Explaining HPA 2023: Network Management (NET)
This course is open for Pre-registration. Content will be available in September.
Early Bird rate: $299 until August 1, 2022
Regular rate: $349 after August 1, 2022
Day One: Tuesday, September 13, 2022; 1-2:30pm ET
Day Two: Wednesday, September 14, 2022; 1-2:30pm ET
Explaining HPA 2023: Network Management (NET)
NCQA Health Plan Accreditation is the only program in the industry that bases results on clinical performance and consumer experience (HEDIS® and CAHPS®). This live, multi-day course webinar leads participants through an end-to-end examination of the Health Plan Accreditation standards for Network Management (NET). Through this webinar, faculty provides participants with insight to interpret the requirements, navigate the standards, and avoid misconceptions. In addition to answering live questions from participants, faculty addresses scenarios and examples based on performance improvement opportunities from prior NCQA surveys. Please note, this course presents information based on Health Plan Accreditation 2023 standard requirements that are released in July 2022. The scope of this course applies directly to NCQA Accreditation Surveys conducted between July 1, 2023, and June 30, 2024.
To inquire about group training rates, complete our online form.
- Evaluating adequacy of networks.
- Conducting qualitative and quantitative analyses.
- Demonstrating timeliness for network decisions.
- Assessing out-of-network utilization.
- Measuring effectiveness of interventions.
Benefits and Resources
- Presentation slides.
- Recording of live session.
- Live Q&A.
- Scenarios for applied learning.
- NCQA surveyor’s perspective of the standards.
- IPCE Credits for physicians, nurses, and pharmacists.
Clinicians, executives, managers, specialists, consultants, delegates and vendors who are employed or contracted by health plans with responsibilities pertaining to the scope of work listed below:
- Case Management.
- Compliance or Risk Management.
- Population Health Management of Public Health.
- Quality Assurance/Improvement or Performance Management.
- Contracts Management.
- Health Information Systems.
At the conclusion of this event, learners will be able to:
- Interpret the intent of Health Plan Accreditation requirements for NET Standards.
- Describe relationships and themes across NET Standards.
- Recognize requirement implications and considerations for stakeholders.
- Define performance improvement opportunities.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
Frank H. Stelling, M.Ed, MPH
Mr. Stelling is a Senior Consultant with The Mihalik Group. Prior to joining the Mihalik Group, he was Assistant Director, Accreditation Policy at NCQA for 14 years. Mr. Stelling oversaw the Policy Clarification Support System (PCS), a web-based tool for customers to ask questions of Policy Accreditation staff concerning all NCQA Accreditation and Certification programs. He also directed all education efforts out of the Policy Accreditation unit. In addition, Mr. Stelling was the lead on all federal and state deeming activities, including the Medicare Deeming program.
Mr. Stelling is also an NCQA surveyor and has been part of survey teams for the accreditation of Health Plans, Managed Behavioral Health Organizations. Disease Management Organizations and other organizations for over 17 years. Mr. Stelling has over 40 years of experience in health care with focus on Preventive Services, Disease Management and Quality Improvement.
Before joining NCQA, he held management positions with state and county health departments, hospitals, voluntary health organizations and a managed care organization. He holds a Master of Education from the University of South Carolina and a Master of Public Health from the University of California, Berkeley.
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 activity was planned by and for the healthcare team, and learners will receive 3.0 Interprofessional Continuing Education (IPCE) credit for learning and change.
This educational activity is approved for: 3.0 AMA PRA Category 1 CreditTM and ACPE.
This educational activity is approved for 3.0 nursing contact hours.*
The assigned universal program number UAN JA0004597-0000-22-015-L04-P: Upon successful completion of this program (attending the full session and completing a program evaluation), participants will access CPE Monitor on the ACPE website to locate and track their CPE statement of credit.
This live course grants 2.0 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.
- 3.00 AMA PRA Category 1 Credit™
- 3.00 ANCC
- 1.00 Participation
- 2.00 PCMH CCE