Washington, D.C.

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Comprehensive Quality Management: Process & Technology Tactics

  • November 14, 2018
  • 12:00 PM – 1:00 PM ET
  • Online
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The webinar presents a strategy of integrated performance management for payers, starting from HEDIS regulatory compliance and extending it to an enterprise-wide quality management vision spanning across all quality measure sets. Overall vision incorporates member & provider engagement strategies. It describes techniques that will help organizations in overcoming issues related to measure configuration, measure authorization and measure implementation.

  • All major reimbursement models — Medicare Advantage, MACRA/MIPS, Managed Medicaid, and even large group commercials — are driven increasingly by quality metrics that measure health outcomes, member satisfaction and process effectiveness.
  • Many regulatory and governing bodies including NCQA, CMS and ONC publish new measures and updates / modifications to existing measures on a frequent basis.
  • Operationalizing these measure sets has become a core competency that payers and providers must improve continuously. All aspects of people, process and technology need to be considered to realize intended gains in quality of care.

Speakers


Deepak Valecha
Senior Healthcare Consultant
Citius Tech

Deepak is an AHIP-certified Healthcare IT professional with 13 years of payer technology experience across project delivery, consulting & horizontal practice roles. This experience includes key projects for leading National & Regional payers, including in the areas of Quality management, Wellness & Rewards as well as a special interest in the area of Value Based Insurance Design (VBID).

Prior to joining CitiusTech, Deepak worked as a Senior Business Analyst with Syntel Inc.’s Healthcare practice.

Deepak holds a Master’s degree in Information Technology from Virginia Tech, as well as Post-Graduate Diploma in Systems Management from S.P. Jain Institute of Management & Research, Mumbai.


Barbara Fox
FluidEdge Consulting
Principal Healthcare Consultant

Barbara has over 23 years in the Healthcare Industry and 10 years of medical management software experience.  Specifically, she has extensive experience and success in business transformation for varying size Health Plans. Barbara’s unique domain expertise in the current industry trends for both business and technology has allowed her to act as a change agent for her clients.  Barbara has a proven track record in reorganization of medical management departments, workflow optimization, out sourcing / insourcing initiatives, model of care development, software product design and leveraging the best software options to achieve optimal end results. Barbara exploits her diverse skills to provide the client end to end business transformation while creating synergy and collaboration between organizational departments.