North Dakota Chapter

Size: px
Start display at page:

Download "North Dakota Chapter"

Transcription

1 Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 94% FY17 Overall High Satisfaction: 80% Favorable/Unfavorable FY17 to FY18: 14% *FY18 High Satisfaction calculated by summing the total of respondents scoring 4 stars and 5 stars on the HFMA Overall question found on page 2 of the attached report. New Chapter Member Survey and Report Format We have completely revised the chapter survey and report this year with the aim of transitioning to a more experienced based and simplified measure of member engagement. Member loyalty measured with net promoter score. Perception of chapter services measured with star ratings. Member interests reflected in top three topics selected. Barriers to attending chapter events indicated by members. Perceptions of the chapter by new members. Verbatim comments offer illustrations of member experience. All questions illustrated again from the standpoint of members from provider and payer settings (business partners excluded). Thank You! We deeply appreciate all the work that you do to provide value to our members and we strive to provide tools to assist you in this effort. Please contact chapter@hfma.org for questions regarding this report.

2 January 2018 Sample Size: 113 Responses Received: 34 Response Rate: 30% FY18 Net Promoter Score: 75 FY18 All Chapter Average Net Promoter Score: 50 The average American company scores far lower on NPS than our average chapter, while the highest rated companies scores range from 50 to 80. Many successful corporations have an NPS that is in the 50s or above. Superior performers such as Amazon.com had a score of 76 and Apple, Inc. had a score of 71. The median national membership experience scores at 51. Our top performing chapters (top quartile) scored over 63. FY18 Net Promoter Score Benchmarks: 10th 25th Median Your FY18 Net Promoter Score is composed of: 75th Promoters Passives Detractors 78% 1 3% 90th detailed NPS information on page 2 Online survey conducted by HFMA on behalf of the chapter. Sample is composed of regular chapter members not listed as chapter officers or directors that have been HFMA members since at least September 1, Survey Timeline: First request with link to online survey sent on October 17, Second with link to survey sent to non-respondents on October 23, Third request to complete survey sent to non-respondents on October 30,

3 Net Promoter Score: an indicator of customer loyalty Q1. On a scale from 1-10, how likely are you to recommend your chapter to a friend or colleague? Detractors Passives Promoters Count Percent 0% 0% 0% 0% 0% 3% 0% 3% 16% 25% 53% Overall All 3% 11% 1 28% 78% 61% FY18 Net Promoter Score: 75 All FY18 Average Net Promoter Score: 50 Star ratings of various aspects of chapter services to members How many stars out of 5 would you give to your chapter on each of these aspects of service 1 Star 2 Stars 3 Stars 4 Stars 5 Stars All 5 Star Your Chapter Percent 5 Stars Producing quality educational programming 0% 0% 15% 2 56% 4 56% Addressing the right issues and topics Locating events where I can access them Keeping me up to date on state and regional issues Providing connections to others in my field Providing easy access to information Chapter networking opportunities 0% 0% 18% 35% 47% 46% 3% 3% 3 45% 50% 0% 3% 12% 36% 48% 51% 3% 0% 15% 33% 48% 4 0% 0% 21% 32% 47% 48% 0% 3% 12% 35% 50% 50% 47% 45% 48% 48% 47% 50% HFMA chapter overall 0% 0% 6% 38% 56% 53% 56% 2

4 Top Topics: members asked to select their top three topics Percent of time selected Please select your top three preferred topics from the list All North Dakota Chapter Your Chapter Managing bundled payments 8% Accounting and financial reporting issues related to emerging payment models 26% 31% 31% Improving front end revenue cycle processes 23% Changes in Medicare reimbursement policies 25% 34% 34% Compliance in Medicare regulations 16% 25% 25% Managing and measuring the total cost of care 25% 44% 44% Improving the patient financial experience 18% 13% 13% Negotiating contracts with value based payment mechanisms 14% 16% 16% Prevention and management of denials 18% Operationalizing structures and processes to reflect changing payment models 23% 22% 22% Financial data analytics and business intelligence 38% 34% 34% State legislative and regulatory update 27% 22% 22% State Medicaid program 1 13% 13% Local payors and employers response to ongoing change in healthcare 20% 1 1 Attending an educational event When was the last time that you attended a chapter event? Within the last 6 months 61% Within the past 2 years More than 2 years ago Never Within the past year 18% Within the past 2 years Within the past year Within the last 6 months More than 2 years ago Never 3% 3

5 Attendence Barriers Percent of time selected Which barriers prevent you from attending events more frequently? All North Dakota Chapter Your Chapter Event content not relevent to my job or misses the mark 30% 33% 33% The audience present does not support meaningful networking 8% 3% 3% The locations are not accessible to me 22% 10% 10% The quality of events does not meet expectations 4% 0% 0% N/A: (I usually attend / live out of the area / I work in a different field / etc.) 4 53% 53% New Member* Perceptions Sample: 7 Percent of Respondents: 21% I received a personal welcome from my HFMA chapter All North Dakota Chapter Disagree 8% 0% 16% 17% 76% 83% I understand how to become more engaged with my HFMA chapter Disagree Disagree 8% 0% 24% 33% 68% 67% * Questions presented to members joining from June 1, 2015 through September 1,

6 Please suggest how we can improve if you are unable to provide us with 5 star ratings. Time since last attended an educational event Zip Code first three < 6 months 581 digits Comment The chapter needs to address why the large organizations and their affiliates are not attending the meetings as well as why the small independents are not participating. This used to be a very active chapter with well connected members. The chapter and national HFMA have lost this connection over the past several years. < 1 year 584 More variety of educational topics < 1 year 587 If there is an electronic membership directory, I have not been able to find it, so I have been relying on my old, somewhat outdated hardcopy directory. Also, electronic copies of all presentation materials would be very helpful, and should be automatically sent to all members who attended the presentation or conference. < 2 years 582 Focus over the last couple of years has remained heavily on coding rather than on the overall financial 'business' of healthcare and impacts of changes to the industry. Things such as bundle payments, continuously reviewing the government's plan(s), cost analysis and reduction strategies, Lean, etc. are areas where more educational opportunities could be focused. < 2 years 587 Schedule an educational event in Minot. It's closer than Bismarck for everyone from Grand Forks to Williston. 5

