HealthcareWebSummit
 
Home Page  | Upcoming Events  |  Past Events  |  Registration  |   Attendees  |  More Info  |  LinkedIn
 
How much is your data costing you? Implications of outdated, incomplete, and missing data in health care 
 
Overview
Day to day business processes like member outreach and regulatory compliance can cost your health plan millions of dollars if the data you depend on is inaccurate, incomplete, or missing.

New regulations like Medical Loss Ratio (MLR) attach penalties to simple operational processes that involve getting information into the hands of members. MLR specifically penalizes plans $100 a day for not getting a rebate check in the right hands. How will you ensure your checks are not “returned to sender” because of an incorrect address?

Data also impacts how well health plans comply with performance reporting standards like HEDIS. Scores can be affected by your inability to contact and enroll members in the appropriate wellness programs. Is that a risk your plan is willing to take?
Learning Objectives
Participants will learn the importance of:
  1. Updating contact information for members including cell phone numbers and email addresses
  2. Reducing your volume of returned mail
  3. Appending missing data elements to comply with current regulations
Who Should Attend
Interested attendees would include:
  • Clinical Quality Executives and Staff
  • Compliance Executives and Staff
  • Operations Executives and Staff
  • Member Outreach Executives and Staff

Attendees would represent organizations including:

  • Public Payers
  • Private Payers
  • Business Process Organizations
Registration
How much is your data costing you? Implications of outdated, incomplete, and missing data in health care 
 
  Registration is Complimentary for qualified applicants. Applications will be accepted by the Summit co-sponsor according to their criteria. Applicants approved for registration will be notified by Summit within approximately seven business days of application or sooner.
 
 
Register Now   Click here to register (Registration deadline is Friday, January 25th, 2013 at 5 PM Eastern.) We look forward to your participation in this event!
 
 
Faculty
 
Pam Jodock

Pam Jodock
Director of Commercial Business Development for Health Care
LexisNexis


 

Pam is the Director of Commercial Business Development for Health Care at LexisNexis Risk Solutions. She is responsible for developing strategic partnerships with forward thinking allies interested in improving health care cost and quality outcomes through the application of data analytics; monitoring and participating in healthcare-related policy discussions; and promoting the use of comprehensive ID management tools, provider risk scoring, and social network analytics to prevent and detect health care fraud across the nation.

Prior to joining LexisNexis Pam served as Issues Management Director for the Public Policy area of WellPoint, the nation’s largest commercial health insurer, where she was responsible for identifying key emerging public policy issues and working with business units across the enterprise and external business partners to develop a strategy for effectively managing those issues. One of her most critical assignments involved the adoption and promotion of national health information technology (HIT) standards and uniform operating rules to support an economic and efficient health care delivery system.

Pam’s background includes project management for the medical affairs portion of a four-state system conversion project for The Regence Group, the largest affiliation of health-care plans in the Pacific Northwest/Mountain State region, and nearly ten years’ experience managing state and federal regulatory and legislative relationships for large commercial health insurers. She earned her BS in Politics, Philosophy and Economics from Eastern Oregon University and has been with LexisNexis since the fall of 2010.


 
Karl Weimer

Karl Weimer
Associate Director for Quality Improvement
UnitedHealthcare


 

Karl has analyzed managed care clinical data and identified opportunities for quality improvement interventions, in addition to assessing the impact of those interventions across member and provider engagement efforts since 1995. His experience spans commercial, Medicare, dual-eligible, and Medicaid populations at the state and national levels.

He is currently the Associate Director for Quality Improvement within UnitedHealthcare’s national Quality Management and Performance division, focusing on Medicaid and dual-eligibles. He is responsible to build “best in class” national quality initiatives that place UHC Community & State at the forefront nationally for quality improvement impacting members and improve HEDIS/state mandated quality metrics, collaborating with the local health plans.
In his role, he supports the Director of HEDIS Improvement in the identification, development, implementation, improvement and monitoring of national quality improvement initiatives. This includes analyzing data, conducting barrier analysis, identifying best practices, and facilitating the design and implementation of improvement activities in national and state-critical quality performance measurement areas to meet regulatory mandates.

Karl received his Masters of Public Health from the University of Pittsburgh in 1995.

 


 
Kathy Mosbaugh

Kathy Mosbaugh
Director of State Government Health Care
LexisNexis


 

Kathy Mosbaugh is Director of State Government Health Care for LexisNexis Health Care Solutions. In her current role, Ms. Mosbaugh works with government health care agencies to identify opportunities where information-rich analytic tools can be leveraged to address the key challenges of Health Information Exchange, Fraud, Waste and Abuse and Identity Management.

Prior to her current role, Ms. Mosbaugh held several positions within Reed Elsevier’s Clinical Decision Support division. During her tenure, she led several initiatives involving chronic disease management, medication reconciliation, quality measurement (pay-for-performance) reporting, and health data standards. In addition, Ms. Mosbaugh’s leadership and expertise in knowledge-based clinical systems, HIPAA standards, electronic prescribing, and partner relations were instrumental in the development of such efforts as EMPOWERx and KatrinaHealth earning awards for visionary applications of information technology and demonstrating quality and innovation in improving the delivery of healthcare through the medication use process.

Ms. Mosbaugh has more than a decade of experience in developing health information technology solutions including ICERx.org, a national collaboration to support the continuity of care for patients affected by a disaster. Ms. Mosbaugh holds a MPH from University of South Florida. She currently resides in Tampa, Florida.

 
HealthcareWebSummit events from MCOL  
1101 Standiford Ave. Suite C-3 Modesto, CA 95350
Phone 209.577.4888  | e-Mail
infohws@healthwebsummit.com  |  Fax 209.577.3557
copyright , MCOL All rights reserved. Terms of Use apply to this site and participation in events.