The CY 2027 Final Rule places greater weight on clinical measures and health outcomes, raising the bar for not only how and when plans outreach to members, but how often and how successfully. The removal of long-standing administrative and check-the-box measures means plans will need to recalculate their path to 4+ stars.
Join a live discussion focused on what an outcomes-focused regulatory environment demands in practice.
Key takeaways:
- Best practices for building population-wide outreach and how to implement interventions that lead to outcomes quickly and at scale
- Overcoming friction and resistance by engaging with members and building trust to close gaps
- What the return of the Reward Factor and the removal of EHO4All mean for your Stars strategy and where potential budget should be redirected
Designed for quality leaders who need to move from regulatory awareness to strategic action, this session offers practical guidance grounded in real health plan experience.
How Quality Leaders Must Action CMS 2027 Requirements
The CY 2027 Final Rule places greater weight on clinical measures and health outcomes, raising the bar for not only how and when plans outreach to members, but how often and how successfully. The removal of long-standing administrative and check-the-box measures means plans will need to recalculate their path to 4+ stars.
Join a live discussion focused on what an outcomes-focused regulatory environment demands in practice.
Key takeaways:
- Best practices for building population-wide outreach and how to implement interventions that lead to outcomes quickly and at scale
- Overcoming friction and resistance by engaging with members and building trust to close gaps
- What the return of the Reward Factor and the removal of EHO4All mean for your Stars strategy and where potential budget should be redirected
Designed for quality leaders who need to move from regulatory awareness to strategic action, this session offers practical guidance grounded in real health plan experience.
Speakers
David is a seasoned sales and business development executive with over 20 years of experience driving growth, expanding markets, and generating revenue in the healthcare technology and insurance sectors. Throughout his career, he has progressed from managing key accounts and facilitating new product implementations to leading strategic sales initiatives. His roles have consistently focused on expanding market share and optimizing performance for clients.
Mallory has over 15 years of leadership, quality and clinical experience delivering 5-Star quality care for senior populations in managed care plans and assisted living settings. She previously served as the Director of Quality Health Integration at Network Health Plan where she oversaw all regulatory programs and led the plan to achieve 5-Star performance. Mallory is a Registered Nurse and earned her BSN from the University of Wisconsin-Green Bay.
How Quality Leaders Must Action CMS 2027 Requirements
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The CY 2027 Final Rule places greater weight on clinical measures and health outcomes, raising the bar for not only how and when plans outreach to members, but how often and how successfully. The removal of long-standing administrative and check-the-box measures means plans will need to recalculate their path to 4+ stars.
Join a live discussion focused on what an outcomes-focused regulatory environment demands in practice.
Key takeaways:
- Best practices for building population-wide outreach and how to implement interventions that lead to outcomes quickly and at scale
- Overcoming friction and resistance by engaging with members and building trust to close gaps
- What the return of the Reward Factor and the removal of EHO4All mean for your Stars strategy and where potential budget should be redirected
Designed for quality leaders who need to move from regulatory awareness to strategic action, this session offers practical guidance grounded in real health plan experience.
Featured presenters
David is a seasoned sales and business development executive with over 20 years of experience driving growth, expanding markets, and generating revenue in the healthcare technology and insurance sectors. Throughout his career, he has progressed from managing key accounts and facilitating new product implementations to leading strategic sales initiatives. His roles have consistently focused on expanding market share and optimizing performance for clients.
Mallory has over 15 years of leadership, quality and clinical experience delivering 5-Star quality care for senior populations in managed care plans and assisted living settings. She previously served as the Director of Quality Health Integration at Network Health Plan where she oversaw all regulatory programs and led the plan to achieve 5-Star performance. Mallory is a Registered Nurse and earned her BSN from the University of Wisconsin-Green Bay.
