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SUMMARY:Health Plan Accreditation 2025 Updates: Utilization Management
DESCRIPTION:Bundle and Save! Click Here for the NCQA Health Plan 
 Accreditation: 2025 Updates Series.\n\nAbout this Webinar 
 Training\nHealth Plan Accreditation 2025 Updates: 
 Utilization Management\nThis live\, multi-day course leads 
 learners through an end-to-end deep dive into the HPA 
 standards for Utilization Management (UM). Through this 
 course\, presenters will provide you with insight to 
 interpret the requirements\, navigate the standards\, and 
 avoid misconceptions. In addition to answering live 
 questions\, the presenters address scenarios and examples 
 based on performance improvement opportunities from prior 
 NCQA surveys.\n\nPlease note\, this course presents 
 information based on HPA 2024 standard requirements that are 
 released in July 2023. The scope of this course applies 
 directly to NCQA Accreditation Surveys conducted between 
 July 1\, 2024\, and June 30\, 2025.\n\nWhat You Will Learn\nAt 
 the conclusion of this course\, learners will be able 
 to:\n\n\nUnderstand the 2025 updates and changes to the 
 standards and requirements. \nInterpret the intent of HPA 
 requirements.\nDescribe relationships and themes across the 
 standards.\nRecognize requirement implications and 
 considerations for stakeholders.\nDefine performance 
 improvement opportunities.\n\nHEDIS® is a registered 
 trademark of the National Committee for Quality Assurance 
 (NCQA).\nCAHPS® is a registered trademark of the Agency for 
 Healthcare Research and Quality (AHRQ).\n\nWho Should 
 Attend\nClinicians\, 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:\n\n\nHealth care 
 professional.\nHealth decision makers\nConsultant.\nHealth 
 plan.\nHealth Systems\nPopulation health 
 organizations\n\nFaculty\n\n\nClint Koenig\, MD\, MSPH\, 
 MA\nClint 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.\n\nHe 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.\n\nDr. 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.\n\nContinuing Education\n\n\n 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.\n\nThis activity was planned by and for the 
 healthcare team\, and learners will receive 3.5 
 Interprofessional Continuing Education (IPCE) credit for 
 learning and change.\n\nThis educational activity is 
 approved for a maximum of 3.5 AMA PRA Category 1 CreditTM\, 
 ANA CNE and ACPE\n\nThe assigned universal program number: 
  JA0004597-0000-24-020-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.\n\nThis live course grants 2.0 Continuing Education 
 Unit (CEU) points for PCMH Certified Content Experts.\n* 
 Please note – You must attend the entire program to be 
 eligible for total number of contact hours. \n\nNABP CREDIT 
 REPORTING:\nIf you are a pharmacist completing a course 
 offering CPE credits\, please notify NCQA through ncqa.org 
 within 14 calendar days that you have completed a CPE 
 course. You must provide the title of the course\, your NABP 
 identification number and your DOB (month/date) within the 
 notification to NCQA. We also recommend you update your 
 education.ncqa.org profile with your NABP identification 
 number.\n\nDISCLOSURE OF RELEVANT FINANCIAL 
 RELATIONSHIPS\nThe National Committee for Quality Assurance 
 (NCQA) endorses the Standards of the Accreditation Council 
 for Continuing Medical Education which specify that sponsors 
 of continuing medical education activities and presenters at 
 and planners for these activities disclose any relevant 
 financial relationships either party might have with 
 commercial companies whose products or services are 
 discussed in educational presentations.\n\nFor sponsors\, 
 relevant financial relationships include large research 
 grants\, institutional agreements for joint initiatives\, 
 substantial gifts\, or other relationships that benefit the 
 institution.  For presenters or planning committee members\, 
 relevant financial relationships include the receipt of 
 research grants from a commercial company\, consultancies\, 
 honoraria\, travel\, or other benefits\, or having a 
 self-managed equity interest in a company\; or having an 
 immediate family member or partner with such a 
 relationship.\n\nDisclosure of a relationship is not 
 intended to suggest or condone bias in any presentation but 
 is made to provide participants with information that might 
 be of potential importance to their evaluation of a 
 presentation.\n\nRelevant financial relationships exist with 
 the following companies/organizations:\n\nFaculty:\nIrv 
 Koehler: None\nClint Koenig: None\n\nAdditional Planning 
 Committee Member:\nFelicia Khaalid: None\n\nThis program was 
 developed in part by NCQA staff.\n\nThis program received no 
 commercial support.\n
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