Health plans today need to enhance care quality and ensure compliance to regulatory needs such as NCQA HEDIS. This means that they need to aggregate claims data, clinical data and supplemental data and calculate quality and performance metrics. This puts significant pressure on existing data aggregation and analytics processes, making it difficult for health plans to execute daily HEDIS compliance runs and get faster access to the latest information.
This webinar will provide an overview of how Health Plans can accelerate HEDIS computations, improve quality scores, enhance provider engagement and close gaps-in-care.
By participating in this webinar, attendees will learn:
Who should attend: Payers – Leadership, Directors, Managers in areas of Clinical data, Quality, Informatics, IT, Medical Management, and Provider Network Management
Shitang Patel, Sr. Healthcare Consultant, CitiusTech
Shitang Patel is a Senior Healthcare Consultant at CitiusTech, with 15 years of experience spanning healthcare management and health policymaking settings. His expertise includes business transformation, payer-provider integration and contracting, product design and implementation, core admin system evaluation and selection, business process reengineering, value-based insurance design, financial reporting and consumer-centric operations. Prior to CitiusTech, Shitang worked for PwC Health Industries Advisory (serving payer and provider clients), AcademyHealth and EP&P Consulting (health services research and policymaking in Washington D.C.).
Shitang holds a Master’s degree in Health Services Administration from University of Michigan.
Jeffrey Springer, Vice President, Product Management, CitiusTech
Jeff drives the product management and strategy in various areas of healthcare, from payer to provider, clinical to financial, analytics to transactional at CitiusTech. In his over 15 years of healthcare industry experience, Jeff has worked with leading healthcare technology vendors including Siemens, Medecision, McKesson and CareScience. He also founded the first payer-provider contract management company in the country.
Jeff holds a Mechanical Engineering Degree and an MBA from University of Pennsylvania – The Wharton School where he graduated as a Palmer Scholar (top 5%).