7 Please describe any other topics that you would like to see our HFMA chapter address this year. Time since last attended an educational event Zip Code first three digits Comment < 6 months 581 It is concerning that the items seem to miss the true issues of Healthcare Financial Management. The topic are very focused on revenue cycle only. This is not the Revenue Cycle Management Association. The chapter and national organization need to step back and get a better understanding of the financial management needs of the facilities. Where are the sessions on staffing, benchmarks, ACOs, physician compensation models, etc? There is more to HFMA than revenue cycle. < 2 years 587 These are very good choices. I could have picked 3 more from the list. 6

8 Please elaborate on the barriers that you selected above, what would make our chapter's events so compelling that you would have to attend? Please also offer any other comments you would like to offer our chapter. Time since last attended an educational event Zip Code first three digits Comment < 6 months 581 Too busy. Tough to get away. < 6 months 581 While I appreciate the involvement of vendors, I am not interesting in attending "vendor fests." I joined for networking and that have become very sparse. < 6 months 581 My firm sends many representatives to ND HFMA events so some times I am not able to attend because the topics are more relevant to others. < 6 months 585 Sometimes the events are broad and more general, where as I am mostly reimbursement related. < 6 months 585 Sometimes I'm just to busy to attend. < 1 year 584 Some of the topics are always the same at events and it doesn't seem like there is new information. < 1 year 587 Travel costs < 2 years 582 My role is primarily in financial analytics with a focus on business intelligence and cost accounting. Topics have not tended to relate greatly to my position. < 2 years 587 We have some tight deadlines the first 8-10 days of the month. It's hard to get away. > 2 years 581 My current position is not in the health care industry. > 2 years 583 I changed positions within my company, I elected to keep my membership and value the resources 7

9 - Provider/Payer Dataset January 2018 Provider/Payer Responses Received: 24 Provider/Payer percent of all Responses Received: 71% FY18 Net Promoter Score: 70 FY18 All Chapter Average Net Promoter Score: 50 FY18 Net Promoter Score Benchmarks: 10th 25th Median 75th 90th Your FY18 Net Promoter Score is composed of: Promoters Passives Detractors 74% 22% 4% detailed NPS information on page 2 Online survey conducted by HFMA on behalf of the chapter. Sample is composed of regular chapter members not listed as chapter officers or directors that have been HFMA members since at least September 1, Survey Timeline: First request with link to online survey sent on October 17, Second with link to survey sent to non-respondents on October 23, Third request to complete survey sent to non-respondents on October 30,

10 - Provider/Payer Dataset Net Promoter Score: an indicator of customer loyalty Q1. On a scale from 1-10, how likely are you to recommend your chapter to a friend or colleague? Detractors Passives Promoters Count Percent 0% 0% 0% 0% 0% 4% 0% 4% 17% 26% 48% Overall P/P All 4% 11% 22% 28% 74% 61% FY18 Net Promoter Score: 70 P/P All FY18 Average Net Promoter Score: 50 Star ratings of various aspects of chapter services to members How many stars out of 5 would you give to your chapter on each of these aspects of service 1 Star 2 Stars 3 Stars 4 Stars 5 Stars P/P All 5 Star Your Chapter Percent 5 Stars Producing quality educational programming 0% 0% 17% 2 54% 48% 54% Addressing the right issues and topics 0% 0% 25% 2 46% 46% 46% Locating events where I can access them 4% 4% 43% 3 48% 3 Keeping me up to date on state and regional issues 0% 0% 13% 3 48% 51% 48% Providing connections to others in my field 0% 0% 22% 26% 52% 4 52% Providing easy access to information 0% 0% 21% 33% 46% 48% 46% Chapter networking opportunities 0% 0% 13% 38% 50% 50% 50% HFMA chapter overall 0% 0% 8% 33% 58% 53% 58% 9

11 - Provider/Payer Dataset Top Topics: members asked to select their top three topics Percent of time selected Please select your top three preferred topics from the list P/P All North Dakota Chapter Your Chapter Managing bundled payments 8% Accounting and financial reporting issues related to emerging payment models 26% 30% 30% Improving front end revenue cycle processes 21% 4% 4% Changes in Medicare reimbursement policies 25% 30% 30% Compliance in Medicare regulations 15% 17% 17% Managing and measuring the total cost of care 27% 52% 52% Improving the patient financial experience 16% Negotiating contracts with value based payment mechanisms 15% 17% 17% Prevention and Management of Denials 1 Operationalizing structures and processes to reflect changing payment models 22% 22% 22% Financial data analytics and business intelligence 40% 43% 43% State legislative and regulatory update 25% 22% 22% State Medicaid program 20% 17% 17% Local payors and employers response to ongoing change in healthcare 1 17% 17% Attending an educational event When was the last time that you attended a chapter event? Within the last 6 months 54% Within the past 2 years More than 2 years ago Never Within the past year 25% Within the past 2 years 13% More than 2 years ago 8% Within the past year Within the last 6 months Never 0% 10

12 - Provider/Payer Dataset Attendence Barriers Percent of time selected Which barriers prevent you from attending events more frequently? P/P All North Dakota Chapter Your Chapter Event content not relevent to my job or misses the mark 32% 43% 43% The audience present does not support meaningful networking 4% 0% 0% The locations are not accessible to me 26% 10% 10% The quality of events does not meet expectations 4% 0% 0% N/A: (I usually attend / live out of the area / I work in a different field / etc.) 46% 48% 48% New Member* Perceptions Sample: 5 Percent of Respondents: 15% I received a personal welcome from my HFMA chapter Disagree P/P All North Dakota Chapter 7% 0% 15% 0% Disagr Not Sure ee I understand how to become more engaged with my HFMA chapter Disagree 78% 100% 7% 0% 23% 20% Disagree Not Disagree Sure 6 80% * Questions presented to members joining from June 1, 2015 through September 1,

