On August 26, 2015, HMA Information Services hosted the webinar, “Medicaid Network Adequacy: A Proactive Approach to Ensuring and Demonstrating Compliance.”
Health Management Associates Principal Karen Brodsky (who previously oversaw managed care contracting for the state of New Jersey), discussed the warning signs state regulators look for when assessing the adequacy of a Medicaid managed care plan’s network. She also outlined some practical ways plans can get out in front of these potential problems – not only demonstrating compliance to regulators but also improving access and satisfaction for members.
Listen to the recording and:
- Identify the warning signs of potential network adequacy issues and proactively fix problems before they affect member access and spark Medicaid agency inquiries.
- Understand which provider network access triggers are directly connected to access issues and which may not be related to network problems, yet still raise network compliance concerns.
- Assess the viability of partnerships with community groups to satisfy demand for providers that meet the needs of members with special needs.
- Improve communications with state agencies, providers, advocates and community-based organizations about the status of the provider network and how to work with the health plan if there is an access problem.
The slide deck for this webinar can be retrieved by clicking the “DOWNLOAD” button below.