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Managing Medicare and Medicaid Programs in the Age of COVID-19

  • July 16, 2020
  • 12:00 PM – 1:00 PM ET
  • online
about

Medicare Advantage and Medicaid Managed Care together cover more than 85.9 million Americans. With the recent economic impacts of COVID-19, that number will grow, challenging the health insurance providers that serve these populations of complex beneficiaries to maintain quality of care and compliance standards in the face of a sharp increase in number of covered lives.

Attendees will learn: 

  • Which data and analytics are needed to understand your patient population and better target marketing efforts relative to CMS guidelines
  • How to design interventions to help improve population health through increased member engagement and improved care management services
  • How to strengthen provider relationships, quality improvement, and care coordination
  • How insights from your data can support line of business transformation
  • How increased operational efficiency will help reduce the burden of regulatory compliance

Speakers


Brandi Hodor
Analytic Advisor
IBM Watson Health

Brandi Hodor brings more than 17 years of experience in healthcare informatics and analytics from both the provider and the payer perspective to our company’s Payer Analytics & Consulting team. Since joining our company, Brandi has driven strategic initiatives integrating sociodemographic, health, and productivity data, and designing reporting outputs to fit health plan and employer business needs. She has also helped clients implement predictive modeling projects and has created a number of analytic tools for forecasting.

Prior to joining Truven Health Analytics, Ms. Hodor held roles in corporate financial planning for Allegiance Health and Health Plan of Michigan. Her experience includes the conceptualization and implementation of Provider Profiling models, forecasting the viability of moving the health plan to new markets, payment integrity analytics, and design and implementation of quality improvement programs. Much of her work has been focused on identifying opportunities and developing strategies to maximize revenue with a focus on data analysis to address business initiative.

Ms. Hodor holds a Bachelor of Science degree in Applied Mathematics & Statistics from Missouri University of Science and Technology.


Michelle McAllister, MPH
Director, Consulting
Truven Health

Michelle McAllister is currently a Director, Consulting at Truven Health, and has been with the company since 1999. She leads CMS certification efforts with our clients, including State of Maine Medicaid, State of Delaware Medicaid, State of West Virginia Medicaid, State of Tennessee APCD, and State of Colorado Medicaid. She also conducts scope and price analytic projects; manages project delivery within time and budget constraints to ensure quality of deliverables; and identifies opportunities beyond the contract scope. With more than 15 years’ experience in health care data management and analysis, she has a thorough understanding of the unique needs of Medicaid customers, and significant experience conducting analyses of Medicaid health care data.

Prior to her appointment as Director, she served as Manager of Client Services, where her duties included serving as the primary daily client contact and leading a team supporting the design, development, and implementation of our healthcare information systems and consulting services. Earlier in her career at Truven Health, her positions included Consulting Manager, Analytic Consultant, and Senior Database Consultant.

Ms. McAllister earned her Bachelor of Science degree from Marymount College in Tarrytown, New York and her Master of Public Health in Epidemiology from Emory University, in Atlanta, Georgia.

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