Texas Gulf Coast Chapter

Texas Gulf Coast Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 82% FY17 Overall High Satisfaction: 64% Favorable/Unfavorable FY17 to FY18: 18% *FY18 High Satisfaction calculated by summing the total of respondents

More information

San Diego Imperial Chapter

San Diego Imperial Chapter San Diego Imperial Scores for CBSC: FY18 Overall High Satisfaction*: 88% FY17 Overall High Satisfaction: 67% Favorable/Unfavorable FY17 to FY18: 21% *FY18 High Satisfaction calculated by summing the total

More information

Southern Illinois Chapter

Southern Illinois Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 85% FY17 Overall High Satisfaction: 76% Favorable/Unfavorable FY17 to FY18: 9% *FY18 High Satisfaction calculated by summing the total of respondents scoring

More information

Central Pennsylvania Chapter

Central Pennsylvania Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 96% FY17 Overall High Satisfaction: 75% Favorable/Unfavorable FY17 to FY18: 21% *FY18 High Satisfaction calculated by summing the total of respondents

More information

Georgia Chapter. Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 91%

Georgia Chapter. Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 91% Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 91% FY17 Overall High Satisfaction: 69% Favorable/Unfavorable FY17 to FY18: 22% *FY18 High Satisfaction calculated by summing the total of respondents

More information

McMahon Illini Chapter

McMahon Illini Chapter McMahon Illini Chapter Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 95% FY17 Overall High Satisfaction: 64% Favorable/Unfavorable FY17 to FY18: 31% *FY18 High Satisfaction calculated by summing

More information

Northern California Chapter

Northern California Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 70% FY17 Overall High Satisfaction: 68% Favorable/Unfavorable FY17 to FY18: 2% *FY18 High Satisfaction calculated by summing the total of respondents scoring

More information

New Hampshire Vermont Chapter

New Hampshire Vermont Chapter New Hampshire Vermont Chapter Chapter Scores for CBSC: FY18 Overall High Satisfaction*: 100% FY17 Overall High Satisfaction: 70% Favorable/Unfavorable FY17 to FY18: 30% *FY18 High Satisfaction calculated

More information

Healthcare Financial Management Association

Healthcare Financial Management Association January 2016 Sample Size: 246 Responses Received: 70 Response Rate: 28% Overall High Satisfaction: 76% Overall Balanced Scorecard Target: 55% or 5% Improvement over FY15 FY15 Overall High Satisfaction:

More information

Healthcare Financial Management Association

Healthcare Financial Management Association January 2014 Sample Size: 136 Responses Received: 43 Response Rate: 32% Overall High Satisfaction: 67% Overall Balanced Scorecard Target: 60% or 5% Improvement over FY13 FY13 Overall High Satisfaction:

More information

Healthcare Financial Management Association

Healthcare Financial Management Association January 2014 Sample Size: 114 Responses Received: 31 Response Rate: 27% Overall High Satisfaction: 59% Overall Balanced Scorecard Target: 60% or 5% Improvement over FY13 FY13 Overall High Satisfaction:

More information

How Bundled Payments Create Value in New Product Designs Cognizant

How Bundled Payments Create Value in New Product Designs Cognizant How Bundled Payments Create Value in New Product Designs 1 About Cognizant 2 This Will Not Take Long. 3 What is a Health Insurance Product? 4 Understanding Product Design Commercial Insurance One specific

More information

UnitedHealth Group Third Quarter 2017 Results Teleconference Prepared Remarks October 17, 2017

UnitedHealth Group Third Quarter 2017 Results Teleconference Prepared Remarks October 17, 2017 UnitedHealth Group Third Quarter 2017 Results Teleconference Prepared Remarks October 17, 2017 Moderator: Good morning, I will be your conference operator today. Welcome to the UnitedHealth Group Third

More information

THE FAST AND THE FURIOUS REVENUE CYCLE (A.K.A.) THE REVENUE CYCLE OF THE FUTURE

THE FAST AND THE FURIOUS REVENUE CYCLE (A.K.A.) THE REVENUE CYCLE OF THE FUTURE THE FAST AND THE FURIOUS REVENUE CYCLE - 3.0 (A.K.A.) THE REVENUE CYCLE OF THE FUTURE INDUSTRY ANALYSIS 82% of people say price is the most important factor when making a healthcare purchasing decision*

More information

Maintaining Cash Management Health

Maintaining Cash Management Health JUNE 2012 BANK OF AMERICA MERRILL LYNCH WHITE PAPER Maintaining Cash Management Health Unprecedented changes herald new challenges for healthcare providers. Table of Contents EXECUTIVE SUMMARY Affordable

More information

Discussion Paper: What do a toaster, holidays and injury management have in common?

Discussion Paper: What do a toaster, holidays and injury management have in common? The Impact of Compensation on Recovery Discussion Paper: What do a toaster, holidays and injury management have in common? The NPS and its relevance to the personal injury and disability management sector.

