Developing Relationships with Managed Care Plans
With the changes health care environment, family planning programs recognize the need to develop relationships with a range of health insurance plans including Medicaid Managed Care plan and Qualified health Plans on the Insurance Exchange. Participants will learn how to identify health insurance plan and how to assure a successful contracting process and long term relationship. Whether you or your managed care department completes contracting, this session will assist you in creating your relationship with these plans At the end of this activity, the learner will be able to: Understand how to identify health insurance plans and solicit contracts for your agency. Explain the steps for reviewing third party contracts to identify both operational and fiscal requirements as well as possible areas for negotiation. Assess the changes needed in internal procedures and forms to ensure that contract terms are met for full payment in a timely manner. About the Speaker: Susan Gadon, MPA Susan Gadon is a Health care management specialist with 25 years' experience working with a range of organizations including hospitals, community health centers, community based organizations and family planning programs. She has worked with health center throughout the country developing and implementing strategies that optimize clinic operations and effectively address patient access, provider productivity, workflow, quality, billing, and coding, with a consistent record of exceeding expectations. Recommended For: This course is intended for clinical and counseling staff. Questions? Please contact Christine Woolslayer at 215-985-2659 or by email at: Christine.woolslayer@accessmatters.org. Faculty Disclosure Statement It is the policy of Drexel University College of Medicine to insure balance, independence, objectivity, and scientific rigor in all its sponsored educational programs. Speakers at continuing medical education activities are required to disclose to the audience their financial relationships with the manufacturer(s) of any commercial products, goods or services related to the subject matter of the program topic. Any conflicts of interest must be resolved prior to the presentation and announced to the audience. The intent of this disclosure is to allow participants to form their own judgments about the educational content of this activity and determine whether the speaker's commercial interests influenced the presentation. In addition, speakers are required to openly disclose any off-label, experimental, or investigational use of drugs or devices discussed in their presentation. Disclosures: Susan Gadin has no relationships to disclose. Planning Committee Member Christine Woolslayer, M.Ed and Marie McClay, DrNP, WHNP-BC have no relationships to disclose. Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Drexel University College of Medicine and the PA/MidAtlantic AIDS Education and Training Center of the Health Federation of Philadelphia. The Drexel University College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. AMA Credit Designation Statement: The Drexel University College of Medicine designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AOA: This program is eligible for 3.0 credit(s) in Category 2A of the American Osteopathic Association. Nursing Contact Hours: This educational activity for 3.0 contact hours is provided by AccessMatters. AccessMatters is an approved provider of continuing education by the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Registration Fee: There is no registration fee for AccessMatters providers for this training event. Non AccessMatters providers will be charged a registration fee. There will be no refund unless class is cancelled. We ask that all attendees register in advance. Unfortunately, we are unable to accept walk-ins. Cancellation Policy: This training event will be cancelled 1) if less than 10 individuals register for the event; or 2) if weather conditions are prohibitive. Special Accommodations: If you require special accommodations to participate in this training, please provide information about your requirements when you register. For assistance, call Sharon McCray at 215-985-2658. This training is sponsored by AccessMatters, formerly Family Planning Council.
at United Way of Southeastern Pennsylvania
Seven Benjamin Franklin Parkway
Philadelphia, United States
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