Events

The Medical Home concept was first presented as a model of care for children with special needs in the 1960s and 1970s. It has since evolved as the utility of the model was recognized in treating adults with chronic illnesses. The Patient-Centered Medical Home model has recently emerged as an approach that combines medical homeness with patient-centered care. 

ACHP will host a collaborative to create a robust medical home model that simultaneously addresses customer experience, health outcomes and per capita costs while leveraging the close plan-providers ties that characterize our plans. This web conference is the first of this collaborative.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

During this Web conference, Eric Stock, Operations Support Manager at UPMC Health Plan, will describe UPMCs innovative strategies to increase electronic claims submissions. Eric Stock will share UPMCs success in containing costs and increasing productivity, efficiency, and accuracy through the implementation of UPMCs OnLine Claims Submission Tool (CST), provider eLearning solution, promotional vehicles, and internal incentives.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page.  To receive the password, please email Ashna Chowdhury at Send Email.** 

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

The Medical Home concept was first presented as a model of care for children with special needs in the 1960s and 1970s. It has since evolved as the utility of the model was recognized in treating adults with chronic illnesses. The Patient-Centered Medical Home model has recently emerged as an approach that combines medical homeness with patient-centered care.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

The topic for the February 2008 meeting was impacting cost trend. Discussion focused on a variety of methods for managing trend, including:  

Several ACHP member plans have been active in adapting best practices from other industries to benefit their members. Group Health Cooperative, in Washington State, has taken that commitment a step further by replicating 'The Toyota Way' across an entire line of business, Health Plan Operations, in 2006. In 2007 Group Health Cooperative made the commitment to adopt the LEAN methodology in all of its strategy, planning, cross functional work and daily team work.

During this web conference Group Health Cooperative's Karl Hoover, MA, Executive Director of the Quality & Informatics Division, Lee Fried, Senior LEAN Consultant, and Ted Eytan, MD, Medical Director of Health Informatics and Web Services will share Group Health's journey with the audience. Several ACHP member plans have been active in adapting best practices from other industries to benefit their members. Group Health Cooperative, in Washington State, has taken that commitment a step further by replicating 'The Toyota Way' across an entire line of business, Health Plan Operations, in 2006.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

Related Docs:
View Event Announcement
View Presentation by Ted Eytan, MD, Lee Fried & Karl Hoover, Group Health Cooperative
Website: GH Lean Blog

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

The Medical Home concept was first presented as a model of care for children with special needs in the 1960s and 1970s. It has since evolved as the utility of the model was recognized in treating adults with chronic illnesses. The Patient-Centered Medical Home model has recently emerged as an approach that combines medical homeness with patient-centered care.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

During this Web Conference, Dr. John Fox MD, MHA, AVP of Medical Affairs at Priority Health will discuss their approach to managing the demand for diagnostic imaging in the Michigan Market. He will highlight the key drivers of success and discuss the lessons learned as they developed their program. 

Current medical management strategies focus on moderating traditional approaches to meet the needs of both. Prior authorization processes have evolved into prior notification systems with decision support for providers. Open Access has replaced the need for patients to obtain referrals from primary care physicians to see specialists. The ability of these new programs to contain costs and ensure appropriate delivery of care is being tested by many ACHP plans.


**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

ACHP's 2007 HealthPlan Performance Gauge can be used to benchmark HEDIS medical utilization performance.  During this presentation, ACHP staff will describe the utilization benchmarking features of the HealthPlan Performance Gauge and demonstrate how to analyze your organizations utilization performance. 

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

Primary care redesign and innovative marketplace solutions were delivered, discussed and debated at the 21^st Annual ACHP Boards of Directors Symposium in Scottsdale, Ariz. March 30-April 1. CEOs, Medical Directors and other leaders of ACHPs member plans gathered to swap ideas, network with colleagues and learn from industry experts new ways to think about plan governance, chronic care management, community benefit, the future of health care and other priorities for community-based health plans.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the password, please email Ashna Chowdhury at Send Email.** 

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page.  To receive the password, please email Ashna Chowdhury at Send Email.** 

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

The Medical Home concept was first presented as a model of care for children with special needs in the 1960s and 1970s. It has since evolved as the utility of the model was recognized in treating adults with chronic illnesses. The Patient-Centered Medical Home model has recently emerged as an approach that combines medical homeness with patient-centered care.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

Paul T. Doyle, Principal, Paul T. Doyle & Associates, LLC

With 27 years in healthcare management and 10 years managing community health improvement programs to address health care disparities, Paul will share his knowledge and experience in developing and implementing a methodology to support an organizations structural capacity to produce a culturally competent workforce and provide culturally competent patient care. Participants will learn how to indentify systematic gaps that inhibit the ability to provide quality care to all patients. Paul will present the Culturally & Linguistically Appropriate Services standards (CLAS) and HRSAs Organizational Cultural Competence Assessment Profile as frameworks for measuring organizational cultural competence.