More information

TOP 10 METRICS TO MAXIMIZE YOUR PRACTICE S REVENUE

TOP 10 METRICS TO MAXIMIZE YOUR PRACTICE S REVENUE TOP 10 METRICS TO MAXIMIZE YOUR PRACTICE S REVENUE Billing and Reimbursement for Physician Offices, Ambulatory Surgery Billings & Reimbursements Here are the Top Ten Metrics. The detailed explanations

More information

Payment Adjustments & Hardship Exceptions for Eligible Hospitals and CAHs Last Updated: March 2014

Payment Adjustments & Hardship Exceptions for Eligible Hospitals and CAHs Last Updated: March 2014 Payment Adjustments & Hardship Exceptions for Eligible Hospitals and CAHs Last Updated: March 2014 Overview As part of the American Recovery and Reinvestment Act of 2009 (ARRA), Congress mandated payment

More information

Member Research Update

Member Research Update Member Research Update AUDREY MORSE GASTEIER Director of Policy and Outreach MARISSA WOLTMANN Associate Director of Policy and ACA Implementation Board of Directors Meeting, October 13, 2016 Overview Today

More information

Pacific Dental EDI ABOUT THE AUTHOR

Pacific Dental EDI ABOUT THE AUTHOR Pacific Dental EDI ABOUT THE AUTHOR Tim Olsen has been involved in healthcare IT for over 26 years. Currently he is the EDI architect at Pacific Dental Services. His primary responsibilities are to increase

More information

5010: Frequently Asked Questions

5010: Frequently Asked Questions 5010: Frequently Asked Questions ICD 10 Hub: 5010 FAQ Page 1 Table of Contents If you are viewing this document on your computer, simply hold down your Control button and click on the question to be taken

More information

PRICE TRANSPARENCY Frequently Asked Questions

PRICE TRANSPARENCY Frequently Asked Questions PRICE TRANSPARENCY Frequently Asked Questions Introduction Price transparency is one of the most confusing topics in today s healthcare world. Healthcare consumers are becoming more engaged and asking

More information

acknowledging the importance of BAI accounts

acknowledging the importance of BAI accounts REPRINT SEPTEMBER 2011 FEATURE STORY Steve Levin healthcare financial management association www.hfma.org acknowledging the importance of BAI accounts Hospitals should not underestimate the importance

More information

THE $10,000 QUESTION: TACKLING THE COMPLEXITIES OF VALUE-BASED PHYSICIAN COMPENSATION

THE $10,000 QUESTION: TACKLING THE COMPLEXITIES OF VALUE-BASED PHYSICIAN COMPENSATION THE $10,000 QUESTION: TACKLING THE COMPLEXITIES OF VALUE-BASED PHYSICIAN COMPENSATION HFMA First Illinois Chapter August 12, 2014 Stu Schaff Manager, DGA Partners Agenda > Background & Context > Measures

More information

Aligning PQRS and Meaningful Use. Maximize your Medicare Reimbursement

Aligning PQRS and Meaningful Use. Maximize your Medicare Reimbursement Aligning PQRS and Meaningful Use Maximize your Medicare Reimbursement INTRODUCTION Brux McClellan, MPH, MHA Project Coordinator, HealthInsight Payment Adjustments Incentive $$ & Payment Adjustments Value

More information

HIPAA 5010 Frequently Asked Questions

HIPAA 5010 Frequently Asked Questions HIPAA 5010 Frequently Asked Questions Table of Contents 1. Navicure s Online Claim Form........5 Q: Will the format change on Navicure s online HCFA 1500 claim form?... 5 2. General 5010 Questions.............5

More information

METHOD TO THE MADNESS TODAY S PRESENTER LEARNING OUTCOMES HTH FL Boot Camp. 10 payment collection strategies that work

METHOD TO THE MADNESS TODAY S PRESENTER LEARNING OUTCOMES HTH FL Boot Camp. 10 payment collection strategies that work METHOD TO THE MADNESS METHOD TO THE MADNESS 10 payment collection strategies that work 10 payment collection strategies that work Visit availity.com to download the full e-book TODAY S PRESENTER Colleen

More information

Surviving The Storm 10/6/2015. Physicians Are Feeling the Pain

Surviving The Storm 10/6/2015. Physicians Are Feeling the Pain Surviving The Storm REMAINING AN INDEPENDENT PHYSICIAN PRACTICE Physicians Are Feeling the Pain Financially Squeezed Decline in reimbursement and loss of income Overhead, malpractice insurance and working

More information

Eligibility and Point of Service Collection Practices that Work

Eligibility and Point of Service Collection Practices that Work Eligibility and Point of Service Collection Practices that Work Douglas Turek Senior VP of Regulatory and Governmental Affairs MedData (formerly Cardon Outreach and Alegis) TAHFA Roadshow Dallas, Texas

More information

Checkup on Health Insurance Choices

Checkup on Health Insurance Choices Page 1 of 17 Checkup on Health Insurance Choices Today, there are more types of health insurance, and more choices, than ever before. The information presented here will help you choose a plan that is

More information

6 Ways to Get Your Invoices Paid on Time

6 Ways to Get Your Invoices Paid on Time 6 Ways to Get Your Invoices Paid on Time by Carrie Smith 9 min read If you re having trouble getting invoices paid by your customers, you re not alone. A 2015 study from Fundbox found that 64 percent of

More information

Evidence of Coverage:

Evidence of Coverage: January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of AvMed Medicare Choice Broward County (HMO) This booklet gives

More information

CareCredit. Because only CareCredit has: 7 million active cardholders with an average of 9,300 additional

CareCredit. Because only CareCredit has: 7 million active cardholders with an average of 9,300 additional Your guide to The Exclusive collection of resources available O N L Y from CareCredit made it possible for me to hear. I was able to purchase digital hearing aids for myself. As the years went by I also

More information

Wage Index Training NWO HFMA. February 15, 2018

Wage Index Training NWO HFMA. February 15, 2018 Wage Index Training NWO HFMA February 15, 2018 What is Wage Index? Section 1886(d)(3)(E) of the Social Security Act, Adjusting for Different Area Wage Levels, requires that as part of the methodology for

More information

2019 Enrollment Guide

2019 Enrollment Guide 2019 Enrollment Guide Complete Your Medicare Insurance Enrollment for Coverage in 2019 2 Contact us by phone: 1-844-287-9945 Introducing Via Benefits Trusted advisor to more than a million Medicare-eligible

