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Achieving Superior Quality Scores: How Health Plans Tailor Interventions Across Members & Markets (Quality Measurement Series Part 2)

Webinar | August 29, 2018 12:00 pm to 1:00 pm ET
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Virtual Forum: Achieving Superior Quality Scores: How Health Plans Tailor Interventions Across Members & Markets

Location: Online Via

Health plans are continually working to measure quality, and reshaping behavioral health care delivery through initiatives aimed at improving outcomes, such as integrated care. However, implementing quality measures across different types of payers (commercial vs. public) can raise challenges – some behavioral health measures see performance gains in one context while they see declining performance within others. Addressing this discrepancy requires that health plan quality experts take a tailored and practical approach to implementing and improving quality measures like those in the NCQA© HEDIS® and CMS STARS sets across their markets.

In this Virtual Forum, you will hear from Kimber Bishop, Director of Corporate Quality Management at New Directions Behavioral Health (NDBH) and Kristen Kidwell, Director for Behavioral Health Quality Program Management at Anthem, Inc., as they discuss how their organizations are striving to improve outcome measurement across all members and markets. The speakers will address strategies that include policy changes toward more integrated care as well as population health management programs driven by data based on these quality measures.

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Event Speakers

Kimber Bishop, RN, BSN, CPHQ, LSSGB
Featured Speaker

Kimber Bishop has over 11 years of quality assurance and performance improvement experience within hospital settings. She is the Director of Corporate Quality Management at New Directions Behavioral Health (NDBH). NDBH’s expertise is with behavioral health solutions for health care providers. Kimber often assists providers through improvement of traditional care and implementation of managed care initiatives. She has a strong emphasis on HEDIS ® performance, clinical outcomes, and other managed behavioral healthcare organization (MBHO) service outcomes. Ms. Bishop is experienced with tracking performance through LEAN Six Sigma and TeamSTEPPS methodology practices.

Kristen Kidwell, BS
Featured Speaker

Kristen Kidwell is the Director for Behavioral Health Quality Program Management at Anthem, Inc. She currently has 17 years of experience with quality improvement and managed care. Before Anthem purchased Amerigroup, Ms. Kidwell focused on health administration within hospital settings. She now leads the quality department in behavioral health as is becomes integrated with physical health. Ms. Kidwell has worked as a HEDIS ® project administrator and has vast experience with best practice setting and performance improvement.

Deb Adler, MS, CPQH
Featured Speaker

Deb Adler has more than 20 years of experience in executive health care roles, serving in a variety of capacities including network executive, quality management executive and chief operating office. She is the Former Senior Vice President of Network Strategy for Optum, where she was responsible for behavioral health network development, contracting, and strategy for over 185,000 providers. In this role she developed the largest, performance-tiered behavioral health network, largest telementalhealth network, and largest medication assisted treatment (MAT) network. She was also responsible for implementing network initiatives to promote medical/behavioral integration, improve member outcomes, and reduce total cost of care through collaborative care models. Currently she serves as a Senior Associate at OPEN MINDS.

Ms. Adler received her master’s degree in educational psychology and evaluation from Catholic University of America, and is a Certified Professional in Health Care Quality (CPHQ).

Annie Medina, MBA, ACNP-BC
Annie Medina, MBA, ACNP-BC, is a Senior Associate with OPEN MINDS, and brings over ten years of experience in the health and human services industry to the team. Her expertise spans both clinical and operational functions and is focused on digital health and health technology, business operations, strategic planning, project management, training and curriculum development, and policy and procedure design. Prior to joining OPEN MINDS she served as the Chief Operating Officer of a psychiatric facility, and is still actively practicing as a nurse practitioner.Ms. Medina received her MBA with a focus on Health Sector Management from College of William & Mary. She also earned a Master of Science in Nursing (Acute Care Advanced Practice) from Virginia Commonwealth University.


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