Wednesday, June 16, 2021

Accurate population health data is critical to managing and improving value of care. The data helps track health care quality and costs and identify deficiencies or gaps in care.  Encounter data has been historically inconsistent due to the complexity and administrative burdens in the reporting requirements.  Such inaccurate data can misrepresent how patients are accessing care, so improving the reporting of data is a key goal of the Department of Managed Health Care (DMHC), the Department of Health Care Services (DHCS) and health plans alike. Health Net and the Integrated Healthcare Association (IHA) have developed a multi-year initiative in coordination with DMHC and DHCS known as the Encounter Data Improvement Program. The program is designed to develop and implement solutions to improve the timely submission of complete and accurate encounter data from providers at the point of care to up-stream payers. The program has an initial focus on Medi-Cal but aims to implement solutions that will improve encounter data quality across all business lines. During this session, Health Net representatives, DMHC, DHCS and IHA will discuss the landmark Encounter Data Improvement Program and what the future holds for encounter data reporting in Medi-Cal.

Speakers

Martha Santana-Chin, Government Programs Officer, Health Net

• Health Net Presentation

Mary Watanabe, Director, California Department of Managed Health Care (DMHC)

• DMHC Presentation

Dr. Linette Scott, Chief Data Officer and Deputy Director of Enterprise Data and Information Management, California Department of Health Care Services  (DHCS)

• DHCS Presentation

Jeff Rideout, President & CEO, Integrated Healthcare Association (IHA)

• IHA Presentation