More information

2017 Your. Connector Access Guide

2017 Your. Connector Access Guide 2017 Your Connector Access Guide 2 Contact us via phone: 1-844-287-9945 Important! The deadline to enroll in new Medicare plans is CoverageEndDate. How to Contact Us Please take a moment to review this

More information

Evidence of Coverage:

Evidence of Coverage: January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Regence BlueAdvantage HMO This booklet gives you the details about

More information

2018 Evidence of Coverage

2018 Evidence of Coverage 2018 Evidence of Coverage PREMERA BLUE CROSS MEDICARE ADVANTAGE TOTAL HEALTH (HMO) Total Health HMO premera.com/ma January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services

More information

SISC PPO 65+ Retiree Medical Coverage Form for Medical and Prescription Drug Benefits (Continuous enrollment in Medicare A&B required)

SISC PPO 65+ Retiree Medical Coverage Form for Medical and Prescription Drug Benefits (Continuous enrollment in Medicare A&B required) District Use Only District Name: SISC PPO 65+ Retiree Medical Coverage Form for Medical and Prescription Drug Benefits (Continuous enrollment in Medicare A&B required) SISC will automatically enroll member(s)

More information

2018 Getting Started Guide

2018 Getting Started Guide 2018 Getting Started Guide Prepare for Your 2018 Medicare Coverage Enrollment IMPORTANT! Your current health plan ends on CoverageEndDate. ClientName has chosen Via Benefits to work with

More information

Evidence of Coverage:

Evidence of Coverage: January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Regence MedAdvantage + Rx Enhanced (PPO) This booklet gives you

More information

Healthcare Reform and Its Impact on the Care Delivery System

Healthcare Reform and Its Impact on the Care Delivery System Healthcare Reform and Its Impact on the Care Delivery System Agenda 1) The Era of Healthcare Reform 2) Healthcare Reform and Post-Acute Care 3) Succeeding in the Reform Era: Managing the Continuum of Health

More information

PATIENT CARE PROGRAM FAQ & APPLICATION

PATIENT CARE PROGRAM FAQ & APPLICATION PATIENT CARE PROGRAM FAQ & APPLICATION GenomeDx is committed to ensuring access to all patients eligible for Decipher Through our Patient Care Program, we offer programs designed to ensure testing is affordable

More information

Evidence of Coverage

Evidence of Coverage January 1 December 31, 2018 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Kaiser Permanente Senior Advantage (HMO) This booklet gives you

More information

Cutting Edge Issues Related to. April 16, Payments to Physicians Under P4P Compensation Models

Cutting Edge Issues Related to. April 16, Payments to Physicians Under P4P Compensation Models Cutting Edge Issues Related to Payments to Physicians Under P4P Compensation Models April 16, 2014 2515 McKinney Avenue, Suite 1500 Dallas, Texas 75201 Telephone: 214.369.4888 Fax: 214.369.0541 3100 West

More information

OneExchange Newsletter for Medicare-eligible Retirees. Helpful Internet Links. Medicare has neither reviewed, nor endorsed, this information.

OneExchange Newsletter for Medicare-eligible Retirees. Helpful Internet Links. Medicare has neither reviewed, nor endorsed, this information. Information Center 2305 South 1070 West Salt Lake City, UT 84119 PRST FIRST CLASS U.S. POSTAGE PAID SALT LAKE CITY, UT PERMIT # 766 John Doe 1000 Broadway Avenue San Francisco, CA 00000 Visit us online:

More information

Frequently Asked Questions (FAQs) About the LIPITOR Savings Program*

Frequently Asked Questions (FAQs) About the LIPITOR Savings Program* Frequently Asked Questions (FAQs) About the LIPITOR Savings Program* *Terms and conditions apply. Please see page 9 for details. You may pay less by receiving the generic. Below are some FAQs about the

More information

Q SPECIAL TOPIC REPORT: PROVIDER-OWNED HEALTH PLANS

Q SPECIAL TOPIC REPORT: PROVIDER-OWNED HEALTH PLANS THE ACADEMY LUMERIS STRATEGIC TRACKING SURVEY Q3 2018 SPECIAL TOPIC REPORT: PROVIDER-OWNED HEALTH PLANS SEPTEMBER 2018 PROVIDER-OWNED HEALTH PLANS INTRODUCTION As health systems increasingly participate

More information

HEALTH INSURANCE HAS CHANGED. You may now be able to get health insurance for you and your family. Health Plan of Nevada

HEALTH INSURANCE HAS CHANGED. You may now be able to get health insurance for you and your family. Health Plan of Nevada HEALTH INSURANCE HAS CHANGED. You may now be able to get health insurance for you and your family. Health Plan of Nevada INDIVIDUAL PLANS ON EXCHANGE SOMETIMES, IT S NOT EASY TO UNDERSTAND THE HEALTH CARE

More information

2018 Evidence of Coverage

2018 Evidence of Coverage 2018 Evidence of Coverage PREMERA BLUE CROSS MEDICARE ADVANTAGE (HMO) HMO premera.com/ma January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug

More information

Our philosophy of care governs everything we do for you. It consists of the following key elements:

Our philosophy of care governs everything we do for you. It consists of the following key elements: Welcome to our office! We appreciate the confidence and trust that you have placed in us and look forward to meeting you personally and professionally. Our philosophy of care governs everything we do for

More information

Financial and Operational Benchmarking

Financial and Operational Benchmarking Financial and Operational Benchmarking Jonathan Chapman Director of Community Health Center Advisory Services October 24, 2017 1 Capital Link - Overview Launched in 1995, nonprofit, HRSA national cooperative

More information

Aetna Group Medicare Advantage Frequently Asked Questions

Aetna Group Medicare Advantage Frequently Asked Questions Aetna Group Medicare Advantage Frequently Asked Questions Providers & the Aetna Network 1. How do I find out if my providers are in the Aetna Medicare Advantage Network or if they accept the Aetna plan?

