Quality improvement and risk adjustment teams often work in silos, leading to missed opportunities. Aligning these teams creates seamless care experiences and improves engagement. In this webinar, experts share behavioral science-driven strategies to help health plans bridge the gap, optimize performance and enhance member health.
Presenters:
- Kimberly Swanson, Chief of Staff, Healthmine
- Tracy Tracy, Vice President of Compliance, Healthmine
- Amit Rahman, MD, Principal Sales Engineer, ComplexCare Solutions
- James Clement, Vice President of Products and Services, ComplexCare Solutions
Key takeaways:
- Plan ahead. Work backward from your go-live date to review vendor contracts and member materials.
- Define success metrics for members, providers, and employees.
- Hold regular risk and quality meetings to assess performance and optimize timing.
- Engage compliance teams early to meet regulatory requirements.
- Invest in platforms that aggregate member data for a 360° view.
- Use predictive analytics and behavioral science for personalized outreach.
- Continuously test and refine the member experience for clarity and ease.
Complete the form to get access and learn how the alignment of quality and risk improve member engagement and health outcomes.
Align Quality and Risk to Improve Engagement and Health Outcomes
Quality improvement and risk adjustment teams often work in silos, leading to missed opportunities. Aligning these teams creates seamless care experiences and improves engagement. In this webinar, experts share behavioral science-driven strategies to help health plans bridge the gap, optimize performance and enhance member health.
Presenters:
- Kimberly Swanson, Chief of Staff, Healthmine
- Tracy Tracy, Vice President of Compliance, Healthmine
- Amit Rahman, MD, Principal Sales Engineer, ComplexCare Solutions
- James Clement, Vice President of Products and Services, ComplexCare Solutions
Key takeaways:
- Plan ahead. Work backward from your go-live date to review vendor contracts and member materials.
- Define success metrics for members, providers, and employees.
- Hold regular risk and quality meetings to assess performance and optimize timing.
- Engage compliance teams early to meet regulatory requirements.
- Invest in platforms that aggregate member data for a 360° view.
- Use predictive analytics and behavioral science for personalized outreach.
- Continuously test and refine the member experience for clarity and ease.
Complete the form to get access and learn how the alignment of quality and risk improve member engagement and health outcomes.
Speakers
Kimberly is a healthcare expert with more than 15 years of experience advising health plans through her robust knowledge of quality improvement solutions. Utilizing her strategic insights into HEDIS scores, NCQA measures, Star Ratings, Health Equity, population health management, and member satisfaction, Kimberly develops innovative strategies for connecting patients to care and improving plan performance for her clients. Kimberly has completed a Foundations of Health Equity Research certification through John Hopkins University.
Tracy has more than 30 years of experience working with healthcare organizations, including payors, retail pharmacy, and health tech companies. Tracy is a licensed attorney, focused on compliance, privacy and regulatory support and guidance. Tracy also has specialization in CPA, anti-kickback law, FWA prevention, privacy/HIPAA regulations and requirements.
James Clement helps health plans implement optimal member engagement programs to serve their specific quality improvement and risk score accuracy requirements. At ComplexCare Solutions (CCS), he also focuses on identifying internal development and external partnerships to enhance CCS products and to drive greater value for clients.
Align Quality and Risk to Improve Engagement and Health Outcomes
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Quality improvement and risk adjustment teams often work in silos, leading to missed opportunities. Aligning these teams creates seamless care experiences and improves engagement. In this webinar, experts share behavioral science-driven strategies to help health plans bridge the gap, optimize performance and enhance member health.
Presenters:
- Kimberly Swanson, Chief of Staff, Healthmine
- Tracy Tracy, Vice President of Compliance, Healthmine
- Amit Rahman, MD, Principal Sales Engineer, ComplexCare Solutions
- James Clement, Vice President of Products and Services, ComplexCare Solutions
Key takeaways:
- Plan ahead. Work backward from your go-live date to review vendor contracts and member materials.
- Define success metrics for members, providers, and employees.
- Hold regular risk and quality meetings to assess performance and optimize timing.
- Engage compliance teams early to meet regulatory requirements.
- Invest in platforms that aggregate member data for a 360° view.
- Use predictive analytics and behavioral science for personalized outreach.
- Continuously test and refine the member experience for clarity and ease.
Complete the form to get access and learn how the alignment of quality and risk improve member engagement and health outcomes.
Featured presenters
Kimberly is a healthcare expert with more than 15 years of experience advising health plans through her robust knowledge of quality improvement solutions. Utilizing her strategic insights into HEDIS scores, NCQA measures, Star Ratings, Health Equity, population health management, and member satisfaction, Kimberly develops innovative strategies for connecting patients to care and improving plan performance for her clients. Kimberly has completed a Foundations of Health Equity Research certification through John Hopkins University.
Tracy has more than 30 years of experience working with healthcare organizations, including payors, retail pharmacy, and health tech companies. Tracy is a licensed attorney, focused on compliance, privacy and regulatory support and guidance. Tracy also has specialization in CPA, anti-kickback law, FWA prevention, privacy/HIPAA regulations and requirements.
James Clement helps health plans implement optimal member engagement programs to serve their specific quality improvement and risk score accuracy requirements. At ComplexCare Solutions (CCS), he also focuses on identifying internal development and external partnerships to enhance CCS products and to drive greater value for clients.
