NCQA Product Updates for IHP
December 6, 2022
12:30 pm – 4:00 pm ET
December 7, 2022
12:30 pm – 4:00 pm ET
NCQA Product Updates for IHP: Health Plan Accreditation (HPA) 2023 and HEDIS®
During this two-day live training, NCQA will provide an in-depth review of topics from standards for Health Plan Accreditation. The training will also provide an update on new HEDIS® measures. Standard requirements for delegation are not included. This training is provided exclusively for the Institute for Health Policy at the Michigan State University and their learners.
Note: Times listed for this course are in Eastern Time.
Define specifications for recently development HEDIS® measures.
Explain new requirements for Health Plan Accreditation 2023.
Describe characteristics of reliable performance against NCQA standard requirements.
Identify opportunities for health plans to address population needs.
Discuss implications for standard requirements for Credentialing, Network Management, Population Health Management, Utilization Management, Member Experience, and Quality Management & Improvement.
Clint Koenig, MD, MSPH, MA
Clint Koenig, MD, MA, MSPH is the Senior Medical Director at OhioHealthy, a new system-based health plan in Columbus, Ohio. He has served as State Medical Director in New Hampshire and Ohio. Other leadership roles include the Health Plan Regional Chief Medical Officer at Universal American, a government programs health management organization in Syracuse, New York, as well as, the Director for Utilization Management at Monroe Plan for Medical Care, a healthcare management organization in Rochester, New York. In addition, Clint held Chief Medical Officer roles in Federally Qualified Health Centers and integrated delivery systems.
He has been an NCQA surveyor for 10 years and surveys health plans, Patient Centered Medical Home, Special Needs Plans and Long Term Services and Supports organizations.
Dr. Koenig received his MD from Albany Medical College in Albany, New York. He completed his residency in Family Medicine, from the University of Missouri. He also completed a fellowship at the University of Missouri, where he received a master’s degree in Public Health and Journalism.
Veronica Locke, MSHA
Veronica Locke, MHSA is a process consultant with the Health Care Service Corporation (HCSC) in Dallas, Texas. Prior to joining HCSC, Veronica was a consultant for The Mihalik Group, providing healthcare-related consulting services. Her areas of expertise include quality assessment and improvement; credentialing; delegation; disease management accreditation/certification; population health management; multicultural health care.
Veronica is the former Senior Manager of Accreditation Policy for the National Committee for Quality Assurance. She was actively involved in the development and maintenance of the standards and guidelines of NCQA's Accreditation and Certification programs, specifically Health Plan, Disease Management and Multicultural Health Care Distinction programs. As a member of the Policy team, one of her major responsibilities was to serve as a content champion when providing policy clarifications and trainings internally and externally.
She received her Bachelor of Science Degree in Public Health from the University of Maryland, College Park and her Master of Health Systems Administration Degree from Georgetown University in Washington, DC.
Cindy Ottone, MHA
Cindy Ottone is Director of Policy Measures in Performance Measurement at NCQA. She supports the development and implementation of HEDIS and other NCQA measures. Ms. Ottone represents the policy perspective on several NCQA projects, including Measure Advisory Panels, the Audit Methodology Panel and HEDIS Data Submission. She also supports areas where NCQA measures are used in other organizations’ programs including, QRS/Exchanges, the CHIPRA Core Set, QPP and NQF.
Prior to working at NCQA, Ms. Ottone was assigned to quality measurement and improvement at Companion HealthCare, a Blue Cross Blue Shield HMO. While at Companion, Ms. Ottone focused her efforts on HEDIS measurement and reporting, Disease Management Programs, and Quality Improvement Activities in both the clinical and operations areas. Ms. Ottone has also worked in large provider practices with their billing systems and strategic planning.
Ms. Ottone received her Bachelor of Arts in Health Science and Policy from the University of Maryland, Baltimore. She received a Master of Health Administration from the University of South Carolina, School of Public Health. Ms. Ottone is on the Board of Trustees at Palmetto Richland Hospital and has previously served as adjunct faculty at George Washington University School of Medicine and Health Sciences and University of South Carolina School of Public Health.
Currently, Ms. Ottone serves her community as a Trustee on the Richland Memorial Hospital Board of Trustees and the Prisma Health Midlands Board of Directors.
In support of improving patient care, the National Committee for Quality Assurance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC) to provide Interprofessional Continuing Education for the healthcare team.
This educational activity is approved for: 6.5 AMA PRA Category 1 CreditTM.
This educational activity is approved for 6.5 nursing contact hours.*
This live course grants 4.0 Continuing Education Unit (CEU) points for PCMH Certified Content Experts.
* Please note – You must attend the entire program to be eligible for total number of contact hours.
- 6.50 AMA PRA Category 1 Credit™
- 6.50 ANCC
- 6.50 IPCE
- 1.00 Participation
- 4.00 PCMH CCE