More information

THE ERISA INDUSTRY COMMITTEE Advocating the Employee Benefit and Compensation Interests of America s Major Employers

THE ERISA INDUSTRY COMMITTEE Advocating the Employee Benefit and Compensation Interests of America s Major Employers THE ERISA INDUSTRY COMMITTEE Advocating the Employee Benefit and Compensation Interests of America s Major Employers FINDINGS FROM SURVEY OF LARGE EMPLOYERS ON HEALTH PLAN IDENTIFIERS (HPID) AND CONTROLLING

More information

Best Practice Recommendation for

Best Practice Recommendation for Best Practice Recommendation for Exchanging Explanation of Payment Information between Providers and Health Plans (using 5010v transactions) For use with ANSI ASC X12N 5010v Health Care Claim (837) Health

More information

2018 Connector Access Guide

2018 Connector Access Guide 2018 Connector Access Guide OneExchange is now Via Benefits! Please make a note of our new name and logo as you will be receiving information from Via Benefits for your Medicare coverage choices. 2 Contact

More information

Experience Choice OneExchange Newsletter for Medicare-eligible Retirees Enrollment Issue

Experience Choice OneExchange Newsletter for Medicare-eligible Retirees Enrollment Issue Experience Choice OneExchange Newsletter for Medicare-eligible Retirees Enrollment Issue About This Newsletter You re receiving this semi-annual newsletter because our records show that you ve enrolled

More information

Sent via electronic transmission to:

Sent via electronic transmission to: March 3, 2017 Patrick Conway, MD Acting Administrator Centers for Medicare and Medicaid Services US Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 Sent via electronic

More information

Evidence of Coverage

Evidence of Coverage January 1 December 31, 2018 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Kaiser Permanente Medicare Advantage (HMO) This booklet gives you

More information

***THIS FOLLOWING DOCUMENT APPLIES TO THOSE WHO ARE SIGNING UP FOR MEMBERSHIP ONLY***

***THIS FOLLOWING DOCUMENT APPLIES TO THOSE WHO ARE SIGNING UP FOR MEMBERSHIP ONLY*** ***THIS FOLLOWING DOCUMENT APPLIES TO THOSE WHO ARE SIGNING UP FOR MEMBERSHIP ONLY*** MEMBERSHIP PARTICIPATION AGREEMENT This MEMBERSHIP PARTICIPATION AGREEMENT (the Agreement ) is by and between the undersigned

More information

Evidence of Coverage:

Evidence of Coverage: January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Bright Advantage HMO This booklet gives you the details about

More information

New Client Intake Package

New Client Intake Package (P) 425-251-6335 (P) 877-425-MEDS (F) 425-251-6337 (New Client Fax) 425-697-9227 www.readymedspharmacy.com New Client Intake Package Welcome and thank you for choosing Ready Meds Pharmacy for your pharmacy

More information

Evidence of Coverage:

Evidence of Coverage: January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Bright Advantage Plus HMO This booklet gives you the details about

More information

Physician groups what goes wrong, how do we avoid it? Subtitle: Physicians, Change, and Maximizing Employed Physician Performance

Physician groups what goes wrong, how do we avoid it? Subtitle: Physicians, Change, and Maximizing Employed Physician Performance Physician groups what goes wrong, how do we avoid it? Subtitle: Physicians, Change, and Maximizing Employed Physician Performance Thomas Ferkovic Managing Partner SS&G Healthcare Chicago tferkovic@ssandg.com

More information

Getting Started Guide

Getting Started Guide 2018 Getting Started Guide Prepare for your 2018 Medicare coverage enrollment IMPORTANT! Your current health plan ends on December 31, 2017. Your Annual Conference or employer and Wespath Benefits and

More information

Advancing Risk Capability in 2015: Medicare Shared Savings Program and ACO Investment Model. March 23, 2015 // 12:00 P.M. 1:00 P.M.

Advancing Risk Capability in 2015: Medicare Shared Savings Program and ACO Investment Model. March 23, 2015 // 12:00 P.M. 1:00 P.M. Advancing Risk Capability in 2015: Medicare Shared Savings Program and ACO Investment Model March 23, 2015 // 12:00 P.M. 1:00 P.M. EST CENTER FOR INDUSTRY TRANSFORMATION The DHG Healthcare Center for Industry

More information

THE FAST AND THE FURIOUS Revenue Cycle 3.0

THE FAST AND THE FURIOUS Revenue Cycle 3.0 THE FAST AND THE FURIOUS Revenue Cycle 3.0 HFMA Arkansas Fall Conference October 19, 2017 Jorge Fernandez, Business Development Principal Availity Hospital Solutions Division HFMA Lone Star Chapter Secretary,

More information

Evidence of Coverage:

Evidence of Coverage: January 1 December 31, 2018 Evidence of Coverage: Your Medicare Prescription Drug Coverage as a Member of Blue Shield Rx Plus (PDP) This booklet gives you the details about your Medicare prescription drug

More information

EVIDENCE OF COVERAGE. AdvantageOptimum Coordinated Choice Plan (HMO)

EVIDENCE OF COVERAGE. AdvantageOptimum Coordinated Choice Plan (HMO) 2018 FRESNO LOS ANGELES MERCED ORANGE RIVERSIDE SAN BERNARDINO SANTA CLARA SAN DIEGO SAN JOAQUIN STANISLAUS COUNTIES EVIDENCE OF COVERAGE AdvantageOptimum Coordinated Choice Plan (HMO) H5928_18_006_EOC_CC

More information

Deutsche Bank 42 nd Annual Healthcare Conference

Deutsche Bank 42 nd Annual Healthcare Conference Deutsche Bank 42 nd Annual Healthcare Conference May 3 rd, 2017 Safe Harbor Provisions These forward-looking statements speak only as of the date hereof and this presentation contains forward-looking statements