The Medicare Advantage market is evolving rapidly. New products, benefit packages and competitors are entering markets in every county, changing the market positions of established Medicare plans. In order to help our members better understand premium, demographic, payment and enrollment dynamics in their marketplaces, ACHP has developed new MA market snapshot reports, customizable to every state or county in the country.

During this web conference Adam Zavadil, Manager of Market Strategy and Analysis at ACHP, will describe the information in these snapshot reports and inform plans how they can obtain this information for their current and future Medicare Advantage service areas.

Examples of Medicare Advantage market snapshot reports are linked below:

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page.  To receive the password, please email Estelle Acquah at Send Email.**

Several ACHP member plans have been active in adapting best practices from other industries to benefit their members. In our second Web Conference exploring our members use of LEAN operations processes, Kaiser Permanente Colorados Performance Improvement Learning team will discuss the structure and progress of LEAN learning efforts within their organization. It will also showcase an example of how they have used LEAN methods to enhance revenue cycle front-desk collection within their clinics.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

The Medical Home concept was first presented as a model of care for children with special needs in the 1960s and 1970s. It has since evolved as the utility of the model was recognized in treating adults with chronic illnesses. The Patient-Centered Medical Home model has recently emerged as an approach that combines medical homeness with patient-centered care.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the Member Login password, please email Ashna Chowdhury at Send Email.** 

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page.  To receive the password, please email Ashna Chowdhury at Send Email.**  .** 

ACHP member plans will be briefed via conference call by Dr. Jeffrey Kelman at the CMS Center for Beneficiary Choices CY2008 quality reporting requirements for Medicare SNP plans.  

CMS intends to post the quality data for the open enrollment period this fall.  Also, as you know, the reporting requirements are important in answering the policy question, of interest to Congress and others, of whether SNPs show better performance for the population they serve compared to traditional Medicare Advantage plans.  This conference call is an opportunity to discuss the administrative issues involved in meeting the CMS requirements for collecting data at the plan level.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the password, please email Ashna Chowdhury at Send Email.**

Over that last several years, the commercial insurance market has increasingly moved toward high-deductible benefit designs. In Medicare however, while high-deductible benefit designs connected to health savings accounts (MSAs) have been available for several years, their uptake has been more limited than other Medicare Advantage products. One plan that has had relative success with this benefit design is Geisinger Health Plan of Danville, Pa. 

During this presentation, Jon Cummins, Director of Government Programs Marketing and Product Development will present the basics of the MSA product, their marketing strategy selling the product, their experience with current enrollees in the product and their future plans for this product in their current portfolio.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the password, please email Ashna Chowdhury at Send Email.**

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

The ACHP Policy Committee, which includes all Board members who wish to participate, will continue discussions begun at the June Board meeting on the content and strategy of ACHP activity on health care reform and Medicare reform.

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the password, please email Ashna Chowdhury at Send Email.**

The Partners Program is a UPMC Health Plan primary care physician strategy that incorporates the elements of the Patient Centered Medical Home, the Chronic Care Model, and their Quality Incentive Rewards Program to improve access to care, clinical quality, clinical and administrative efficiency, care coordination, and patient as well as physician satisfaction.

 
**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page. To receive the password, please email Ashna Chowdhury at Send Email.**

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

**ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page.  To receive the password, please email Estelle Acquah at Send Email.** 

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality. 

 **ACHP Members can view details of this event, including Web conference and conference call access information, presentations, recorded Web casts and other documents, by logging-in at the Member Login box located in the upper-right-hand-corner of this page.  To receive the password, please email Ashna Chowdhury at Send Email.**

This regular monthly meeting of ACHP's Legislative Committee discusses ACHP action on ongoing and emerging public policy issues that impact health care quality.