CAHP Webinar: Timely Access to Care in California

Wednesday, March 17, 2021

California’s “Timely Access” laws and regulations give the Department of Managed Health Care (DMHC) authority to measure plan networks and progress on meeting access standards including timeframes under which enrollees must be able to obtain care. Under the law, health plans are required to submit annual compliance reports to DMHC who then publishes an annual report on plan performance.  While providing important information to policymakers and public, the process for measuring timely access to care still remains a work in progress.  Health plans, providers, and regulators are still working on the best ways to measure timely access care more accurately and in a way that fairly depicts actual access to care.  At this session, regulators and industry experts on this topic will discuss our progress to date, the challenges in complying with these complex rules, and possible solutions for health plans to consider.

Sponsored By: Mazars and QMetrics

Dan Southard, Deputy Director, Office of Plan Monitoring, Department of Managed Health Care (DMHC)

Scilla Outcault, MBA, CFE, Manager, Mazars USA LLP

Laura Peth, MPA, CHC, CHPC, Office Managing Principal, Mazars USA LLP

Mazars Presentation

Suzan Mora Dalen, MPA, CHCA, Chief Executive Officer & HEDIS Auditor, QMetrics

Stacy Baker, JD, Chief Compliance Officer & SVP of Regulatory Affairs, QMetrics

QMetrics Presentation