More information

EVIDENCE OF COVERAGE JANUARY 1 - DECEMBER 31, 2018

EVIDENCE OF COVERAGE JANUARY 1 - DECEMBER 31, 2018 EVIDENCE OF COVERAGE JANUARY 1 - DECEMBER 31, 2018 H8854_18_1127_001_OE1 CMS Accepted: 08/28/2017 Form CMS 10260-ANOC-EOC (Approved 05/2017) OMB Approval 0938-1051 (Expires May 31, 2020) January 1 December

More information

Billing and Collections Knowledge Assessment

Billing and Collections Knowledge Assessment Billing and Collections Knowledge Assessment Message to the manager who may use this assessment tool: All or portions of the following questions can be used for interviewing/assessing candidates for open

More information

UnitedHealth Group Fourth Quarter and Full Year 2017 Results Teleconference Prepared Remarks January 16, 2018

UnitedHealth Group Fourth Quarter and Full Year 2017 Results Teleconference Prepared Remarks January 16, 2018 UnitedHealth Group Fourth Quarter and Full Year 2017 Results Teleconference Prepared Remarks January 16, 2018 Moderator: Good morning, I will be your conference operator today. Welcome to the UnitedHealth

More information

NJ CarePoint Green PPO Plan

NJ CarePoint Green PPO Plan Clover NJ CarePoint Green PPO Plan Your Evidence of Coverage: All the Details of Your 2018 NJ CarePoint Green PPO Plan January 1 December 31, 2018 E v i d e n c e o f C o v e r a g e : Your Medicare Health

More information

E-Commerce Enrollment

E-Commerce Enrollment Electronic Claims Submission HCIQ will electronically submit your primary carrier, professional claims. Please refer to our payer list to view the insurance companies that we currently submit to. Electronic

More information

SPECIAL REPORT: Elder Law: Asset Protection Planning Explained

SPECIAL REPORT: Elder Law: Asset Protection Planning Explained Call today: 757-399-7506. We help families navigate the legal maze and implement plans to secure their futures. SPECIAL REPORT: Elder Law: Asset Protection Planning Explained ELDER LAW: ASSET PROTECTION

More information

1. If I have PACE or PACENET, why should I enroll in Part D?

1. If I have PACE or PACENET, why should I enroll in Part D? The following Questions and Answers address program policies and procedures as they relate to how the PACE Program is working with Medicare Part D in 2012 1. If I have PACE or PACENET, why should I enroll

More information

Scripps Health ACO Update

Scripps Health ACO Update June 2016 Scripps Health ACO Update Marc Reynolds Senior Vice President, Payer Relations Scripps Health Anil N. Keswani, MD Corporate Vice President, Population Health Management Scripps Health 10 Key

More information

KPIs & KEIs for Success

KPIs & KEIs for Success The Smart Manager Series (#3) KPIs & KEIs for Success Key principles & Survival Kit Tools October 2018 Smart Pharma Consulting Table of Contents 1. Introduction p. 2 2. Definitions p. 3 3. How to choose

More information

HPM Institute Live National Podcast: "How Brokers Can Use Technology to Help Clients Achieve Lower Health Costs and Better Health Outcomes"

HPM Institute Live National Podcast: How Brokers Can Use Technology to Help Clients Achieve Lower Health Costs and Better Health Outcomes HPM Institute Live National Podcast: "How Brokers Can Use Technology to Help Clients Achieve Lower Health Costs and Better Health Outcomes" Featured Guests: ERIK DAVIS and SCOTT HAAS, Wells Fargo Insurance

More information

HOW TO SET UP DENTAL INSURANCE PLANS IN DENTRIX FOR TRACKING INDIVIDUAL PLAN PERFORMANCE TO SEE THE WINNERS AND THE LOSERS

HOW TO SET UP DENTAL INSURANCE PLANS IN DENTRIX FOR TRACKING INDIVIDUAL PLAN PERFORMANCE TO SEE THE WINNERS AND THE LOSERS HOW TO SET UP DENTAL INSURANCE PLANS IN DENTRIX FOR TRACKING INDIVIDUAL PLAN PERFORMANCE TO SEE THE WINNERS AND THE LOSERS JILL NESBITT PRACTICE ADMINISTRATOR & DENTAL CONSULTANT MISSION 77, LLC 615-970-8405

More information

LOS ANGELES & ORANGE COUNTIES EVIDENCE OF COVERAGE. AdvantageOptimum Plan (HMO) H5928_18_006_EOC_AO_LAOC Accepted

LOS ANGELES & ORANGE COUNTIES EVIDENCE OF COVERAGE. AdvantageOptimum Plan (HMO) H5928_18_006_EOC_AO_LAOC Accepted 2018 LOS ANGELES & ORANGE COUNTIES EVIDENCE OF COVERAGE AdvantageOptimum Plan (HMO) H5928_18_006_EOC_AO_LAOC Accepted Table of Contents 1 January 1 December 31, 2018 Evidence of Coverage: Your Medicare

More information

Rewards and Incentives Drive Member Engagement and Improve Star Ratings a Proven Model!

