

• 
• Lindee Moore
• ALLIANCE MEMBER
• Program Manager at Providence Health Plan

• 
• Mai-Phuong Nguyen
• ALLIANCE MEMBER
• FWA Program Manager at Santa Clara Family Health Plan

• 
• Maggie Perritt
• ALLIANCE MEMBER
• HFHP Medical Integrity Officer at Health First Health Plans

• 
• Denise Rigden
• ALLIANCE MEMBER
• Director, Clinical Services Regulatory Oversight and Quality Assurance at Quartz Health Solutions

• 
• Melanie Rogers
• ALLIANCE MEMBER
• Benefit Specialist at CommunityCare

• 
• Tammy Rolfe
• ALLIANCE MEMBER
• Manager Health Equity at Health First Health Plans

• 
• Shawnna Romero
• ALLIANCE MEMBER
• Executive Director at Presbyterian Health Plan

• 
• Melissa Rusk
• ALLIANCE MEMBER
• Vice President Operations at SummaCare

• 
• Tracy Sasso
• ALLIANCE MEMBER
• Director of Integrated Care Coordination at Samaritan Health Plans

• 
• Tara Saucy
• ALLIANCE MEMBER
• Senior Compliance Specialist at Providence Health Plan

• 
• Janice Sawyer
• ALLIANCE MEMBER
• Senior Regulatory Auditor at Health Alliance Plan (HAP)

• 
• Clifton Schmidt
• ALLIANCE MEMBER
• Medicare Compliance Officer at SelectHealth

• 
• Brenda Schueller
• ALLIANCE MEMBER
• Regulatory Oversight & Quality Assurance Specialist at Quartz Health Solutions

• 
• Ellis Seligman
• ALLIANCE MEMBER
• Manager, Clinical Reporting Analyst at AvMed

• 
• Irina Shikin
• ALLIANCE MEMBER
• Sr. Regulatory Auditor at Health Alliance Plan (HAP)

• 
• Amber Smits
• ALLIANCE MEMBER
• Health Equity and Quality Revenue Program Manager at Network Health

• 
• Kamela Sooknanan
• ALLIANCE MEMBER
• Vice President, Population Health at Health First Health Plans

• 
• Sandy Spitale
• ALLIANCE MEMBER
• Chief Clinical Officer at Ochsner Health Plan

• 
• Patricia Suffern
• ALLIANCE MEMBER
• Chief Compliance Officer at MediGold

• 
• Yuri Sung
• ALLIANCE MEMBER
• Senior Specialist, Programming at Health Plan Alliance

• 
• Bonnie Swaney
• ALLIANCE MEMBER
• Sr. Project Manager at Samaritan Health Plans

• 
• Candace Toba
• ALLIANCE MEMBER
• Medicare Delegation Program Consultant at Providence Health Plan

• 
• Elaine Tucker
• ALLIANCE MEMBER
• Compliance Consultant at IU Health Plans

• 
• Lisa Turley
• ALLIANCE MEMBER
• RN Supervisor, Community Care Management Programs at HealthTeam Advantage

• 
• Erin Vickers
• ALLIANCE MEMBER
• Health Equity Program Manager at Capital District Physicians' Health Plan (CDPHP)

• 
• 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

• 
• Shila Waritu
• ALLIANCE MEMBER
• Accreditation Specialist at Health Partners Plans / Jefferson Health Plans (HPP/JHP)

• 
• Nancy Weber
• ALLIANCE MEMBER
• Clinical Integration Program Manager at Network Health

• 
• Alanna Welsh
• ALLIANCE MEMBER
• Project Manager at Providence Health Plan

• 
• John Willis
• ALLIANCE MEMBER
• Vice President Quality and Clinical Integration at Network Health

• 
• Trish Winkler
• ALLIANCE MEMBER
• Director Health Plan Quality at CHRISTUS Health Plan

• 
• Sherri Wynn
• ALLIANCE MEMBER
• HFHP Directory of Integrity at Health First Health Plans

• 
• Anna Yang
• ALLIANCE MEMBER
• Director, Pharmacy at Santa Clara Family Health Plan

• 
• Helen Yu
• ALLIANCE MEMBER
• Sales Director at CCHP