Rewards and Incentives Drive Member Engagement and Improve Star Ratings a Proven Model! Entertainment Corporate Marketing Solutions White Paper Rewards and Incentives Drive Member Engagement and Improve Star Ratings a Proven Model! Introduction Since 200, the Medicare Prescription Drug, Improvement,

More information

HIPAA Special Considerations: Individual Right to Request Restriction of Uses and Disclosures of PHI Voluntary and Mandatory

HIPAA Special Considerations: Individual Right to Request Restriction of Uses and Disclosures of PHI Voluntary and Mandatory HIPAA Special Considerations: Individual Right to Request Restriction of Uses and Disclosures of PHI Voluntary and Mandatory A Presentation Developed by: Erin MacLean, Freeman & MacLean, P.C. & Deb Micu,

More information

Building the Healthcare System of the Future O R A C L E W H I T E P A P E R F E B R U A R Y

Building the Healthcare System of the Future O R A C L E W H I T E P A P E R F E B R U A R Y Building the Healthcare System of the Future O R A C L E W H I T E P A P E R F E B R U A R Y 2 0 1 7 Introduction Healthcare in the United States is changing rapidly. An aging population has increased

More information

RELEASE OF INFORMATION/AUTHORIZATION OF BENEFITS

RELEASE OF INFORMATION/AUTHORIZATION OF BENEFITS RELEASE OF INFORMATION/AUTHORIZATION OF BENEFITS I hereby authorize the holder of medical or other information about me to release to the Social Security Administration, Centers for Medicare and Medicaid

More information

YEAR END CUT-OFF DATES

YEAR END CUT-OFF DATES YEAR END CUT-OFF DATES Policy Title: Year End Cut-Off Dates Policy Type: Administrative Policy Number: # 43-35 (2014) Approved: 04/03/2015 Responsible Office: Procurement Services Responsible Executive:

More information

Evidence of Coverage

Evidence of Coverage PEOPLES HEALTH January 1 December 31, 2018 Evidence of Coverage Peoples Health Choices Gold (HMO) 2018 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as

More information

MACRAnomics. Patient-Level Economics and Strategic Implications for Providers. Presented to: NW Ohio HFMA October 20, 2016

MACRAnomics. Patient-Level Economics and Strategic Implications for Providers. Presented to: NW Ohio HFMA October 20, 2016 MACRAnomics Patient-Level Economics and Strategic Implications for Providers Presented to: NW Ohio HFMA October 20, 2016 Property of HealthScape Advisors Strictly Confidential 2 MACRAnomics: Objectives

More information

The Top Five Healthcare Leadership Challenges in the Industry for 2017 JEOPARDY

The Top Five Healthcare Leadership Challenges in the Industry for 2017 JEOPARDY The Top Five Healthcare Leadership Challenges in the Industry for 2017 JEOPARDY Lyman Sornberger Chief Healthcare Strategy Officer Capio Partners LLC Bethesda Hospital March 31, 2017 1 Presented by: Lyman

More information

Driving healthcare savings and satisfaction ACCOLADE METHODOLOGY AND RESULTS. With cost savings methodology attestation by Milliman, Inc.

Driving healthcare savings and satisfaction ACCOLADE METHODOLOGY AND RESULTS. With cost savings methodology attestation by Milliman, Inc. Driving healthcare savings and satisfaction ACCOLADE METHODOLOGY AND RESULTS With cost savings methodology attestation by Milliman, Inc. 1 Achieving Results through Innovation In 2008, the Institute of

More information

Advocate Medicare Resource

Advocate Medicare Resource Advocate Medicare Resource Understanding Medicare Options About this Guidebook This guidebook has been designed to assist Medicare beneficiary patients in understanding the basics of Medicare and Medicare

More information

Billing and Collections Knowledge Assessment

Billing and Collections Knowledge Assessment Billing and Collections Knowledge Assessment Message to the manager who may use this assessment tool: All or portions of the following questions can be used for interviewing/assessing candidates for open

More information

SUBJECT: SUSTAINABLE PARK DATE: February 24, 2017 MAINTENANCE

SUBJECT: SUSTAINABLE PARK DATE: February 24, 2017 MAINTENANCE COUNCIL AGENDA: 2/28/17 ITEM: 5.1 CITY OF SAN JOSE CAPITAL OF SILICON VALLEY Memorandum TO: HONORABLE MAYOR AND CITY COUNCIL FROM: Councilmembers Rocha & Jimenez SUBJECT: SUSTAINABLE PARK DATE: February

More information

We will begin our presentation in 5 minutes. As a friendly reminder, please remember to silence your phones. Thank you for your participation.

We will begin our presentation in 5 minutes. As a friendly reminder, please remember to silence your phones. Thank you for your participation. Welcome! We will begin our presentation in 5 minutes. As a friendly reminder, please remember to silence your phones. Thank you for your participation. 1 Maternal Infant Health Program (MIHP) December

More information

Evidence of Coverage:

Evidence of Coverage: January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Health Net Gold Select (HMO) This booklet gives you the details

More information

9/23/2016. Our Services. Transitioning from Fee-for-Service to Value-based Reimbursement. Key Trends and Strategies for Rural Health Providers

9/23/2016. Our Services. Transitioning from Fee-for-Service to Value-based Reimbursement. Key Trends and Strategies for Rural Health Providers Transitioning from Fee-for-Service to Value-based Reimbursement Key Trends and Strategies for Rural Health Providers Paul MacLellan, CEO >> Health care consulting company >> Wholly owned subsidiary of

More information

Frequently Asked & Answered Questions NY Health and Medicare

Frequently Asked & Answered Questions NY Health and Medicare Frequently Asked & Answered Questions NY Health and Medicare Pending state legislation known as NY Health would ensure that ALL New Yorkers have comprehensive insurance coverage through a single payer

More information

FRH18EOC88V1. Evidence of Coverage. Freedom Platinum Plan Rx (HMO) H5427_2018_AEOC_088_Aug2017_CMS Accepted

FRH18EOC88V1. Evidence of Coverage. Freedom Platinum Plan Rx (HMO) H5427_2018_AEOC_088_Aug2017_CMS Accepted FRH18EOC88V1 2018 Evidence of Coverage Freedom Platinum Plan Rx (HMO) H5427_2018_AEOC_088_Aug2017_CMS Accepted January 1 December 31, 2018 Evidence of Coverage: Your Medicare Health Benefits and Services

More information

Stakeholder Innovation Group (SIG):

Stakeholder Innovation Group (SIG): Stakeholder Innovation Group (SIG): Intake Form for New Payment Model Idea that Requires State/Federal Approval (to be added to the Innovations Website) Purpose: The purpose of this form is to collect

More information